Evidence map›Paper›PMID 37572666›Full record

ArticleCell metabolism2023

Obesity-associated microglial inflammatory activation paradoxically improves glucose tolerance.

John D Douglass, Kelly M Ness, Martin Valdearcos, Alice Wyse-Jackson, Mauricio D Dorfman, Jeremy M Frey, Rachael D Fasnacht, Olivia D Santiago, Anzela Niraula, Jineta Banerjee and 3 more

Open access · greenAbstract read
In one paragraph

Article in Cell metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Effects of obesity on brain health and cognition.Nature reviews. Neurology · 2026
    Review
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  11. PANoptosis in diabetes: immunometabolic insights and treatments.Apoptosis : an international journal on programmed cell death · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

John D DouglassUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Kelly M NessUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Martin ValdearcosThe Diabetes Center, University of California, San Francisco, San Francisco, CA 94143, USA.
Alice Wyse-JacksonUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Mauricio D DorfmanUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Jeremy M FreyUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Rachael D FasnachtUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Olivia D SantiagoUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Anzela NiraulaUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Jineta BanerjeeUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA.
Megan RobbleeThe Diabetes Center, University of California, San Francisco, San Francisco, CA 94143, USA.
Suneil K KoliwadThe Diabetes Center, University of California, San Francisco, San Francisco, CA 94143, USA; Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA. Electronic address: suneil.koliwad@ucsf.edu.
Joshua P ThalerUW Medicine Diabetes Institute, University of Washington, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Seattle, WA 98109, USA. Electronic address: jpthaler@uw.edu.
University of Washington · USUniversity of California, San Francisco · US

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI GREGORY J MORTON · 1986 to 2026
$30.4M
UCSF Nutrition Obesity Research CenterP30DK098722 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTIAN VAISSE · 2015 to 2026
$14.6M
Diabetes, Obesity and Metabolism Training ProgramT32DK007247 · NIDDK · UNIVERSITY OF WASHINGTON · PI GREGORY J MORTON, KRISTINA Marie UTZSCHNEIDER · 1986 to 2026
$10.0M
Metabolic Regulation by Microglial Inflammatory SignalingR01DK119754 · NIDDK · UNIVERSITY OF WASHINGTON · PI JOSHUA P THALER · 2018 to 2026
$5.1M
Microglia: dietary fat-sensitive mediators of inflammation and metabolic diseaseR01DK103175 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOLIWAD, SUNEIL KRISHNA · 2015 to 2019
$1.8M
The microbiota-microglia axis in the regulation of metabolic homeostasisR01DK134782 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Martin Valdearcos · 2023 to 2026
$1.6M
Cellular Mechanisms of Hypothalamic Inflammation in High Fat Diet-Induced ObesityK08DK088872 · NIDDK · UNIVERSITY OF WASHINGTON · PI THALER, JOSHUA P · 2010 to 2014
$746k
Role of estrogens in hypothalamic inflammation and metabolic regulation.R21DK127296 · NIDDK · UNIVERSITY OF WASHINGTON · PI DORFMAN, MAURICIO D · 2021 to 2023
$662k
Central regulation of atherosclerosis by testosterone-deficiencyK01HL153205 · NHLBI · UNIVERSITY OF WASHINGTON · PI DORFMAN, MAURICIO D · 2021 to 2024
$648k
Microglia: Diet-Sensitive Mediators Between Immunity and Hypothalamic FunctionK01DK113064 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VALDEARCOS, MARTIN · 2018 to 2020
$461k
The role of gut microbiota in regulating functional diversity of diet-responsive hypothalamic myeloid cellsR03DK125627 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VALDEARCOS, MARTIN · 2020 to 2021
$242k
NHLBI NIH HHS K01 HL153205NIDDK NIH HHS F32 DK108473NIDDK NIH HHS K01 DK113064NIDDK NIH HHS K08 DK088872NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK035816NIDDK NIH HHS P30 DK098722NIDDK NIH HHS R01 DK103175NIDDK NIH HHS R01 DK119754NIDDK NIH HHS R01 DK134782NIDDK NIH HHS R03 DK125627NIDDK NIH HHS R21 DK127296NIDDK NIH HHS T32 DK007247
6 · The paper itself

Abstract

Hypothalamic gliosis associated with high-fat diet (HFD) feeding increases susceptibility to hyperphagia and weight gain. However, the body-weight-independent contribution of microglia to glucose regulation has not been determined. Here, we show that reducing microglial nuclear factor κB (NF-κB) signaling via cell-specific IKKβ deletion exacerbates HFD-induced glucose intolerance despite reducing body weight and adiposity. Conversely, two genetic approaches to increase microglial pro-inflammatory signaling (deletion of an NF-κB pathway inhibitor and chemogenetic activation through a modified Gq-coupled muscarinic receptor) improved glucose tolerance independently of diet in both lean and obese rodents. Microglial regulation of glucose homeostasis involves a tumor necrosis factor alpha (TNF-α)-dependent mechanism that increases activation of pro-opiomelanocortin (POMC) and other hypothalamic glucose-sensing neurons, ultimately leading to a marked amplification of first-phase insulin secretion via a parasympathetic pathway. Overall, these data indicate that microglia regulate glucose homeostasis in a body-weight-independent manner, an unexpected mechanism that limits the deterioration of glucose tolerance associated with obesity.

Indexed as

MicrogliaNF-kappa BBody WeightDiet, High-FatGlucoseHumansHypothalamusObesityGlucoseNF-kappa Bchemogeneticglucose sensingglucose tolerancehypothalamusinsulinmicrogliaobesityparasympatheticPOMCTNF

Identifiers

PMID37572666
PMCPMC10528677
OpenAlexW4385760633

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.