Evidence map›Paper›PMID 35129264›Full record

ArticleDiabetes, obesity & metabolism2022

Growth differentiation factor 15 (GDF15) and semaglutide inhibit food intake and body weight through largely distinct, additive mechanisms.

M Ghidewon, H S Wald, A D McKnight, B C De Jonghe, D M Breen, A L Alhadeff, T Borner, H J Grill

Open access · greenAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 43 citations in OpenAlex.

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  17. Central mechanisms of emesis: A role for GDF15.Neurogastroenterology and motility · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

M GhidewonInstitute of Diabetes, Obesity and Metabolism and School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania.
H S WaldInstitute of Diabetes, Obesity and Metabolism and School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania.
A D McKnightDepartment of Neuroscience, University of Pennsylvania, Philadelphia, Pennsylvania.
B C De JongheDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-6980-5355
D M BreenInternal Medicine Research Unit, Pfizer Global R&D, Cambridge, Massachusetts.
A L AlhadeffDepartment of Neuroscience, University of Pennsylvania, Philadelphia, Pennsylvania.
T BornerDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-9438-695X
H J GrillInstitute of Diabetes, Obesity and Metabolism and School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USMonell Chemical Senses Center · USNeurobehavioral Systems · USPfizer (United States) · US

Funding

NEURAL HIERARCHY IN THE MODULATION OF INGESTIVE BEHAVIORR01DK021397 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI GRILL, HARVEY J, HAYES, MATTHEW R · 1986 to 2021
$8.8M
Neural Mechanisms of Nausea, Vomiting, and Energy DysregulationR01DK112812 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Bart C DE JONGHE, MATTHEW R HAYES · 2017 to 2026
$4.4M
Targeting the GDF15-GFRAL system to treat nausea and emesisR01DK130239 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI DE JONGHE, BART C, DOYLE, ROBERT P · 2021 to 2024
$2.7M
INVESTIGATING THE GUT-BRAIN SIGNALING DYNAMICS REGULATING FOOD INTAKER00DK119574 · NIDDK · MONELL CHEMICAL SENSES CENTER · PI ALHADEFF, AMBER L · 2020 to 2022
$868k
Neural Hierarchy in the Modulation of Ingestive BehaviorR56DK021397 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI GRILL, HARVEY J · 2008 to 2008
$434k
Investigating the gut-brain signaling dynamics regulating food intakeK99DK119574 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI ALHADEFF, AMBER L · 2018 to 2019
$182k
NIDDK NIH HHS K99 DK119574NIDDK NIH HHS R00 DK119574NIDDK NIH HHS R01 DK021397NIDDK NIH HHS R01 DK112812NIDDK NIH HHS R01 DK130239NIDDK NIH HHS R56 DK021397
6 · The paper itself

Abstract

aimsTo evaluate whether the potent hypophagic and weight-suppressive effects of growth differentiation factor-15 (GDF15) and semaglutide combined would be a more efficacious antiobesity treatment than either treatment alone by examining whether the neural and behavioural mechanisms contributing to their anorectic effects were common or disparate. MATERIALS/

methodsThree mechanisms were investigated to determine how GDF15 and semaglutide induce anorexia: the potentiation of the intake suppression by gastrointestinal satiation signals; the reduction in motivation to feed; and the induction of visceral malaise. We then compared the effects of short-term, combined GDF15 and semaglutide treatment on weight loss to the individual treatments. Rat pharmaco-behavioural experiments assessed whether GDF15 or semaglutide added to the satiating effects of orally gavaged food and exogenous cholecystokinin (CCK). A progressive ratio operant paradigm was used to examine whether GDF15 or semaglutide reduced feeding motivation. Pica behaviour (ie, kaolin intake) and conditioned affective food aversion testing were used to evaluate visceral malaise. Additionally, fibre photometry studies were conducted in agouti-related protein (AgRP)-Cre mice to examine whether GDF15 or semaglutide, alone or in combination with CCK, modulate calcium signalling in hypothalamic AgRP neurons.

resultsSemaglutide reduced food intake by amplifying the feeding-inhibitory effect of CCK or ingested food, inhibited the activity of AgRP neurons when combined with CCK, reduced feeding motivation and induced malaise. GDF15 induced visceral malaise but, strikingly, did not affect feeding motivation, the satiating effect of ingested food or CCK signal processing. Combined GDF15 and semaglutide treatment produced greater food intake and body weight suppression than did either treatment alone, without enhancing malaise.

conclusionsGDF15 and semaglutide reduce food intake and body weight through largely distinct processes that produce greater weight loss and feeding suppression when combined.

Indexed as

EatingGlucagon-Like PeptidesGrowth Differentiation Factor 15Weight LossAgouti-Related ProteinAnimalsAnorexiaBody WeightCholecystokininMiceRatsSemaglutideAgouti-Related ProteinCholecystokininGlucagon-Like PeptidesGrowth Differentiation Factor 15Semaglutideanimal pharmacologyantiobesity drugappetite controlGLP-1 analogueneuropharmacologyweight control

Identifiers

PMID35129264
PMCPMC9796095
OpenAlexW4210860864

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.