Skip to main content
Erschienen in: Obesity Surgery 10/2015

01.10.2015 | Original Contributions

Long-term Effect of Ileal Transposition on Adipokine Serum Level in Zucker (Orl)-Lepr fa Fatty Rats

verfasst von: Sawczyn Tomasz, Stygar Dominika, Karcz-Socha Iwona, Fink Jodok, Skrzep-Poloczek Bronisława, Kłosok Marcin, Doleżych Bogdan, Augustyniak Maria, Zawisza-Raszka Agnieszka, Kukla Michał, Michalski Marek, Fimiarz Aleksandra, Żwirska-Korczala Krystyna, Karcz Wojciech Kondrad, Freiburg and Lübeck, Germany, and Katowice, Poland

Erschienen in: Obesity Surgery | Ausgabe 10/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

Ileal transposition surgery is an increasingly used procedure in combination with sleeve gastrectomy to control obesity and type 2 diabetes mellitus (T2DM). A short-term effect on glycemia amelioration after the ileal transposition (IT) procedure is observed; however, it appears that the effect is time dependent, and it remains uncertain if this effect is also linked with an adipose tissue hormonal activity.

Methods

Twenty male Zucker rats underwent IT or sham surgery. Six months after surgery, serum levels of adiponectin, vaspin, resistin, chemerin RBP4 were analyzed using ELISA kits. Tissue concentrations of glycogen sythase kinase alfa (GSK-3α), glucose 6-phosphatase (G6PC), glycogen phosphorylase (PYGM), and phosphofructokinase (PFK) in muscle and GLUT4 in visceral fat, white adipose tissue, and muscle were assessed in duplicate by an enzyme-linked immunosorbent assay (ELISA) kit. Additionally, the transposed ileum and analogical ileal segment of sham-operated rats were processed for histomorphometry analysis.

Results

The animals which underwent IT showed significantly a higher adiponectin and vaspin serum level. Concentrations of resistin decreased after IT surgery but were not significantly different between the groups. The plasma level of chemerin decreased significantly after IT and correlated negatively with adiponectin serum level in the IT group. The effects of IT on RBP4 serum level appeared to be significantly lower than those in the sham group and correlated with GLUT4 concentration in IT white adipose tissue negatively, but positively with the sham group.

