Evidence map›Paper›PMID 40392946›Full record

Trial reportPloS one2025

Intranasal insulin enhances resting-state functional connectivity in Type 2 Diabetes.

Zongpai Zhang, Vera Novak, Peter Novak, Christos Mantzoros, Long Ngo, Vasileios Lioutas, Weiying Dai

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Zongpai ZhangSchool of Computing, State University of New York at Binghamton, Binghamton, New York, United States of America.
Vera NovakDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID https://orcid.org/0000-0001-9773-1966
Peter NovakDepartment of Neurology, Massachusetts General Brigham Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Christos MantzorosDepartment of Medicine, Beth Israel Deaconess Medical Center and Department of Medicine Boston VA Healthcare System, Harvard Medical School, Boston, Massachusetts, United States of America.
Long NgoDepartment of Medicine, Beth Israel Deaconess Medical Center and School of Public Health, Harvard Medical School, Boston, Massachusetts, United States of America.
Vasileios LioutasDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Weiying DaiSchool of Computing, State University of New York at Binghamton, Binghamton, New York, United States of America.ORCID https://orcid.org/0000-0001-7973-8507

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) affects cognition and resting-state functional connectivity (rsFC). Intranasal insulin (INI) has emerged as a potential treatment for T2DM-related cognitive decline. We aimed to evaluate the effect of INI treatment on rsFC with medio-prefrontal (mPFC) and left/right hippocampus (lHPC/rHPC), and their relationship with the cognition, hemoglobin A1c (HbA1c), and homeostatic model assessment of insulin resistance (HOMA-IR) and walking speed. An MRI sub-study of the MemAID trial was conducted, involving a 24-week treatment with either intranasal insulin or placebo. Blood oxygen level-dependent (BOLD) functional MRI (fMRI) images were acquired on eighteen DM subjects at baseline and eleven DM subjects (eight DM-INI patients and three DM-Placebo) at the end-of-treatment. Compared to DM-Placebo treated subjects, DM-INI patients showed increased mPFC-postcentral rsFC, lHPC-frontal rsFC, lHPC-postcentral rsFC, rHPC-frontal rsFC, and lHPC-mPFC rsFC (p < 0.05). The decreased HOMA-IR, which was observed in the MemAID trial, was associated with increased mPFC-basal ganglia rsFC (p < 0.05). This sub-study provides insights into potential mechanisms of INI effects on rsFC that require validation in a larger trial.

Indexed as

Diabetes Mellitus, Type 2InsulinAdministration, IntranasalAdultAgedCognitionFemaleGlycated HemoglobinHippocampusHumansInsulin ResistanceMagnetic Resonance ImagingMaleMiddle AgedPrefrontal CortexRestGlycated HemoglobinInsulin

Identifiers

PMID40392946
PMCPMC12091882

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.