The Study
The dual GLP-1/glucagon receptor agonist G49 mimics bariatric surgery effects by inducing metabolic rewiring and inter-organ crosstalk
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.
Analysis score
Maximum 90 for a randomized controlled trial.
Where the score came from
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 100Randomized Trials
Max 90Reviews of Cohort Studies
Max 85Cohort Studies
Max 72Reviews of Case-Control Studies
Max 63Case-Control Studies
Max 58Cross-Sectional & Case Series
Max 50Expert Opinion
Max 566 / 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.
Key takeaways
Summary
Based on the study abstract and findings.
- 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.
- 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.
- 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
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Claims (10)
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.
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.
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.
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.
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.
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.
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.