Evidence mapPaperPMID 41578882Full record

ArticlePlant biotechnology journal2026

Engineering Marker-Free Lettuce Chloroplast Genome to Express Functional Glucagon-Like Peptide-1 Receptor Agonists Exenatide and Lixisenatide.

Rahul Singh, Henry Daniell

Abstract read
In one paragraph

Article in Plant biotechnology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Rahul SinghDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Henry DaniellDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-4485-1176

Funding

NHLBI NIH HHS R01 HL107904NIH HHS HL 107904
6 · The paper itself

Abstract

Diabetes Mellitus is an epidemic affecting > 500 million, claiming 6-7 million lives annually. Chemically synthesised Glucagon-like peptide-1 receptor agonists (GLP-1RAs) containing artificial amino acids reduce haemoglobin A1c and obesity but are not yet affordable and require invasive injections. High dosage requirement and gastrointestinal complications are among the current limitations of oral GLP-1RAs. Therefore, we expressed codon optimised Exenatide and Lixisenatide fused with Cholera-toxin B-subunit (CTB) in lettuce chloroplasts to facilitate their oral delivery, increase affordability, and patient compliance. Site-specific integration of transgene expression cassettes into the chloroplast genome and removal of the selectable marker gene from marker-free lettuce transplastomic lines were confirmed using three sets of PCR primers. Homoplasmy in transplastomic lines was confirmed in Southern blots by the absence of untransformed genomes. CTB-Exenatide and CTB-Lixisenatide expression levels were 1.94 and 3.64 mg/g plant powder in T0 generation and increased ~31 and ~48%, respectively in marker-removed T1 lines. Maternal inheritance of transgenes was confirmed by lack of segregation when seedlings were germinated in the selection medium before removal of the antibiotic resistance gene (aadA). Monosialotetrahexosylganglioside (GM1) ELISA confirmed pentameric assembly efficiency of both CTB-fusion proteins similar to commercial CTB standards. GLP-1 receptor binding confirmed functionality of CTB-Exenatide/CTB-Lixisenatide with statistical significance (***p < 0.001 by t-test) and post-translational amidation in chloroplasts. Expression of functional CTB-Exenatide and CTB-Lixisenatide in an edible marker-free system for the first time and much lower dosage requirement for functionality than recently developed synthetic GLP-1RAs paves the way for clinical studies to advance oral delivery of these affordable biologics.

Indexed as

ExenatideGenetic EngineeringGenome, ChloroplastGlucagon-Like Peptide-1 Receptor AgonistsLactucaPeptidesChloroplastsGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorPlants, Genetically ModifiedExenatideGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorGlucagon-Like Peptide-1 Receptor AgonistslixisenatidePeptideschloroplast genome engineeringdrug deliveryExenatideglucagon like peptide‐1 receptor agonistsLixisenatidemarker‐free plants

Identifiers

PMID41578882
PMCPMC13110178

What Socratic holds

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LicenceCC BY-NC-ND
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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.