Evidence map›Paper›PMID 39437790›Full record

ArticleCell metabolism2025

Overnutrition causes insulin resistance and metabolic disorder through increased sympathetic nervous system activity.

Kenichi Sakamoto, Mary A Butera, Chunxue Zhou, Giulia Maurizi, Bandy Chen, Li Ling, Adham Shawkat, Likhitha Patlolla, Kavira Thakker, Victor Calle and 5 more

Abstract read
In one paragraph

Article in Cell metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–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

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
  7. Article
  8. Article
  9. Adhesion-Related Macrophages Regulate Metabolic Homeostasis Through CAV-1 Dependency.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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  13. Aqueous Extract ofFoods (Basel, Switzerland) · 2026
    Article
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1 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

15 authors.

Kenichi SakamotoDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Department of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Mary A ButeraDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Department of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Chunxue ZhouDepartment of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Giulia MauriziDepartment of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Bandy ChenDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Department of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Li LingDepartment of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Adham ShawkatDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Likhitha PatlollaDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Kavira ThakkerDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Victor CalleDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Donald A MorganDepartment of Neuroscience and Pharmacology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Kamal RahmouniDepartment of Neuroscience and Pharmacology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Gary J SchwartzDepartment of Medicine & Neuroscience, Albert Einstein College of Medicine, New York, NY, USA.
Azeddine TahiriDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Christoph BuettnerDivision of Endocrinology, Metabolism & Nutrition, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Department of Medicine and Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: cb1116@rwjms.rutgers.edu.

Funding

SUPPORT FOR THE ROSE F KENNEDY IDDRC P50P50HD105352 · NICHD · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SOPHIE MOLHOLM, Steven Upshaw Walkley · 2021 to 2026
$7.0M
Light, metabolic syndrome and Alzheimer’s disease: a non-pharmacological approachR01AG060716 · NIA · RENSSELAER POLYTECHNIC INSTITUTE · PI BUETTNER, CHRISTOPH, FIGUEIRO, MARIANA GROSS · 2018 to 2023
$4.3M
Role of FGF21 Action in Hypothalamic Neurons in Obesity-Associated HypertensionR01HL162773 · NHLBI · UNIVERSITY OF IOWA · PI KAMAL RAHMOUNI · 2023 to 2026
$2.4M
A Role of Hypothalamic Dysfunction in Alcoholic Liver DiseaseR01AA023416 · NIAAA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2014 to 2018
$2.2M
Role of CREG1 in metabolic homeostasisR01DK135309 · NIDDK · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI CHRISTOPH BUETTNER, Shaohua Li · 2023 to 2026
$1.9M
Regulation of Adipose Tissue Metabolism by Central Insulin and LeptinR01DK083658 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2009 to 2013
$1.9M
Adipose Triglyceride Lipase (ATGL) in Lipotoxicity and The Metabolic SyndromeR01DK090166 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KERSHAW, ERIN E. · 2011 to 2015
$1.7M
Neuronal Cilia in HypertensionR01HL172944 · NHLBI · UNIVERSITY OF IOWA · PI KAMAL RAHMOUNI · 2025 to 2026
$1.4M
The role of Stat3 signaling in leptin's pleitropic action.K08DK074873 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2006 to 2009
$510k
The role of the endocannabinoid system in regulating hepatic glucose fluxesR03DK082724 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2009 to 2010
$169k
Regulation of Adipose Tissue Metabolism by Central Insulin and LeptinR56DK083658 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUETTNER, CHRISTOPH · 2016 to 2016
$127k
BLRD VA I01 BX004249BLRD VA IK6 BX006040NHLBI NIH HHS R01 HL162773NHLBI NIH HHS R01 HL172944NIAAA NIH HHS R01 AA023416NIA NIH HHS R01 AG060716NICHD NIH HHS P50 HD105352NIDDK NIH HHS K08 DK074873NIDDK NIH HHS R01 DK083658NIDDK NIH HHS R01 DK090166NIDDK NIH HHS R01 DK135309NIDDK NIH HHS R03 DK082724NIDDK NIH HHS R56 DK083658
6 · The paper itself

Abstract

The mechanisms underlying obesity-induced insulin resistance remain incompletely understood, as impaired cellular insulin signaling, traditionally considered the primary driver of insulin resistance, does not always accompany impaired insulin action. Overnutrition rapidly increases plasma norepinephrine (NE), suggesting overactivation of the sympathetic nervous system (SNS). However, the role of the SNS in obesity is controversial, as both increased and decreased SNS activity (SNA) have been reported. Here, we show that reducing catecholamine (CA) release from the SNS protects against overnutrition-induced insulin resistance as well as hyperglucagonemia, adipose tissue dysfunction, and fatty liver disease, as we demonstrate utilizing a mouse model of inducible and peripherally restricted deletion of tyrosine hydroxylase (th; THΔper). A key mechanism through which heightened SNA induces insulin resistance is by triggering adipose tissue lipolysis. Increased SNA emerges as a critical driver in the pathogenesis of overnutrition-induced insulin resistance and metabolic disease independent of cellular insulin signaling.

Indexed as

Insulin ResistanceOvernutritionSympathetic Nervous SystemAdipose TissueAnimalsCatecholaminesInsulinLipolysisMaleMetabolic DiseasesMiceMice, Inbred C57BLNorepinephrineObesityTyrosine 3-MonooxygenaseCatecholaminesInsulinNorepinephrineTyrosine 3-Monooxygenaseadipose tissue dysfunctionadipose tissue lipolysisdiabetesinsulin resistanceliver steatosismetabolic diseasemetabolic inflammationnorepinephrineobesitysympathetic nervous system

Identifiers

PMID39437790
PMCPMC11711004

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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.