Evidence map›Paper›PMID 38310105›Full record

ArticleNature communications2024

Artesunate treats obesity in male mice and non-human primates through GDF15/GFRAL signalling axis.

Xuanming Guo, Pallavi Asthana, Lixiang Zhai, Ka Wing Cheng, Susma Gurung, Jiangang Huang, Jiayan Wu, Yijing Zhang, Arun Kumar Mahato, Mart Saarma and 7 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
14.6field-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

24 citing papers in PubMed, 31 citations in OpenAlex.

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  9. GDF15 Is Elevated in Eating Disorders and Is Involved in the Gut-Brain Axis via Ghrelin.European eating disorders review : the journal of the Eating Disorders Association · 2026
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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

17 authors at 6 institutions in 4 countries.

Xuanming Guo *School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.ORCID 0000-0002-8620-6063
Pallavi Asthana *School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China. pallavi@hkbu.edu.hk.
Lixiang ZhaiSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Ka Wing ChengSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.ORCID 0000-0002-7726-4966
Susma GurungSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Jiangang HuangFujian Provincial Key Laboratory of Innovative Drug Target Research and State Key Laboratory of Cellular Stress Biology, School of Pharmaceutical Sciences, Xiamen University, Xiamen, China.
Jiayan WuSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Yijing ZhangSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Arun Kumar MahatoInstitute of Biotechnology-HILIFE, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-7541-6279
Mart SaarmaInstitute of Biotechnology-HILIFE, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-5543-7160
Mart UstavIcosagen Ltd., 61713, Tartu, Estonia.
Hiu Yee KwanSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.ORCID 0000-0002-6088-7323
Aiping LyuSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.ORCID 0000-0002-2303-0494
Kui Ming ChanDepartment of Biomedical Sciences, City University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0001-6430-3340
Pingyi XuDepartment of Neurology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhao-Xiang BianSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China. bianzxiang@gmail.com.ORCID 0000-0001-6206-1958
Hoi Leong Xavier WongSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China. xavierwong@hkbu.edu.hk.ORCID 0000-0002-2460-4808
Hong Kong Baptist University · HKUniversity of Helsinki · FICity University of Hong Kong · HKFirst Affiliated Hospital of Guangzhou Medical University · CNIcosagen (Estonia) · EEXiamen University · CN

Funding

Food and Health Bureau of the Government of the Hong Kong Special Administrative Region | Health and Medical Research Fund (HMRF) 08793626Innovation and Technology Commission (ITF) ITS/058/22MSNational Natural Science Foundation of China (National Science Foundation of China) 32322091Research Grants Council, University Grants Committee (RGC, UGC) 12102020Research Grants Council, University Grants Committee (RGC, UGC) 22104123
6 · The paper itself

Abstract

Obesity, a global health challenge, is a major risk factor for multiple life-threatening diseases, including diabetes, fatty liver, and cancer. There is an ongoing need to identify safe and tolerable therapeutics for obesity management. Herein, we show that treatment with artesunate, an artemisinin derivative approved by the FDA for the treatment of severe malaria, effectively reduces body weight and improves metabolic profiles in preclinical models of obesity, including male mice with overnutrition-induced obesity and male cynomolgus macaques with spontaneous obesity, without inducing nausea and malaise. Artesunate promotes weight loss and reduces food intake in obese mice and cynomolgus macaques by increasing circulating levels of Growth Differentiation Factor 15 (GDF15), an appetite-regulating hormone with a brainstem-restricted receptor, the GDNF family receptor α-like (GFRAL). Mechanistically, artesunate induces the expression of GDF15 in multiple organs, especially the liver, in mice through a C/EBP homologous protein (CHOP)-directed integrated stress response. Inhibition of GDF15/GFRAL signalling by genetic ablation of GFRAL or tissue-specific knockdown of GDF15 abrogates the anti-obesity effect of artesunate in mice with diet-induced obesity, suggesting that artesunate controls bodyweight and appetite in a GDF15/GFRAL signalling-dependent manner. These data highlight the therapeutic benefits of artesunate in the treatment of obesity and related comorbidities.

Indexed as

Growth Differentiation Factor 15ObesityAnimalsArtesunateMacacaMaleMicePrimatesArtesunateGrowth Differentiation Factor 15

Identifiers

PMID38310105
PMCPMC10838268
OpenAlexW4391509834

What OpenQuestion holds

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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.