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The Study

The dual GLP-1/glucagon receptor agonist G49 mimics bariatric surgery effects by inducing metabolic rewiring and inter-organ crosstalk

In simple terms

This study is like a science experiment where scientists gave a new medicine to mice and some people after surgery, and watched what happened to their bodies. They saw that the medicine made fat burn and energy go up, but they didn’t know if the people knew they were getting the medicine — so we can’t be 100% sure it was the medicine and not something else.

66%

Analysis score

66/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting0
Methodology61
Publication100
Statistical100
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

This study found a new drug (G49) that tricks your body into thinking it had weight-loss surgery by making fat cells release energy, which then wakes up your body’s internal furnace (brown fat) to burn more calories.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
66

66 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — the weight loss in mice is clinically meaningful, and the human biomarker changes match known long-term outcomes after bariatric surgery, suggesting this drug could be a non-surgical alternative.
  2. 2In mice, one shot of G49 made fat release 2.5x more fatty acids in 6 hours, raised FGF21 by 3–4x in 12 hours, and caused 15–20% weight loss in 1 week.
  3. 3In humans, surgery raised FGF21 and oxyntomodulin, which matched long-term weight loss.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Nature Communications

Year

2024

Authors

M. P. Valdecantos, Laura Ruiz, Cintia Folgueira, Patricia Rada, Beatriz Gómez-Santos, Maite Solas, A. Hitos, Joss Field, Vera Francisco, Carmen Escalona-Garrido, S. Zagmutt, M. Calderón-Domínguez, Paula Mera, Irma Garcia-Martinez, E. Maymó-Masip, Diana Grajales, R. Alen, A. Mora, Neira Sáinz, Irene Vides-Urrestarazu, N. Vilarrasa, J. Arbonés-Mainar, Carlos Zaragoza, M. Moreno-Aliaga, P. Aspichueta, S. Fernández-Veledo, J. Vendrell, D. Serra, L. Herrero, R. Schreiber, R. Zechner, Guadalupe Sabio, David C. Hornigold, Cristina M. Rondinone, Lutz Jermutus, Joseph S. Grimsby, Ángela M. Valverde

Open Access
13 citations
Analysis v5

Related Content

Claims (10)

Assertion

Turning on two specific body switches—one for glucagon and one for GLP-1—helps burn more energy without raising blood sugar, because one speeds up metabolism and the other keeps blood sugar in check.

Mechanistic
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Assertion

In obese mice, a compound called G49 triggers a 3- to 4-fold rise in FGF21 hormone levels within 12 hours by activating fat breakdown in the liver via the glucagon receptor. This rise in FGF21 is required to fully activate brown fat and maintain long-term weight loss.

Mechanistic
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Assertion

In obese mice, blocking the breakdown of fat in white fat tissue prevents G49 from triggering increased production of FGF21, ketone bodies, activation of brown fat, and weight loss.

Mechanistic
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Assertion

In obese mice, a compound called G49 reduces weight and improves metabolism only when both glucagon and GLP-1 receptors are active; blocking either receptor significantly reduces weight loss and stops the activation of brown fat and the increase in energy use.

Mechanistic
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Assertion

In obese mice, a compound called G49 leads to a temporary buildup of fat in the liver within six hours, accompanied by increased activity of genes involved in fat production, triggered by hormonal signals from glucagon and insulin.

Mechanistic
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Assertion

In obese mice, a single injection of a specific drug called G49 causes fat cells to break down stored fat quickly, releasing a large increase of free fatty acids into the blood. This process depends on the glucagon receptor and happens before changes occur in the liver and brown fat.

Mechanistic
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