Evidence map›Paper›PMID 37592007›Full record

Trial reportNature metabolism2023

Liraglutide restores impaired associative learning in individuals with obesity.

Ruth Hanssen, Lionel Rigoux, Bojana Kuzmanovic, Sandra Iglesias, Alina C Kretschmer, Marc Schlamann, Kerstin Albus, Sharmili Edwin Thanarajah, Tamara Sitnikow, Corina Melzer and 3 more

Open access · hybridFull text readRandomized Controlled Trial
In one paragraph

Trial report in Nature metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 41 citations in OpenAlex.

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  19. The gut and heart's role in reward processing.Frontiers in integrative neuroscience · 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

13 authors at 4 institutions in 2 countries.

Ruth HanssenMax Planck Institute for Metabolism Research, Cologne, Germany.
Lionel RigouxMax Planck Institute for Metabolism Research, Cologne, Germany.ORCID http://orcid.org/0000-0003-3761-8931
Bojana KuzmanovicMax Planck Institute for Metabolism Research, Cologne, Germany.
Sandra IglesiasTranslational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and Swiss Federal Institute of Technology, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-1778-7239
Alina C KretschmerFaculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-6323-1928
Marc SchlamannFaculty of Medicine and University Hospital Cologne, Institute for Diagnostic and Interventional Radiology, University of Cologne, Cologne, Germany.
Kerstin AlbusCologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-1124-4310
Sharmili Edwin ThanarajahMax Planck Institute for Metabolism Research, Cologne, Germany.
Tamara SitnikowFaculty of Medicine and University Hospital Cologne, Policlinic for Endocrinology, Diabetology and Preventive Medicine (PEPD), University of Cologne, Cologne, Germany.
Corina MelzerMax Planck Institute for Metabolism Research, Cologne, Germany.
Oliver A CornelyFaculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-9599-3137
Jens C BrüningMax Planck Institute for Metabolism Research, Cologne, Germany.ORCID http://orcid.org/0000-0002-6619-0092
Marc TittgemeyerMax Planck Institute for Metabolism Research, Cologne, Germany. tittgemeyer@sf.mpg.de.ORCID http://orcid.org/0000-0001-5072-2149
University of Cologne · DEMax Planck Institute for Metabolism Research · DEGoethe University Frankfurt · DEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Survival under selective pressure is driven by the ability of our brain to use sensory information to our advantage to control physiological needs. To that end, neural circuits receive and integrate external environmental cues and internal metabolic signals to form learned sensory associations, consequently motivating and adapting our behaviour. The dopaminergic midbrain plays a crucial role in learning adaptive behaviour and is particularly sensitive to peripheral metabolic signals, including intestinal peptides, such as glucagon-like peptide 1 (GLP-1). In a single-blinded, randomized, controlled, crossover basic human functional magnetic resonance imaging study relying on a computational model of the adaptive learning process underlying behavioural responses, we show that adaptive learning is reduced when metabolic sensing is impaired in obesity, as indexed by reduced insulin sensitivity (participants: N = 30 with normal insulin sensitivity; N = 24 with impaired insulin sensitivity). Treatment with the GLP-1 receptor agonist liraglutide normalizes impaired learning of sensory associations in men and women with obesity. Collectively, our findings reveal that GLP-1 receptor activation modulates associative learning in people with obesity via its central effects within the mesoaccumbens pathway. These findings provide evidence for how metabolic signals can act as neuromodulators to adapt our behaviour to our body's internal state and how GLP-1 receptor agonists work in clinics.

Indexed as

Insulin ResistanceLiraglutideFemaleGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHumansMaleObesityGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorLiraglutide

Identifiers

PMID37592007
PMCPMC10447249
OpenAlexW4385955544

What OpenQuestion holds

Textfull text, public
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.