Evidence map›Paper›PMID 33320179›Full record

ReviewEndocrine reviews2021

Revisiting the Complexity of GLP-1 Action from Sites of Synthesis to Receptor Activation.

Brent A McLean, Chi Kin Wong, Jonathan E Campbell, David J Hodson, Stefan Trapp, Daniel J Drucker

Open access · bronzeAbstract readReview
In one paragraph

Review in Endocrine reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 157 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 3 pooled it
16.3field-weighted citation impact, top 1% 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

157 citing papers in PubMed, 3 syntheses or guidelines pooled it, 259 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. The Role and Mechanism of Incretins in Gynaecologic Diseases.Endocrinology, diabetes & metabolism · 2026
    Review
  7. Article
  8. Review
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  10. Review
  11. The evolving landscape of obesity pharmacotherapy.Nature reviews. Drug discovery · 2026
    Review
  12. Article
  13. Gut microbiota in health and disease.Molecular biomedicine · 2026
    Review
  14. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  15. The complexity of pain in osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  16. Prediabetes in children and adolescents: what do we need to know?Annals of pediatric endocrinology & metabolism · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Gut microbe-derivedProceedings of the National Academy of Sciences of the United States of America · 2026
    Article

97 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Brent A McLeanDepartment of Medicine, Lunenfeld-Tanenbaum Research Institute, Mt. Sinai Hospital, University of Toronto, Ontario, Canada.
Chi Kin WongDepartment of Medicine, Lunenfeld-Tanenbaum Research Institute, Mt. Sinai Hospital, University of Toronto, Ontario, Canada.
Jonathan E CampbellThe Department of Medicine, Division of Endocrinology, Department of Pharmacology and Cancer Biology, Duke Molecular Physiology Institute, Duke University, Durham, NC, USA.
David J HodsonInstitute of Metabolism and Systems Research (IMSR), University of Birmingham, and Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK.
Stefan TrappCentre for Cardiovascular and Metabolic Neuroscience, Department of Neuroscience, Physiology & Pharmacology, UCL, London, UK.
Daniel J DruckerDepartment of Medicine, Lunenfeld-Tanenbaum Research Institute, Mt. Sinai Hospital, University of Toronto, Ontario, Canada.
University of Toronto · CADuke University · USUniversity College London · GBUniversity of Birmingham · GB

Funding

Neuroendocrine Integration of Satiety and Food RewardR01DK095757 · NIDDK · FLORIDA STATE UNIVERSITY · PI WILLIAMS, DIANA L · 2013 to 2022
$3.3M
Novel metabolic actions of GIPR01DK125353 · NIDDK · DUKE UNIVERSITY · PI CAMPBELL, JONATHAN E, D'ALESSIO, DAVID A. · 2020 to 2024
$2.1M
Mechanisms of insulin secretion mediated by alpha cellsR01DK123075 · NIDDK · DUKE UNIVERSITY · PI CAMPBELL, JONATHAN E · 2019 to 2023
$1.9M
British Heart Foundation FS/14/43/30960CIHR 154321Medical Research Council MR/N00275X/1Medical Research Council MR/N02589X/1Medical Research Council MR/S025618/1NIDDK NIH HHS R01 DK095757NIDDK NIH HHS R01 DK123075NIDDK NIH HHS R01 DK125353
6 · The paper itself

Abstract

Glucagon-like peptide-1 (GLP-1) is produced in gut endocrine cells and in the brain, and acts through hormonal and neural pathways to regulate islet function, satiety, and gut motility, supporting development of GLP-1 receptor (GLP-1R) agonists for the treatment of diabetes and obesity. Classic notions of GLP-1 acting as a meal-stimulated hormone from the distal gut are challenged by data supporting production of GLP-1 in the endocrine pancreas, and by the importance of brain-derived GLP-1 in the control of neural activity. Moreover, attribution of direct vs indirect actions of GLP-1 is difficult, as many tissue and cellular targets of GLP-1 action do not exhibit robust or detectable GLP-1R expression. Furthermore, reliable detection of the GLP-1R is technically challenging, highly method dependent, and subject to misinterpretation. Here we revisit the actions of GLP-1, scrutinizing key concepts supporting gut vs extra-intestinal GLP-1 synthesis and secretion. We discuss new insights refining cellular localization of GLP-1R expression and integrate recent data to refine our understanding of how and where GLP-1 acts to control inflammation, cardiovascular function, islet hormone secretion, gastric emptying, appetite, and body weight. These findings update our knowledge of cell types and mechanisms linking endogenous vs pharmacological GLP-1 action to activation of the canonical GLP-1R, and the control of metabolic activity in multiple organs.

Indexed as

Glucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor AgonistsHumansObesityGlucagon-Like Peptide 1Glucagon-Like Peptide-1 Receptor Agonistsbraincardiovasculardiabetesgastrointestinal tractisletsobesityreceptor

Identifiers

PMID33320179
PMCPMC7958144
OpenAlexW3110662830

What Socratic 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 Socratic graph.