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January 23, 2020MetabolismOpen Access

Twelve weeks of exenatide treatment increased brown adipose tissue metabolic volume by 28% (p<0.05) and mean standardized uptake value by 11% (p<0.05) in nondiabetic men.

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Why the study?

Does extended-release exenatide increase [18F]FDG uptake by brown adipose tissue in nondiabetic men without obesity?

Population

24 nondiabetic men without obesity (12 Dutch South Asian and 12 age- and BMI-matched Europid)

Design

Cohort

Follow-up

12 weeks

Key result

Twelve weeks of exenatide treatment increased brown adipose tissue metabolic volume by 28% (p<0.05) and mean standardized uptake value by 11% (p<0.05) in nondiabetic men.

Authors

LJLaura G.M. JanssenKNKimberly J. NahonKBKatrien Bracké

Discussion

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Member takes

Overview

Should not yet change practice; hypothesis-generating for GLP-1 effects on BAT and needs RCT confirmation.

Structured PICO

Does extended-release exenatide increase [18F]FDG uptake by brown adipose tissue in nondiabetic men without obesity?

P
Population
24 Dutch South Asian and Europid men without obesity or type 2 diabetes treated with extended-release exenatide for 12 weeks.
I
Intervention
Extended-release exenatide for 12 weeks
O
Outcome
[18F]FDG uptake by brown adipose tissue (BAT) visualized by cold-induced [18F]FDG-PET/CT scansurrogate

Main Result

p-value: p=<0.05

GLP-1R agonism with exenatide increases brown adipose tissue metabolic activity in nondiabetic men without obesity, providing a potential mechanism for its metabolic benefits.

Cite This Study

Janssen et al. (2020) studied Without obesity or type 2 diabetes (n=24). Extended-release exenatide vs. Baseline was evaluated on Brown adipose tissue (BAT) metabolic volume (p=<0.05). Twelve weeks of exenatide treatment increased brown adipose tissue metabolic volume by 28% (p<0.05) and mean standardized uptake value by 11% (p<0.05) in nondiabetic men.

synapsesocial.com/papers/6aadfebd64f913cc7400e6f2https://doi.org/10.1016/j.metabol.2020.154167
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of Exenatide Versus Insulin Glargine Treatment’s Impact on Brown Adipose Tissue Markers and Epicardial Adipose Tissue2023 · 5 citations
  2. 2Effect of exenatide on postprandial glucose fluxes, lipolysis, and ß‐cell function in non‐diabetic, morbidly obese patients2016 · 23 citations
  3. 3GLP-1 receptor agonist treatment improved fasting and postprandial lipidomic profile independently of diabetes and weight loss2024 · 1 citations
  4. 4Central GLP-1 receptor signalling accelerates plasma clearance of triacylglycerol and glucose by activating brown adipose tissue in mice2015 · 138 citations
  5. 5Exenatide Alters Myocardial Glucose Transport and Uptake Depending on Insulin Resistance and Increases Myocardial Blood Flow in Patients with Type 2 Diabetes2012 · 77 citations