The Effects of Sleeve Gastrectomy on Glucose Metabolism and Glucagon-Like Peptide 1 in Goto-Kakizaki Rats.

The Effects of Sleeve Gastrectomy on Glucose Metabolism and Glucagon-Like Peptide 1 in Goto-Kakizaki Rats.
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袖状胃切除术对Goto-Kakizaki大鼠葡萄糖代谢和胰高血糖素样肽1的影响

DOI:
10.1155/2018/1082561
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发表时间:
2018
影响因子:
4.3
通讯作者:
Wang J
Wang J
中科院分区:
医学3区
文献类型:
--
作者:
Li L;Wang X;Bai L;Yu H;Huang Z;Huang A;Luo Y;Wang J

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目的探讨袖状胃切除术(SG)对Goto-Kakizaki(GK)大鼠糖代谢及胰高血糖素样肽1(GLP-1)的影响。方法将GK大鼠随机分为SG组、SG配对喂养加假手术组(PF sham)和不手术组(control)。比较食物摄入、体重、血糖、GLP-1和胰岛素水平以及空肠和回肠中GLP-1表达。结果SG组大鼠术后进食量、体重、空腹血糖均低于对照组(P < 0.05)。SG能显著改善糖耐量和胰岛素耐量(P < 0.05)。在口服葡萄糖耐量试验(OGTT)中,SG大鼠血浆GLP-1水平高于对照组和PF假手术组(P < 0.05)。在给予exendin(9-39)后,SG大鼠的血糖水平以基线百分比表示高于对照大鼠(P < 0.05)。SG组大鼠空肠和回肠GLP-1表达水平高于PF假手术组和对照组(P < 0.05)。结论SG对糖代谢的改善与GLP-1的分泌增加有关。SG通过增加空肠和/或回肠粘膜中的GLP-1表达,促进血浆GLP-1水平升高。
Purpose To investigate the effects of sleeve gastrectomy (SG) on glucose metabolism and changes in glucagon-like peptide 1 (GLP-1) in Goto-Kakizaki (GK) rats. Methods GK rats were randomly assigned to one of three groups: SG, SG pair-fed plus sham surgery (PF-sham), and ad libitum-fed no surgery (control). Food intake, body weight, blood glucose, GLP-1 and insulin levels, and GLP-1 expression in the jejunum and ileum were compared. Results The SG rats exhibited lower postoperative food intake, body weight, and fasting glucose than did the control rats (P < 0.05). SG significantly improved glucose and insulin tolerance (P < 0.05). Plasma GLP-1 levels were higher in SG rats than in control or PF-sham rats in the oral glucose tolerance test (OGTT) (P < 0.05). Blood glucose levels expressed as a percentage of baseline were higher in SG rats than in control rats after exendin (9-39) administration (P < 0.05). The levels of GLP-1 expression in the jejunum and ileum were higher in SG rats than in PF-sham and control rats (P < 0.05). Conclusions Improvement of glucose metabolism by SG was associated with increased GLP-1 secretion. SG contributes to an increase in plasma GLP-1 levels via increased GLP-1 expression in the mucosa of the jejunum and/or ileum.
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