Conclusions

The data suggest that ileum transposition leads to a stimulatory effect on important adipokines involved in glucose metabolism. The adipokine serum level could be a useful biomarker of postoperative physiological state.
Literatur
1.
Zurück zum Zitat De Paula AL, Stival AR, Halpern A, et al. Improvement in insulin sensitivity and beta-cell function following ileal interposition with sleeve gastrectomy in type 2 diabetic patients: potential mechanisms. J Gastrointest Surg. 2011;15:1344–53.CrossRefPubMed De Paula AL, Stival AR, Halpern A, et al. Improvement in insulin sensitivity and beta-cell function following ileal interposition with sleeve gastrectomy in type 2 diabetic patients: potential mechanisms. J Gastrointest Surg. 2011;15:1344–53.CrossRefPubMed
2.
Zurück zum Zitat Boza C, Gagner M, Devaud N, et al. Laparoscopic sleeve gastrectomy with ileal transposition (SGIT): a new surgical procedure as effective as gastric bypass for weight control in a porcine model. Surg Endosc. 2008;22:1029–34.CrossRefPubMed Boza C, Gagner M, Devaud N, et al. Laparoscopic sleeve gastrectomy with ileal transposition (SGIT): a new surgical procedure as effective as gastric bypass for weight control in a porcine model. Surg Endosc. 2008;22:1029–34.CrossRefPubMed
3.
Zurück zum Zitat De Paula AL, Stival AR, Macedo A, et al. Prospective randomized controlled trial comparing 2 versions of laparoscopic ileal interposition associated with sleeve gastrectomy for patients with type 2 diabetes with BMI 21–34 kg/m2. Surg Obes Relat Dis. 2010;6:296–305.CrossRefPubMed De Paula AL, Stival AR, Macedo A, et al. Prospective randomized controlled trial comparing 2 versions of laparoscopic ileal interposition associated with sleeve gastrectomy for patients with type 2 diabetes with BMI 21–34 kg/m2. Surg Obes Relat Dis. 2010;6:296–305.CrossRefPubMed
4.
Zurück zum Zitat Kota SK, Ugale S, Gupta N, et al. Ileal interposition with sleeve gastrectomy for treatment of type 2 diabetes mellitus. Indian J Endocrinol Metab. 2012;16:589–98.CrossRefPubMedPubMedCentral Kota SK, Ugale S, Gupta N, et al. Ileal interposition with sleeve gastrectomy for treatment of type 2 diabetes mellitus. Indian J Endocrinol Metab. 2012;16:589–98.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Grueneberger JM, Karcz-Socha I, Sawczyn T, et al. Systematic ileal transposition in Zucker rats shows advantage for long segment distal transposition. Surgery. 2014;155(1):165–72.CrossRefPubMed Grueneberger JM, Karcz-Socha I, Sawczyn T, et al. Systematic ileal transposition in Zucker rats shows advantage for long segment distal transposition. Surgery. 2014;155(1):165–72.CrossRefPubMed
7.
Zurück zum Zitat Kubota N, Terauchi Y, Yamauchi T, et al. Disruption of adiponectin causes insulin resistance and neointimal formation. J Biol Chem. 2002;277:25863–66.CrossRefPubMed Kubota N, Terauchi Y, Yamauchi T, et al. Disruption of adiponectin causes insulin resistance and neointimal formation. J Biol Chem. 2002;277:25863–66.CrossRefPubMed
8.
Zurück zum Zitat Li K, Li L, Yang M, et al. Short-term continuous subcutaneous insulin infusion decreases the plasma vaspin levels in patients with type 2 diabetes mellitus concominant with improvement in insulin sensitivity. Eur J Endocrinol. 2011;164:905–10.CrossRefPubMed Li K, Li L, Yang M, et al. Short-term continuous subcutaneous insulin infusion decreases the plasma vaspin levels in patients with type 2 diabetes mellitus concominant with improvement in insulin sensitivity. Eur J Endocrinol. 2011;164:905–10.CrossRefPubMed
9.
Zurück zum Zitat Steppan CM, Lazar MA. Resistin and obesity-associated insulin resistance. Trends Endocrinol Metab. 2002;13(1):18–23.CrossRefPubMed Steppan CM, Lazar MA. Resistin and obesity-associated insulin resistance. Trends Endocrinol Metab. 2002;13(1):18–23.CrossRefPubMed
10.
Zurück zum Zitat Goralski KB, McCarthy TC, Hanniman EA, et al. Chemerin, a novel adipokine that regulates adipogenesis and adipocyte metabolism. J Biol Chem. 2007;282(38):28175–88.CrossRefPubMed Goralski KB, McCarthy TC, Hanniman EA, et al. Chemerin, a novel adipokine that regulates adipogenesis and adipocyte metabolism. J Biol Chem. 2007;282(38):28175–88.CrossRefPubMed
11.
Zurück zum Zitat Yang Q, Graham TE, Mody N, et al. Serum retinol binding protein 4 contributes to insulin resistance in obesity and type 2 diabetes. Nature. 2005;436(7049):356–62.CrossRefPubMed Yang Q, Graham TE, Mody N, et al. Serum retinol binding protein 4 contributes to insulin resistance in obesity and type 2 diabetes. Nature. 2005;436(7049):356–62.CrossRefPubMed
12.
Zurück zum Zitat Balistreri CR, Caruso C, Candore G. The role of adipose tissue and adipokines in obesity-related inflammatory diseases. Mediat Inflamm. 2010;802078:19. doi:10.1155/2010/802078. Balistreri CR, Caruso C, Candore G. The role of adipose tissue and adipokines in obesity-related inflammatory diseases. Mediat Inflamm. 2010;802078:19. doi:10.​1155/​2010/​802078.
