Resumen de Investigación
Analyzed using Evidence Intelligence™

Exenatide treatment reduces serum irisin in type 2 diabetes patients.

Última actualización 24 de agosto de 2026

Key finding

Serum irisin level significantly declined from baseline (3.22 ± 0.53 ng/mL vs. 3.35 ± 0.64 ng/mL, P = 0.031)

This study investigated the effects of exenatide treatment on serum irisin levels in patients with type 2 diabetes mellitus (T2DM), finding a significant decline in irisin levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of exenatide treatment on serum irisin levels in patients with type 2 diabetes mellitus (T2DM), finding a significant decline in irisin levels.

Clinical relevance

Understanding how exenatide affects irisin levels can help clinicians better manage T2DM. The decline in irisin may have implications for cardiovascular health, as it was associated with changes in cholesterol levels, which are crucial for reducing heart disease risk in diabetic patients.

Keep in mind

The study's sample size and population characteristics may limit generalizability. No significant associations were found between irisin levels and glycemic control parameters. The effectiveness of exenatide on irisin levels remains unclear due to limited evidence.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Yuting G, Xiaoyu H, Kun Y, et al. Serum irisin level declines during exenatide treatment in patients with T2DM. Journal of Clinical & Translational Endocrinology. 2026;45:100447. doi:10.1016/j.jcte.2026.100447

Efectos Principales

Serum irisin levels significantly declined from baseline (3.22 ± 0.53 ng/mL vs. 3.35 ± 0.64 ng/mL, P = 0.031).

Change in irisin levels was positively associated with HDL-C levels (r = 0.154, P = 0.035).

Change in irisin levels was negatively associated with triglyceride levels (r = -0.159, P = 0.029).

Change in irisin levels was negatively associated with the TG/HDL-C ratio (r = -0.172, P = 0.018).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Exenatide and Change in serum irisin level, Clinical parameters including blood pressure, glycemic control, and LDL cholesterol levels, HDL cholesterol, and 2 more.

Primary intervention

Exenatide

Primary outcomes

  • Change in serum irisin level
  • Clinical parameters including blood pressure, glycemic control, and LDL cholesterol levels
  • HDL cholesterol

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

5

Evidence pairs

65

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

GLP-1 Receptor Agonists and Adipokine and Angiogenic Markers

Evidencia relacionada

Tema de evidencia

GLP-1 Receptor Agonists

Guardar evidencia

Intervención

GLP-1 Receptor Agonists

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Change in serum irisin level

Exenatide → Change in serum irisin level

Exenatide → Change in serum irisin level

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Clinical parameters including blood pressure, glycemic control, and LDL cholesterol levels

Exenatide → Clinical parameters including blood pressure, glycemic control, and LDL cholesterol levels

Exenatide → Clinical parameters including blood pressure, glycemic control, and LDL cholesterol levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HDL cholesterol

Exenatide → HDL cholesterol

Exenatide → HDL cholesterol

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Nonfasting Plasma Triglyceride Levels

Exenatide → Nonfasting Plasma Triglyceride Levels

Exenatide → Nonfasting Plasma Triglyceride Levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Triglyceride-to-HDL cholesterol ratio

Exenatide → Triglyceride-to-HDL cholesterol ratio

Exenatide → Triglyceride-to-HDL cholesterol ratio

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

La Evidencia Sugiere

  • Irisin levels decreased significantly during exenatide treatment (P = 0.031).
  • Positive correlation between irisin and HDL-C levels (r = 0.154, P = 0.035).
  • Negative correlation between irisin and triglyceride levels (r = -0.159, P = 0.029).
who this applies

A quién se aplica

  • Adults diagnosed with type 2 diabetes mellitus.
  • Patients undergoing treatment with exenatide.
keep in mind

Tener en Cuenta

  • The study did not assess long-term effects of exenatide on irisin levels.
  • Findings may not apply to populations outside the study sample.
  • The relationship between irisin changes and clinical outcomes requires further investigation.
between the lines

Entre Líneas

  • The study's sample size and population characteristics may limit generalizability.
  • No significant associations were found between irisin levels and glycemic control parameters.
  • The effectiveness of exenatide on irisin levels remains unclear due to limited evidence.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on GLP-1 Receptor Agonists and Adipokine and Angiogenic Markers, GLP-1 Receptor Agonists and Clinical parameters including blood pressure, glycemic control, and LDL cholesterol levels.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Incluido en estas colecciones de evidencia

Curated evidence collections and hubs this study is part of.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does GLP-1 Receptor Agonists improve adipokine and angiogenic markers?

Strong Evidence

GLP-1 Receptor Agonists may improve Adipokine and Angiogenic Markers.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HDL cholesterol

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
10 supporting studiesUpdated: Aug 2026

Does Exenatide improve change in serum irisin level?

Emerging Evidence

Exenatide appears to improve Change in serum irisin level.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in serum irisin level

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Exenatide improve nonfasting plasma triglyceride levels?

Emerging Evidence

Exenatide appears to improve Nonfasting Plasma Triglyceride Levels.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Nonfasting Plasma Triglyceride Levels

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Exenatide improve triglyceride-to-hdl cholesterol ratio?

Emerging Evidence

Exenatide appears to improve Triglyceride-to-HDL cholesterol ratio.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Triglyceride-to-HDL cholesterol ratio

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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