Evidence map›Paper›PMID 39212900›Full record

ArticleEndocrine2025

Comparison of the effects of Liraglutide, Tirzepatide, and Retatrutide on diabetic kidney disease in db/db mice.

Jun Ma, Xiaoyan Hu, Wencheng Zhang, Mengyuan Tao, Min Wang, Weiping Lu

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Innovative Diabetes Therapies and Impact on Peripheral and Autonomic Diabetic Neuropathies: A State-of-the-Art Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  4. The role of the incretin GIP in inflammation.Journal of endocrinological investigation · 2026
    Review
  5. Review
  6. Contractile effects of retatrutide in isolated mouse atrial preparations.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Article
  7. Review
  8. Review
  9. Article
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

6 authors.

Jun MaDepartment of Endocrinology and Metabolism, The Huai'an Clinical College of Xuzhou Medical University, Huai'an, Jiangsu, 223300, China.ORCID 0009-0005-0421-369X
Xiaoyan HuDepartment of Endocrinology and Metabolism, The Huai'an Clinical College of Xuzhou Medical University, Huai'an, Jiangsu, 223300, China.ORCID 0009-0005-7125-5689
Wencheng ZhangDepartment of Endocrinology and Metabolism, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu, 223300, China.ORCID 0009-0009-9731-0323
Mengyuan TaoDepartment of Endocrinology and Metabolism, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu, 223300, China.ORCID 0009-0006-6799-526X
Min WangDepartment of Endocrinology and Metabolism, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu, 223300, China. wangmin19891119@126.com.ORCID 0000-0002-1252-0738
Weiping LuDepartment of Endocrinology and Metabolism, The Huai'an Clinical College of Xuzhou Medical University, Huai'an, Jiangsu, 223300, China. hayylwp@njmu.edu.cn.ORCID 0000-0002-4424-5152

Funding

Development Fund of the Affiliated Hospital of Xuzhou Medical University No. XYFY2021031.
6 · The paper itself

Abstract

purposeTo assess and compare the therapeutic efficacy of Liraglutide, Tirzepatide, and Retatrutide in treating diabetic kidney disease (DKD) in db/db mice.

methodsDb/db mice were administered intraperitoneal injections of Liraglutide (10 nmol/kg), Tirzepatide (10 nmol/kg), and Retatrutide (10 nmol/kg) for 10 weeks. Subsequently, we assessed the effectiveness of these three drugs in controlling blood glucose levels, reducing weight, and improving serum biochemical indicators and DKD. Additionally, we measured and compared the renal inflammation and fibrosis indexes. Meanwhile, the content of intestinal metabolite butyrate was compared to reflect the regulatory effects of these three drugs on gut microbiota.

resultsRetatrutide demonstrated superior effectiveness in reducing weight and improving renal function in db/db mice compared to Liraglutide and Tirzepatide. Additionally, it markedly suppressed the expression of pro-inflammatory cytokines (TNF-α, caspase-1, and NLRP3) and pro-fibrotic factors (fibronectin, α-SMA, and collagen I) in the kidneys of mice. Furthermore, Retatrutide substantially enhanced liver function, reduced triglyceride levels, cholesterol levels, low-density lipoprotein cholesterol, elevated high-density lipoprotein cholesterol, and increased the content of intestinal metabolite butyrate in db/db mice when compared to the other two drugs. Unfortunately, despite its ability to lower blood glucose levels, Retatrutide did not outperform the other two drugs. In contrast, Tirzepatide exhibited better effects on lowering blood glucose, weight loss, lipid reduction, and improvement of DKD compared to Liraglutide.

conclusionsRetatrutide and Tirzepatide were significantly effective in improving DKD, controlling blood glucose and body weight. Retatrutide was the most effective in improving DKD and body weight, while Tirzepatide was the most effective in controlling blood glucose. Inhibiting the expression of inflammatory factors and fibrosis mediators and regulating intestinal microbiota may be the potential mechanisms of these two drugs to delay the progression of DKD.

Indexed as

Diabetic NephropathiesHypoglycemic AgentsLiraglutideAnimalsBlood GlucoseDiabetes Mellitus, ExperimentalFatty AcidsGastrointestinal MicrobiomeKidneyMaleMiceMice, Inbred C57BLPeptidesTirzepatideBlood GlucoseFatty AcidsHypoglycemic AgentsLiraglutidePeptidesretatrutideTirzepatideDiabetic kidney diseaseGlycaemic controlLiraglutideRetatrutideTirzepatideWeight control

Identifiers

What OpenQuestion holds

Texttitle and abstract
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.