Evidence map›Paper›PMID 28345790›Full record

Trial reportDiabetes, obesity & metabolism2017

Metabolic responses to exogenous ghrelin in obesity and early after Roux-en-Y gastric bypass in humans.

Robyn A Tamboli, Joseph Antoun, Reem M Sidani, Austin Clements, Emily E Harmata, Pam Marks-Shulman, Bruce D Gaylinn, Brandon Williams, Ronald H Clements, Vance L Albaugh and 1 more

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 20% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Robyn A TamboliDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-6398-935X
Joseph AntounDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Reem M SidaniDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Austin ClementsDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Emily E HarmataDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Pam Marks-ShulmanDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Bruce D GaylinnDivision of Endocrinology and Metabolism, Department of Medicine, University of Virginia, Charlottesville, Virginia.
Brandon WilliamsDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Ronald H ClementsDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Vance L AlbaughDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-5267-8951
Naji N AbumradDepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Vanderbilt University Medical Center · USUniversity of Virginia · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MARY Kay WASHINGTON · 2002 to 2026
$29.9M
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Roland W Stein · 2012 to 2026
$29.3M
TRANSGENIC MOUSE/ ES CELL SHARES RESOURCESP60DK020593 · NIDDK · VANDERBILT UNIVERSITY · PI ELASY, TOM A · 1986 to 2011
$28.1M
RYGB Improves Metabolism by Interrupting the Gastric Adipose Tissue AxisR01DK091748 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ABUMRAD, NAJI N · 2011 to 2015
$3.0M
Mechanisms of Bile Acid Signaling and Metabolism following Gastric BypassF32DK103474 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALBAUGH, VANCE L · 2014 to 2016
$177k
NCATS NIH HHS UL1 TR000445NIDDK NIH HHS F32 DK103474NIDDK NIH HHS P30 DK020593NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P60 DK020593NIDDK NIH HHS R01 DK091748
6 · The paper itself

Abstract

aimsGhrelin is a gastric-derived hormone that stimulates growth hormone (GH) secretion and has a multi-faceted role in the regulation of energy homeostasis, including glucose metabolism. Circulating ghrelin concentrations are modulated in response to nutritional status, but responses to ghrelin in altered metabolic states are poorly understood. We investigated the metabolic effects of ghrelin in obesity and early after Roux-en-Y gastric bypass (RYGB). MATERIALS AND

methodsWe assessed central and peripheral metabolic responses to acyl ghrelin infusion (1 pmol kg

resultsGhrelin-stimulated GH secretion was attenuated in obese subjects, but was restored by RYGB to a response similar to that of lean subjects. The heightened pancreatic polypeptide response to ghrelin infusion in the obese was attenuated after RYGB. Hepatic glucose production and hepatic insulin sensitivity were not altered by ghrelin infusion in RYGB subjects. Skeletal muscle insulin sensitivity was impaired to a similar degree in lean, obese and post-RYGB individuals in response to ghrelin infusion.

conclusionsThese data suggest that obesity is characterized by abnormal central, but not peripheral, responsiveness to ghrelin that can be restored early after RYGB before significant weight loss. Further work is necessary to fully elucidate the role of ghrelin in the metabolic changes that occur in obesity and following RYGB.

Indexed as

Gastric BypassInsulin ResistanceAcylationAnti-Obesity AgentsCohort StudiesCombined Modality TherapyCross-Over StudiesEnergy MetabolismGhrelinGluconeogenesisGlucose Clamp TechniqueHuman Growth HormoneHumansInfusions, IntravenousLiverMuscle, SkeletalAnti-Obesity AgentsGhrelinGHRL protein, humanHuman Growth HormonePancreatic PolypeptidePPY protein, humanProtein Precursorsbariatric surgeryghrelinglucose metabolisminsulin resistance

Identifiers

PMID28345790
PMCPMC5568950
OpenAlexW2603856582

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.