Evidence map›Paper›PMID 42461990›Full record

ReviewCirculation research2026

GLP-1 Receptor Agonists: From Clinical Success to Mechanistic Insight.

Tapan A Patel, Jill Rose, Kenichi Katsurada, Toshihiko Yada, Panagiotis Koutakis, Jeffrey Salomon, Kaushik P Patel, Mabruka Alfaidi

Abstract readReview
In one paragraph

Review in Circulation research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Tapan A PatelDepartment of Cellular and Integrative Physiology (T.A.P., J.R., P.K., J.S., K.P.P., M.A.), University of Nebraska Medical Center, Omaha.ORCID 0000-0002-0631-5412
Jill RoseDepartment of Cellular and Integrative Physiology (T.A.P., J.R., P.K., J.S., K.P.P., M.A.), University of Nebraska Medical Center, Omaha.ORCID 0009-0000-2681-5935
Kenichi KatsuradaDivision of Clinical Pharmacology, Department of Pharmacology (K.K.), Jichi Medical University, Japan.ORCID 0000-0002-0567-1458
Toshihiko YadaDivision of Integrative Physiology, Center for Integrative Physiology, Kansai Electric Power Medical Research Institute, Kyoto, Japan (T.Y.).ORCID 0000-0002-4160-2652
Panagiotis KoutakisDepartment of Cellular and Integrative Physiology (T.A.P., J.R., P.K., J.S., K.P.P., M.A.), University of Nebraska Medical Center, Omaha.
Jeffrey SalomonDepartment of Cellular and Integrative Physiology (T.A.P., J.R., P.K., J.S., K.P.P., M.A.), University of Nebraska Medical Center, Omaha.ORCID 0000-0001-6893-2937
Kaushik P PatelDepartment of Cellular and Integrative Physiology (T.A.P., J.R., P.K., J.S., K.P.P., M.A.), University of Nebraska Medical Center, Omaha.ORCID 0000-0002-4500-0819
Mabruka AlfaidiDepartment of Cellular and Integrative Physiology (T.A.P., J.R., P.K., J.S., K.P.P., M.A.), University of Nebraska Medical Center, Omaha.ORCID 0000-0001-7970-0840

Funding

Novel Target Mechanism (Renal Denervation) to Reduce Sodium Retention in Chronic Heart FailureR01DK114663 · NIDDK · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PATEL, KAUSHIK P, ZHENG, HONG · 2017 to 2021
$2.1M
Novel target mechanism (renal nerves) for the beneficial actions of SGLT2 inhibition in congestive heart failureR01DK129311 · NIDDK · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PATEL, KAUSHIK P, ZHENG, HONG · 2021 to 2024
$2.0M
IL-1R1 in Endothelial-to-Mesenchymal ActivationR01HL172846 · NHLBI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Mabruka Alfaidi · 2024 to 2026
$1.3M
NHLBI NIH HHS R01 HL172846NIDDK NIH HHS R01 DK114663NIDDK NIH HHS R01 DK129311
6 · The paper itself

Abstract

GLP-1R (glucagon-like peptide-1 receptor) agonists are transforming therapeutic strategies in hypertension and cardiometabolic syndrome by shifting the focus from merely controlling individual risk factors to modifying the vascular-metabolic biology that underpins these conditions. In addition to promoting weight loss and improved glycemic control, growing clinical and experimental evidence indicates their beneficial effects on endothelial dysfunction, vascular inflammation, leukocyte recruitment, atherosclerotic plaque composition, and cardiorenal pathways involved in sodium regulation and neurohumoral balance, key processes in cardiometabolic-related hypertension and associated heart failure. This review integrates rapid clinical advancements in GLP-1R agonists with emerging mechanistic insights, clarifying which findings are well-established and which remain inferential, and identifying significant translational gaps that would provide deeper insight into cardiometabolic diseases. Key priorities include determining which benefits reflect direct GLP-1R signaling within cardiovascular/renal tissues versus secondary cardiometabolic changes, establishing cell type-resolved GLP-1R localization in human heart and kidney, and developing response biomarkers for cardiovascular and heart failure outcomes. Addressing these issues through detailed trial phenotyping, advanced mechanistic imaging, and relevant experimental models will facilitate personalized application of existing therapies and inform the development of next-generation incretin-based strategies aimed at durable vascular protection and blood pressure regulation for better cardiovascular health.

Indexed as

Cardiovascular DiseasesGlucagon-Like Peptide-1 Receptor AgonistsHypertensionIncretinsAnimalsGlucagon-Like Peptide-1 ReceptorHeart FailureHumansHypoglycemic AgentsSignal TransductionGLP1R protein, humanGlucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsIncretinsblood pressurecardiovascular diseasesglucagon-like peptide-1 receptor agonistsheart failurerisk factors

Identifiers

PMID42461990
PMCPMC13729888

What OpenQuestion holds

Textmetadata
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.