Obesity

Neurobeachin ( neurobeachin (NBEA) ) is a novel gene associated with GLP ‐1 receptor agonist associated weight loss

Diabetes Obes MetabPublished Genetic association study in two real-world cohorts

Authors' conclusion

These findings indicate that NBEA genetic variation is predictive of GLP-1RA weight loss and may support future efforts to identify individuals likely to experience significant weight loss with GLP-1RAs, enabling personalised obesity treatment strategies.

Study context

Population
Individuals prescribed a GLP-1 RA in the NIH All of Us and UK BiobankUK Biobank 241
Comparison
Responsive or non-responsive NBEA genetic score vs not meeting threshold
Outcome
Weight loss response: high responsiveness (top 20th percentile for weight loss) and non-responsiveness (weight change ≥0%)
Follow-up
12-18 months
Methodological detailsdiscovery and validation cohorts
  • Discovery and validation cohorts

Performance

As reported in the abstract

High responsiveness with responsive NBEA score, liraglutide

Liraglutide, discovery: 82% more likely to be highly responsive

FDR p = 1.8 × 10-6

Liraglutide, UK Biobank validation

OR = 2.37; p = ·008

Semaglutide, discovery and validation

OR = 1.63 and OR = 2.21 respectively (p < ·05)

Further findings

Non-response with non-responsive NBEA score

Liraglutide, discovery: 50% more likely to not lose weight
FDR p = 2.9 × 10-4
Liraglutide, UK Biobank validation
OR = 1.81; p = ·041
Non-response score did not validate for semaglutide

Original publication

Neurobeachin ( NBEA ) is a novel gene associated with GLP ‐1 receptor agonist associated weight loss. Diabetes Obes Metab. Published 18 July 2025. doi:10.1111/dom.16612

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