Evidence mapPaperPMID 42291858Full record

ArticleCureus2026

Glucagon-Like Peptide-1 (GLP-1) Receptor Agonist Treatment After Liver Transplantation: A Hypothesis-Generating Case Report.

Nonka N Yurukova, Bissima Sultani

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In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nonka N YurukovaGastroenterology and Hepatology, University Hospital Lozenetz, Sofia, BGR.
Bissima SultaniGastroenterology and Hepatology, University Hospital Lozenetz, Sofia, BGR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucagon-like peptide-1 receptor agonists (GLP1RAs) are widely used for the management of type 2 diabetes (T2D) and obesity, yet their safety profile in liver transplant recipients remains insufficiently characterized. We report a case of a 59-year-old liver‑retransplanted man with metabolic dysfunction-associated steatohepatitis (MASH) who developed acute disorientation and vomiting four days after initiation of dulaglutide therapy. Although a low tacrolimus trough level (2.1 µg/L) was measured upon admission to our hospital, this reflected temporary discontinuation of the drug for four days prior to sampling. Tacrolimus concentration during symptomatic episodes was not measured. Brain imaging showed cortical atrophy without evidence of posterior reversible encephalopathy syndrome (PRES) or acute ischemia. The patient had multiple risk factors for calcineurin inhibitor neurotoxicity, including hypomagnesemia (0.68 mmol/L), chronic kidney disease (glomerular filtration rate (GFR) 49 mL/min), and extensive portal-systemic shunting. Symptoms resolved after supportive therapy and adjustment of immunosuppression. This case raises the hypothesis that GLP1RAs might alter tacrolimus pharmacokinetics through delayed gastric emptying, but our case does not prove this mechanism due to the absence of contemporary tacrolimus measurement and the presence of multiple alternative explanations. We recommend enhanced monitoring when initiating GLP1RAs in transplant recipients with predisposing risk factors for neurotoxicity. Prospective pharmacokinetic studies are needed to validate this hypothesis.

Indexed as

glucagon-like peptide-1 receptor agonistshypothesis-generating case reportliver transplantationmetabolic dysfunction-associated steatohepatitis (mash)possible pharmacokinetic interactions

Identifiers

PMID42291858
PMCPMC13262899

What Socratic holds

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Registered trials

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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.