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Erschienen in: Obesity Surgery 8/2020

27.04.2020 | Original Contributions

Changes of Resting Energy Expenditure in Type 2 Diabetes Rats After Roux-en-Y Gastric Bypass

verfasst von: Weijie Chen, Haixin Yin, Ning Zhang, Wei Liu, Qiang Qu, Jianchun Xiao, Fengying Gong, Xiaodong He

Erschienen in: Obesity Surgery | Ausgabe 8/2020

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Abstract

Background

This study aimed to investigate the changes of resting energy expenditure (REE) induced by Roux-en-Y gastric bypass (RYGB) in diabetic rats.

Methods

Thirty male Goto-Kakizaki rats were randomly divided into RYGB, sham RYGB (SR), and control groups. Glucose metabolism, energy expenditure, triiodothyronine, and bile acid levels were measured. Body composition in different groups was compared after sacrifice.

Results

RYGB induced significant diabetic improvement, with decreased maximum food intake and body weight. There was no significant difference in the REE between the groups before surgery (P = 0.74), while the REE of the RYGB group (1.15 ± 0.17 ml/h/g) was higher than that of the SR group (0.99 ± 0.13 ml/h/g) and the control group (0.97 ± 0.13 ml/h/g, P = 0.031) at the 20th postoperative week. The ratio of white adipose tissue in the RYGB group was lower (P = 0.02), and the ratio of brown adipose tissue was higher than that of the SR group and the control group (P = 0.045). Moreover, a higher bile acid level was detected in the RYGB group (6.4 ± 1.8 μmol/L) than in the SR group (4.2 ± 1.7 μmol/L) and the control group (4.0 ± 2.0 μmol/L, P = 0.025).

