Evidence map›Paper›PMID 41249493›Full record

ArticleNature medicine2025

Brain activity associated with breakthrough food preoccupation in an individual on tirzepatide.

Wonkyung Choi, Young-Hoon Nho, Liming Qiu, Andrew Chang, Gustavo Campos, Robert L Seilheimer, W Bryan Wilent, David Bakalov, Nida Firdous, Marie Kerr and 15 more

Abstract readCase Reports
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. The evolving landscape of obesity pharmacotherapy.Nature reviews. Drug discovery · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. 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

25 authors.

Wonkyung Choi *Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0008-7037-424X
Young-Hoon Nho *Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2843-142X
Liming QiuDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5246-2077
Andrew ChangDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Gustavo CamposDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8837-2698
Robert L SeilheimerDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5284-9864
W Bryan WilentDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
David BakalovSpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0009-0007-3412-9784
Nida FirdousDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Marie KerrDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Disha JoshiDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Gabriella MazeDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-3471-5333
Uros TopalovicDepartment of Neurosurgery, School of Medicine, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4005-7979
Daniel BatistaDepartment of Psychiatry and Biobehavioral Sciences, Jane and Terry Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA.
Nanthia SuthanaDepartment of Neurosurgery, School of Medicine, Duke University, Durham, NC, USA.
Anastassia AmaroPenn Metabolic Medicine, Division of Endocrinology, University of Pennsylvania, Philadelphia, PA, USA.
Matthew R HayesDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-9782-6551
Iahn CajigasDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5808-453X
Mario CristanchoDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Kelly C AllisonDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-9807-0220
Bijan PesaranDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Katherine W ScangosDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-7983-7767
Joshua I GoldDepartment of Neuroscience, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Thomas A WaddenDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0438-4609
Casey H HalpernDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Casey.Halpern@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-3907-216X

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Responsive Neurostimulation for Loss of Control EatingUH3NS103446 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI GOLD, JOSHUA I, HALPERN, CASEY HARRISON · 2019 to 2025
$4.8M
Remapping neurology through translation and innovationT32NS091008 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI AGUIRRE, GEOFFREY KARL, JENSEN, FRANCES E · 2015 to 2024
$3.0M
Investigating the role of nucleus accumbens delta signaling in loss of controlR01MH124760 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Casey Harrison Halpern · 2022 to 2026
$2.0M
Educating Physician Scientists in Psychiatry (EPSP): Firing up the next generation of translational and clinical neuroscientistsR25MH119043 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Mariella De Biasi, MATTHEW S KAYSER · 2019 to 2026
$1.6M
NCATS NIH HHS UL1 TR001878NIMH NIH HHS R01 MH124760NIMH NIH HHS R25 MH119043NINDS NIH HHS T32 NS091008NINDS NIH HHS UH3 NS103446U.S. Department of Health & Human Services | National Institutes of Health (NIH) 1R01MH124760-01A1 CHHU.S. Department of Health & Human Services | National Institutes of Health (NIH) 7UH3NS103446-03
6 · The paper itself

Abstract

Obesity and related conditions are associated with distressing food preoccupation that often culminates in dysregulated eating behaviors. Incretin-based therapies can reduce excessive weight in obesity, but their impact on dysregulated eating behaviors remains largely unexamined. Understanding how these pharmacologics engage the brain's mesolimbic circuitry may inform the expansion of their therapeutic potential. We report a rare, first-in-human exploration of the physiological action of these therapies by examining the electrophysiology directly within the human nucleus accumbens. After a short-term course of tirzepatide, the patient-participant exhibited increased severe food preoccupation episodes, which were preceded by an increased delta-theta frequency (≤7 Hz) power in the nucleus accumbens region. We propose that the effects of an incretin-based therapy (tirzepatide) on food preoccupation may be associated with modulation of aberrant activity within this key hub of human mesolimbic circuitry.

Indexed as

BrainFeeding BehaviorIncretinsNucleus AccumbensObesityFemaleGlucagon-Like Peptide 1HumansMiddle AgedTirzepatideGlucagon-Like Peptide 1IncretinsTirzepatide

Identifiers

PMID41249493
PMCPMC12705427

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.