Insights from changes in NDEV biomarkers of metabolism: effects of PPARγ and GLP1 receptor agonists on brain metabolism.

J Clin Endocrinol MetabSep 16, 2026
Clinical ResearchEndocrinologyPsychiatryOpen access

Audrey Evers, Kathleen Watson, Fahim Abbasi et al.

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In 30 seconds

This randomized controlled trial examined the effects of pioglitazone (PPARγ agonist) and liraglutide (GLP1 receptor agonist) on central nervous system insulin signaling in participants with unremitted depression and those at genetic risk for Alzheimer's disease. Significant increases in biomarkers were observed, with 77% of pioglitazone recipients showing mTOR (Ser2448) response compared to placebo.

Key findings

  • 77% of participants receiving pioglitazone showed mTOR (Ser2448) response compared to placebo.
  • Participants on liraglutide had significant increases in NDEV-associated phosphorylated Akt (Ser473) and mTOR (Ser2448; P = .04 and P = .025).
  • 40% and 30% of liraglutide participants showed biomarker response in Akt (Ser473) and mTOR (Ser2448), respectively.

Why it matters

Understanding the impact of PPARγ and GLP1 receptor agonists on brain metabolism may provide insights into potential therapeutic strategies for managing insulin resistance-related central nervous system disorders, including depression and Alzheimer's disease.

Source

Published in J Clin Endocrinol Metab. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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