Conclusions

RYGB induces a higher REE level in diabetic rats. The circulating bile acid level was enhanced after surgery.
Literatur
1.
Zurück zum Zitat Wild S, Roglic G, Green A, et al. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53. Epub 2004/04/28PubMedCrossRef Wild S, Roglic G, Green A, et al. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53. Epub 2004/04/28PubMedCrossRef
2.
Zurück zum Zitat Camilleri M, Staiano A. Insights on obesity in children and adults: individualizing management. Trends Endocrinol Metab. 2019;30(10):724–34. Epub 2019/08/10PubMedPubMedCentralCrossRef Camilleri M, Staiano A. Insights on obesity in children and adults: individualizing management. Trends Endocrinol Metab. 2019;30(10):724–34. Epub 2019/08/10PubMedPubMedCentralCrossRef
3.
Zurück zum Zitat Still CD, Wood GC, Benotti P, et al. Preoperative prediction of type 2 diabetes remission after Roux-en-Y gastric bypass surgery: a retrospective cohort study. Lancet Diabetes Endocrinol. 2014;2(1):38–45. Epub 2014/03/01PubMedPubMedCentralCrossRef Still CD, Wood GC, Benotti P, et al. Preoperative prediction of type 2 diabetes remission after Roux-en-Y gastric bypass surgery: a retrospective cohort study. Lancet Diabetes Endocrinol. 2014;2(1):38–45. Epub 2014/03/01PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Mazidi M, de Caravatto PP, Speakman JR, et al. Mechanisms of action of surgical interventions on weight-related diseases: the potential role of bile acids. Obes Surg. 2017;27(3):826–36. Epub 2017/01/17PubMedCrossRef Mazidi M, de Caravatto PP, Speakman JR, et al. Mechanisms of action of surgical interventions on weight-related diseases: the potential role of bile acids. Obes Surg. 2017;27(3):826–36. Epub 2017/01/17PubMedCrossRef
5.
Zurück zum Zitat Nilaweera KN, Speakman JR. Regulation of intestinal growth in response to variations in energy supply and demand. Obesity Reviews: an Official Journal of the International Association for the Study of Obesity. 2018;19(Suppl 1):61–72. Epub 2018/12/05CrossRef Nilaweera KN, Speakman JR. Regulation of intestinal growth in response to variations in energy supply and demand. Obesity Reviews: an Official Journal of the International Association for the Study of Obesity. 2018;19(Suppl 1):61–72. Epub 2018/12/05CrossRef
6.
Zurück zum Zitat Neinast MD, Frank AP, Zechner JF, et al. Activation of natriuretic peptides and the sympathetic nervous system following Roux-en-Y gastric bypass is associated with gonadal adipose tissues browning. Mol Metab. 2015;4(5):427–36.PubMedPubMedCentralCrossRef Neinast MD, Frank AP, Zechner JF, et al. Activation of natriuretic peptides and the sympathetic nervous system following Roux-en-Y gastric bypass is associated with gonadal adipose tissues browning. Mol Metab. 2015;4(5):427–36.PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Clemmensen C, Finan B, Muller TD, et al. Emerging hormonal-based combination pharmacotherapies for the treatment of metabolic diseases. Nat Rev Endocrinol. 2019;15(2):90–104. Epub 2018/11/18PubMedCrossRef Clemmensen C, Finan B, Muller TD, et al. Emerging hormonal-based combination pharmacotherapies for the treatment of metabolic diseases. Nat Rev Endocrinol. 2019;15(2):90–104. Epub 2018/11/18PubMedCrossRef
8.
Zurück zum Zitat Heshka S, Lemos T, Astbury NM, et al. Resting energy expenditure and organ-tissue body composition 5 years after bariatric surgery. Obes Surg. 2019;15 Epub 2019/10/17 Heshka S, Lemos T, Astbury NM, et al. Resting energy expenditure and organ-tissue body composition 5 years after bariatric surgery. Obes Surg. 2019;15 Epub 2019/10/17
9.
