Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

An analysis on the role of glucagon-like peptide-1 receptor agonists in cognitive and mental health disorders

Riccardo De Giorgi; Ana Ghenciulescu; Oliwia Dziwisz; Maxime Taquet; Amanda Adler; Ivan Koychev; Rachel Upthegrove; Marco Solmi; Robert A. McCutcheon; Toby Pillinger; Philip J. Cowen; Catherine J. Harmer

Nature Mental Health · 2025

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Summary

This analysis, published in Nature Mental Health, synthesises available pre-clinical, mechanistic, and clinical evidence on the effects of glucagon-like peptide-1 receptor agonists (GLP-1RAs) — medications approved for diabetes and obesity — on cognitive and psychiatric conditions. The authors evaluate the potential for repurposing these agents in neurological and mental health disorders, while also critically appraising concerns about their neuropsychiatric safety profile. The paper provides a structured evidence base to inform both future research priorities and clinical decision-making regarding GLP-1RA use in populations with or at risk of mental health conditions.

UK applicability

The findings are broadly applicable to UK clinical practice and policy, given NHS prescribing of GLP-1RAs (e.g. semaglutide, liraglutide) for type 2 diabetes and obesity, and growing interest from NICE and NHS England in their wider therapeutic potential. UK clinicians and commissioners considering GLP-1RA use in patients with comorbid mental health conditions would benefit from the safety and efficacy evidence synthesised here.

Key measures

Number of pre-clinical and mechanistic studies reviewed (278); number of clinical studies reviewed (96); neuropsychiatric outcomes across cognitive and mental health disorder categories; safety and adverse event data

Outcomes reported

The study examined the effects of GLP-1 receptor agonists across a range of neurological and psychiatric conditions, drawing on pre-clinical, mechanistic, and clinical evidence. It assessed both the therapeutic repurposing potential and the neuropsychiatric safety profile of these agents.

Theme
Nutrition & health
Subject
Pharmacology & mental health
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1038/s44220-025-00390-x
Catalogue ID
NRmo3f02hq-0d5

Topic tags

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