Evidence map›Paper›PMID 35457152›Full record

ReviewInternational journal of molecular sciences2022

The Role of Glp-1 Receptor Agonists in Insulin Resistance with Concomitant Obesity Treatment in Polycystic Ovary Syndrome.

Krzysztof Bednarz, Karolina Kowalczyk, Marlena Cwynar, Dominika Czapla, Wiktor Czarkowski, Dominika Kmita, Artur Nowak, Paweł Madej

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 2 pooled it
20.9field-weighted citation impact, top 1% 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

77 citing papers in PubMed, 2 syntheses or guidelines pooled it, 120 citations in OpenAlex.

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  9. The Role and Mechanism of Incretins in Gynaecologic Diseases.Endocrinology, diabetes & metabolism · 2026
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17 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Krzysztof BednarzDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.ORCID 0000-0002-8910-1697
Karolina KowalczykDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.ORCID 0000-0003-1406-5211
Marlena CwynarDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
Dominika CzaplaDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.ORCID 0000-0001-7675-2653
Wiktor CzarkowskiDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.ORCID 0000-0001-5272-6880
Dominika KmitaDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.ORCID 0000-0003-3260-1567
Artur NowakGynecological and Obstetrician Polyclinic, District Hospital, 15-435 Białystok, Poland.
Paweł MadejDepartment of Gynecological Endocrinology, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.ORCID 0000-0002-6447-1667
Medical University of Silesia · PLUniversity Clinical Hospital In Bialystok · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insulin resistance is documented in clamp studies in 75% of women with polycystic ovary syndrome (PCOS). Although it is not included in the diagnostic criteria of PCOS, there is a crucial role of this metabolic impairment, which along with hormonal abnormalities, increase each other in a vicious circle of PCOS pathogenesis. Insulin resistance in this group of patients results from defects at the molecular level, including impaired insulin receptor-related signaling pathways enhanced by obesity and its features: Excess visceral fat, chronic inflammation, and reactive oxygen species. While lifestyle intervention has a first-line role in the prevention and management of excess weight in PCOS, the role of anti-obesity pharmacological agents in achieving and maintaining weight loss is being increasingly recognized. Glucagon-like peptide-1 receptor agonists (GLP1-RAs) not only act by reducing body weight but also can affect the mechanisms involved in insulin resistance, like an increasing expression of glucose transporters in insulin-dependent tissues, decreasing inflammation, reducing oxidative stress, and modulating lipid metabolism. They also tend to improve fertility either by increasing LH surge in hypothalamus-pituitary inhibition due to estrogen excess connected with obesity or decreasing too high LH levels accompanying hyperinsulinemia. GLP1-RAs seem promising for effective treatment of obese PCOS patients, acting on one of the primary causes of PCOS at the molecular level.

Indexed as

Anti-Obesity AgentsInsulin ResistancePolycystic Ovary SyndromeFemaleGlucagon-Like Peptide-1 Receptor AgonistsHumansInflammationInsulinObesityAnti-Obesity AgentsGlucagon-Like Peptide-1 Receptor AgonistsInsulinglucagon-like peptide-1 receptor agonists (GLP-1RAs)infertilityinflammationinsulin resistance (IR)lipid metabolismobesityoxidative stresspolycystic ovary syndrome (PCOS)

Identifiers

PMID35457152
PMCPMC9029608
OpenAlexW4224024335

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.