Zurück zum Zitat Johannsen DL, Knuth ND, Huizenga R, et al. Metabolic slowing with massive weight loss despite preservation of fat-free mass. J Clin Endocrinol Metab. 2012;97(7):2489–96. Epub 2012/04/27PubMedPubMedCentralCrossRef Johannsen DL, Knuth ND, Huizenga R, et al. Metabolic slowing with massive weight loss despite preservation of fat-free mass. J Clin Endocrinol Metab. 2012;97(7):2489–96. Epub 2012/04/27PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Das SK, Roberts SB, McCrory MA, et al. Long-term changes in energy expenditure and body composition after massive weight loss induced by gastric bypass surgery. Am J Clin Nutr. 2003;78(1):22–30. Epub 2003/06/21PubMedCrossRef Das SK, Roberts SB, McCrory MA, et al. Long-term changes in energy expenditure and body composition after massive weight loss induced by gastric bypass surgery. Am J Clin Nutr. 2003;78(1):22–30. Epub 2003/06/21PubMedCrossRef
11.
Zurück zum Zitat Wilms B, Ernst B, Thurnheer M, et al. Resting energy expenditure after Roux-en Y gastric bypass surgery. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery. 2018;14(2):191–9. Epub 2017/12/25CrossRef Wilms B, Ernst B, Thurnheer M, et al. Resting energy expenditure after Roux-en Y gastric bypass surgery. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery. 2018;14(2):191–9. Epub 2017/12/25CrossRef
12.
Zurück zum Zitat Nahon KJ, Doornink F, Straat ME, et al. Effect of sitagliptin on energy metabolism and brown adipose tissue in overweight individuals with prediabetes: a randomised placebo-controlled trial. Diabetologia. 2018;61(11):2386–97. Epub 2018/08/27PubMedPubMedCentralCrossRef Nahon KJ, Doornink F, Straat ME, et al. Effect of sitagliptin on energy metabolism and brown adipose tissue in overweight individuals with prediabetes: a randomised placebo-controlled trial. Diabetologia. 2018;61(11):2386–97. Epub 2018/08/27PubMedPubMedCentralCrossRef
13.
Zurück zum Zitat Liu T, Li H, Ding G, et al. Comparative genome of GK and Wistar rats reveals genetic basis of type 2 diabetes. PLoS One. 2015;10(11):e0141859. Epub 2015/11/04PubMedPubMedCentralCrossRef Liu T, Li H, Ding G, et al. Comparative genome of GK and Wistar rats reveals genetic basis of type 2 diabetes. PLoS One. 2015;10(11):e0141859. Epub 2015/11/04PubMedPubMedCentralCrossRef
14.
Zurück zum Zitat Shah H, Shin AC. Meal patterns after bariatric surgery in mice and rats. Appetite. 2019;146:104340. Epub 2019/07/03PubMedCrossRef Shah H, Shin AC. Meal patterns after bariatric surgery in mice and rats. Appetite. 2019;146:104340. Epub 2019/07/03PubMedCrossRef
15.
Zurück zum Zitat Burgos-Ramos E, Canelles S, Frago LM, et al. Improvement in glycemia after glucose or insulin overload in leptin-infused rats is associated with insulin-related activation of hepatic glucose metabolism. Nutr Metab (Lond). 2016;13:19. Epub 2016/03/05. engCrossRef Burgos-Ramos E, Canelles S, Frago LM, et al. Improvement in glycemia after glucose or insulin overload in leptin-infused rats is associated with insulin-related activation of hepatic glucose metabolism. Nutr Metab (Lond). 2016;13:19. Epub 2016/03/05. engCrossRef
16.
Zurück zum Zitat Obembe AO, Owu DU, Okwari OO, et al. Intestinal fluid and glucose transport in Wistar rats following chronic consumption of fresh or oxidised palm oil diet. ISRN Gastroenterol. 2011;2011:972838. Epub 2011/10/13PubMed Obembe AO, Owu DU, Okwari OO, et al. Intestinal fluid and glucose transport in Wistar rats following chronic consumption of fresh or oxidised palm oil diet. ISRN Gastroenterol. 2011;2011:972838. Epub 2011/10/13PubMed
17.
Zurück zum Zitat Owu DU, Antai AB, Udofia KH, et al. Vitamin C improves basal metabolic rate and lipid profile in alloxan-induced diabetes mellitus in rats. J Biosci. 2006;31(5):575–9. Epub 2007/02/16PubMedCrossRef Owu DU, Antai AB, Udofia KH, et al. Vitamin C improves basal metabolic rate and lipid profile in alloxan-induced diabetes mellitus in rats. J Biosci. 2006;31(5):575–9. Epub 2007/02/16PubMedCrossRef
18.
