Sleeve Gastrectomy Improves High-Fat Diet-Associated Hepatic Steatosis Independent of the Glucagon-like-Petpide-1 Receptor in Rats.

Sleeve Gastrectomy Improves High-Fat Diet-Associated Hepatic Steatosis Independent of the Glucagon-like-Petpide-1 Receptor in Rats.
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DOI:
10.1007/s11605-022-05361-6
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发表时间:
2022-08
影响因子:
3.2
通讯作者:
Kindel, Tammy L.
Kindel, Tammy L.
中科院分区:
医学3区
文献类型:
--
作者:
Barron, Matthew;Hayes, Hailey;Fernando, Deemantha G.;Geurts, Aron M.;Kindel, Tammy L.

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胃袖状切除术(SG)后胃肠激素胰高血糖素样肽-1(GLP-1)升高。大鼠和临床研究支持SG后GLP-1 R信号传导的作用,而小鼠研究反驳了这一点。因此,我们开发了一种全球GLP-1 R敲除(KO)大鼠,以检验功能性GLP-1 R对诱导SG后体重减轻和代谢疾病改善至关重要的假设。在刘易斯品系背景的GLP-1 R基因外显子2中创建4 bp缺失,以创建全局GLP-1 R KO大鼠。对KO和刘易斯大鼠给予高脂或低脂饲料,进行表型分析,然后进行SG或假手术,并评估GLP-1 R KO对手术和代谢疗效的影响。GLP-1 R的缺失产生了一种肥胖倾向的啮齿动物,而能量消耗没有变化。与刘易斯大鼠相比,尽管葡萄糖浓度相似,但经口灌胃葡萄糖后,通过高脂饮食增强的雄性和雌性KO大鼠的胰岛素浓度均显著更高。与刘易斯大鼠相比,GLP-1 R KO导致肝肿大和甘油三酯沉积增加。当考虑对体重、葡萄糖耐量的疗效和脂肪肝疾病的稳健改善时,我们发现SG GLP-1 R KO组和刘易斯组之间无差异。大鼠中GLP-1 R的缺失导致肥胖、胰岛素抵抗和重度脂肪变性增加。与小鼠研究相似,功能性GLP-1 R对SG在刘易斯大鼠中的代谢疗效并不重要,但重要的是包括脂肪变性,支持SG后脂肪肝疾病改善的GLP-1 R非依赖性机制。
The gastrointestinal hormone glucagon-like peptide-1 (GLP-1) is increased after sleeve gastrectomy (SG). Rat and clinical studies support, while mouse studies refute, a role for GLP-1R signaling after SG. Therefore, we developed a global GLP-1R knockout (KO) rat to test the hypothesis that a functional GLP-1R is critical to induce weight loss and metabolic disease improvement after SG. A 4bp deletion was created in exon 2 of the GLP-1R gene on a Lewis strain background to create a global GLP-1R KO rat. KO and Lewis rats were placed on a high-fat or low-fat diet and phenotyped followed by SG or Sham surgery and assessed for the effect of GLP-1R KO on surgical and metabolic efficacy. Loss of the GLP-1R created an obesity-prone rodent without changes in energy expenditure. Both male and female KO rats had significantly greater insulin concentrations after an oral glucose gavage, augmented by a high-fat diet, compared to Lewis rats despite similar glucose concentrations. GLP-1R KO caused hepatomegaly and increased triglyceride deposition compared to Lewis rats. We found no difference between SG GLP-1R KO and Lewis groups when considering efficacy on body weight, glucose tolerance, and a robustly preserved improvement in fatty liver disease. Loss of the GLP-1R in rats resulted in increased adiposity, insulin resistance, and severe steatosis. A functional GLP-1R is not critical to the metabolic efficacy of SG in Lewis rats, similar to mouse studies, but importantly including steatosis, supporting a GLP-1R independent mechanism for the improvement in fatty liver disease after SG.
DOI: 10.1038/s41467-021-24914-y
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DOI: 10.1210/en.2016-1302
发表时间: 2016-09-01
期刊: ENDOCRINOLOGY
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