Zurück zum Zitat Ramracheya RD, McCulloch LJ, Clark A, et al. PYY-dependent restoration of impaired insulin and glucagon secretion in type 2 diabetes following Roux-en-Y gastric bypass surgery. Cell Rep. 2016;15(5):944–50. Epub 2016/04/28PubMedPubMedCentralCrossRef Ramracheya RD, McCulloch LJ, Clark A, et al. PYY-dependent restoration of impaired insulin and glucagon secretion in type 2 diabetes following Roux-en-Y gastric bypass surgery. Cell Rep. 2016;15(5):944–50. Epub 2016/04/28PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Camacho-Ramirez A, Prada-Oliveira JA, Ribelles-Garcia A, et al. The leading role of peptide tyrosine tyrosine in glycemic control after Roux-en-Y gastric bypass in rats. Obes Surg. 2020;30(2):697–706. Epub 2019/11/09PubMedCrossRef Camacho-Ramirez A, Prada-Oliveira JA, Ribelles-Garcia A, et al. The leading role of peptide tyrosine tyrosine in glycemic control after Roux-en-Y gastric bypass in rats. Obes Surg. 2020;30(2):697–706. Epub 2019/11/09PubMedCrossRef
20.
Zurück zum Zitat Karahashi M, Hirata-Hanta Y, Kawabata K, et al. Abnormalities in the metabolism of fatty acids and triacylglycerols in the liver of the Goto-Kakizaki rat: a model for non-obese type 2 diabetes. Lipids. 2016;51(8):955–71. Epub 2016/07/04PubMedCrossRef Karahashi M, Hirata-Hanta Y, Kawabata K, et al. Abnormalities in the metabolism of fatty acids and triacylglycerols in the liver of the Goto-Kakizaki rat: a model for non-obese type 2 diabetes. Lipids. 2016;51(8):955–71. Epub 2016/07/04PubMedCrossRef
21.
Zurück zum Zitat Skogar M, Holmback U, Hedberg J, et al. Preserved fat-free mass after gastric bypass and duodenal switch. Obes Surg. 2017;27(7):1735–40. Epub 2016/11/26PubMedCrossRef Skogar M, Holmback U, Hedberg J, et al. Preserved fat-free mass after gastric bypass and duodenal switch. Obes Surg. 2017;27(7):1735–40. Epub 2016/11/26PubMedCrossRef
22.
Zurück zum Zitat Mirahmadian M, Hasani M, Taheri E, et al. Influence of gastric bypass surgery on resting energy expenditure, body composition, physical activity, and thyroid hormones in morbidly obese patients. Diabetes Metab Syndr Obes. 2018;11:667–72. Epub 2018/11/15PubMedPubMedCentralCrossRef Mirahmadian M, Hasani M, Taheri E, et al. Influence of gastric bypass surgery on resting energy expenditure, body composition, physical activity, and thyroid hormones in morbidly obese patients. Diabetes Metab Syndr Obes. 2018;11:667–72. Epub 2018/11/15PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Tam CS, Redman LM, Greenway F, et al. Energy metabolic adaptation and cardiometabolic improvements one year after gastric bypass, sleeve gastrectomy, and gastric band. J Clin Endocrinol Metab. 2016;101(10):3755–64. Epub 2016/08/05PubMedPubMedCentralCrossRef Tam CS, Redman LM, Greenway F, et al. Energy metabolic adaptation and cardiometabolic improvements one year after gastric bypass, sleeve gastrectomy, and gastric band. J Clin Endocrinol Metab. 2016;101(10):3755–64. Epub 2016/08/05PubMedPubMedCentralCrossRef
24.
Zurück zum Zitat Bettini S, Bordigato E, Fabris R, et al. Modifications of resting energy expenditure after sleeve gastrectomy. Obes Surg. 2018;28(8):2481–6. Epub 2018/03/14PubMedCrossRef Bettini S, Bordigato E, Fabris R, et al. Modifications of resting energy expenditure after sleeve gastrectomy. Obes Surg. 2018;28(8):2481–6. Epub 2018/03/14PubMedCrossRef
25.
Zurück zum Zitat Carrasco F, Papapietro K, Csendes A, et al. Changes in resting energy expenditure and body composition after weight loss following Roux-en-Y gastric bypass. Obes Surg. 2007;17(5):608–16. Epub 2007/07/31PubMedCrossRef Carrasco F, Papapietro K, Csendes A, et al. Changes in resting energy expenditure and body composition after weight loss following Roux-en-Y gastric bypass. Obes Surg. 2007;17(5):608–16. Epub 2007/07/31PubMedCrossRef
26.
Zurück zum Zitat Widen EM, Strain G, King WC, et al. Validity of bioelectrical impedance analysis for measuring changes in body water and percent fat after bariatric surgery. Obes Surg. 2014;24(6):847–54. Epub 2014/01/28PubMedPubMedCentralCrossRef Widen EM, Strain G, King WC, et al. Validity of bioelectrical impedance analysis for measuring changes in body water and percent fat after bariatric surgery. Obes Surg. 2014;24(6):847–54. Epub 2014/01/28PubMedPubMedCentralCrossRef
27.
Zurück zum Zitat Nedergaard J, Cannon B. The changed metabolic world with human brown adipose tissue: therapeutic visions. Cell Metab. 2010;11(4):268–72. Epub 2010/04/09PubMedCrossRef Nedergaard J, Cannon B. The changed metabolic world with human brown adipose tissue: therapeutic visions. Cell Metab. 2010;11(4):268–72. Epub 2010/04/09PubMedCrossRef
28.
Zurück zum Zitat Orava J, Nuutila P, Lidell ME, et al. Different metabolic responses of human brown adipose tissue to activation by cold and insulin. Cell Metab. 2011;14(2):272–9. Epub 2011/08/02PubMedCrossRef Orava J, Nuutila P, Lidell ME, et al. Different metabolic responses of human brown adipose tissue to activation by cold and insulin. Cell Metab. 2011;14(2):272–9. Epub 2011/08/02PubMedCrossRef
29.
Zurück zum Zitat Shan CX, Qiu NC, Liu ME, et al. Effects of diet on bile acid metabolism and insulin resistance in type 2 diabetic rats after Roux-en-Y gastric bypass. Obes Surg. 2018;28(10):3044–53. Epub 2018/05/04PubMedCrossRef Shan CX, Qiu NC, Liu ME, et al. Effects of diet on bile acid metabolism and insulin resistance in type 2 diabetic rats after Roux-en-Y gastric bypass. Obes Surg. 2018;28(10):3044–53. Epub 2018/05/04PubMedCrossRef
30.
Zurück zum Zitat Sinal CJ, Tohkin M, Miyata M, et al. Targeted disruption of the nuclear receptor FXR/BAR impairs bile acid and lipid homeostasis. Cell. 2000;102(6):731–44.PubMedCrossRef Sinal CJ, Tohkin M, Miyata M, et al. Targeted disruption of the nuclear receptor FXR/BAR impairs bile acid and lipid homeostasis. Cell. 2000;102(6):731–44.PubMedCrossRef
31.
32.
Zurück zum Zitat Broeders EP, Nascimento EB, Havekes B, et al. The bile acid chenodeoxycholic acid increases human brown adipose tissue activity. Cell Metab. 2015;22(3):418–26. Epub 2015/08/04PubMedCrossRef Broeders EP, Nascimento EB, Havekes B, et al. The bile acid chenodeoxycholic acid increases human brown adipose tissue activity. Cell Metab. 2015;22(3):418–26. Epub 2015/08/04PubMedCrossRef
33.
Zurück zum Zitat Watanabe M, Houten SM, Mataki C, et al. Bile acids induce energy expenditure by promoting intracellular thyroid hormone activation. Nature. 2006;439(7075):484–9.PubMedCrossRef Watanabe M, Houten SM, Mataki C, et al. Bile acids induce energy expenditure by promoting intracellular thyroid hormone activation. Nature. 2006;439(7075):484–9.PubMedCrossRef
34.
Zurück zum Zitat Staley C, Weingarden AR, Khoruts A, et al. Interaction of gut microbiota with bile acid metabolism and its influence on disease states. Appl Microbiol Biotechnol. 2017;101(1):47–64.PubMedCrossRef Staley C, Weingarden AR, Khoruts A, et al. Interaction of gut microbiota with bile acid metabolism and its influence on disease states. Appl Microbiol Biotechnol. 2017;101(1):47–64.PubMedCrossRef
35.
Zurück zum Zitat Tremaroli V, Backhed F. Functional interactions between the gut microbiota and host metabolism. Nature. 2012;489(7415):242–9.PubMedCrossRef Tremaroli V, Backhed F. Functional interactions between the gut microbiota and host metabolism. Nature. 2012;489(7415):242–9.PubMedCrossRef
36.
Zurück zum Zitat Westerterp KR. Control of energy expenditure in humans. Eur J Clin Nutr. 2017;71(3):340–4. Epub 2016/12/03PubMedCrossRef Westerterp KR. Control of energy expenditure in humans. Eur J Clin Nutr. 2017;71(3):340–4. Epub 2016/12/03PubMedCrossRef
Metadaten
Titel
Changes of Resting Energy Expenditure in Type 2 Diabetes Rats After Roux-en-Y Gastric Bypass
verfasst von
Weijie Chen
Haixin Yin
Ning Zhang
Wei Liu
Qiang Qu
Jianchun Xiao
Fengying Gong
Xiaodong He
Publikationsdatum
27.04.2020
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 8/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04638-6

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