13.
Zurück zum Zitat Goktas Z, Moustaid-Moussa N, Shen CL, et al. Effects of bariatric surgery on adipokine-induced inflammation and insulin resistance. Front Endocrinol (Lausanne). 2013;10:4–69. Goktas Z, Moustaid-Moussa N, Shen CL, et al. Effects of bariatric surgery on adipokine-induced inflammation and insulin resistance. Front Endocrinol (Lausanne). 2013;10:4–69.
14.
Zurück zum Zitat Kukla M, Waluga M, Sawczyn T, et al. Serum vaspin may be a good indicator of fibrosis in chronic hepatitis C and is not altered by antiviral therapy. Pol J Pathol. 2012;63(4):213–20.CrossRefPubMed Kukla M, Waluga M, Sawczyn T, et al. Serum vaspin may be a good indicator of fibrosis in chronic hepatitis C and is not altered by antiviral therapy. Pol J Pathol. 2012;63(4):213–20.CrossRefPubMed
15.
Zurück zum Zitat Hida K, Wada J, Eguchi J, et al. Visceral adipose tissue-derived serine protease inhibitor: a unique insulin-sensitizing adipocytokine in obesity. Proc Natl Acad Sci U S A. 2005;102(30):10610–5.CrossRefPubMedPubMedCentral Hida K, Wada J, Eguchi J, et al. Visceral adipose tissue-derived serine protease inhibitor: a unique insulin-sensitizing adipocytokine in obesity. Proc Natl Acad Sci U S A. 2005;102(30):10610–5.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Handisurya A, Riedl M, Vila G, et al. Serum vaspin concentrations in relation to insulin sensitivity following RYGB-induced weight loss. Obes Surg. 2010;20(2):198–203.CrossRefPubMed Handisurya A, Riedl M, Vila G, et al. Serum vaspin concentrations in relation to insulin sensitivity following RYGB-induced weight loss. Obes Surg. 2010;20(2):198–203.CrossRefPubMed
17.
Zurück zum Zitat Klöting N, Berndt J, Kralisch S, et al. Vaspin gene expression in human adipose tissue: association with obesity and type 2 diabetes. Biochem Biophys Res Commun. 2006;339:430–6.CrossRefPubMed Klöting N, Berndt J, Kralisch S, et al. Vaspin gene expression in human adipose tissue: association with obesity and type 2 diabetes. Biochem Biophys Res Commun. 2006;339:430–6.CrossRefPubMed
18.
Zurück zum Zitat Chen H, Montagnani M, Funahashi T, et al. Adiponectin stimulates production of nitric oxide in vascular endothelial cells. J Biol Chem. 2003;278:45021–6.CrossRefPubMed Chen H, Montagnani M, Funahashi T, et al. Adiponectin stimulates production of nitric oxide in vascular endothelial cells. J Biol Chem. 2003;278:45021–6.CrossRefPubMed
20.
Zurück zum Zitat Hirashita T, Ohta M, Endo Y, et al. Effects of visceral fat resection and gastric banding in an obese diabetic rat model. Surgery. 2012;151(1):6–12.CrossRefPubMed Hirashita T, Ohta M, Endo Y, et al. Effects of visceral fat resection and gastric banding in an obese diabetic rat model. Surgery. 2012;151(1):6–12.CrossRefPubMed
22.
Zurück zum Zitat Edwards C, Hindle AK, Fu S, et al. Downregulation of leptin and resistin expression in blood following bariatric surgery. Surg Endosc. 2011;25(6):1962–8.CrossRefPubMed Edwards C, Hindle AK, Fu S, et al. Downregulation of leptin and resistin expression in blood following bariatric surgery. Surg Endosc. 2011;25(6):1962–8.CrossRefPubMed
23.
Zurück zum Zitat Jankiewicz-Wika J, Kolomecki K, Cywinski J, et al. Impact of vertical banded gastroplasty on body weight, insulin resistance, adipocytokine, inflammation and metabolic syndrome markers in morbidly obese patients. Endokrynol Pol. 2011;62(2):109–19.PubMed Jankiewicz-Wika J, Kolomecki K, Cywinski J, et al. Impact of vertical banded gastroplasty on body weight, insulin resistance, adipocytokine, inflammation and metabolic syndrome markers in morbidly obese patients. Endokrynol Pol. 2011;62(2):109–19.PubMed
24.
25.
Zurück zum Zitat Takahashi M, Takahashi Y, Takahashi K, et al. Chemerin enhances insulin signaling and potentiates insulin-stimulated glucose uptake in 3 T3-L1adipocytes. FEBS Lett. 2008;582(5):573–8.CrossRefPubMed Takahashi M, Takahashi Y, Takahashi K, et al. Chemerin enhances insulin signaling and potentiates insulin-stimulated glucose uptake in 3 T3-L1adipocytes. FEBS Lett. 2008;582(5):573–8.CrossRefPubMed
26.
Zurück zum Zitat Hu W, Feng P. Elevated serum chemerin concentrations are associated with renal dysfunction in type 2 diabetic patients. Diabetes Res Clin Pract. 2011;91(2):159–63.CrossRefPubMed Hu W, Feng P. Elevated serum chemerin concentrations are associated with renal dysfunction in type 2 diabetic patients. Diabetes Res Clin Pract. 2011;91(2):159–63.CrossRefPubMed
27.
Zurück zum Zitat Lehrke M, Becker A, Greif M, et al. Chemerin is associated with markers of inflammation and components of the metabolicsyndrome but does not predict coronary atherosclerosis. Eur J Endocrinol. 2009;161(2):339–44.CrossRefPubMed Lehrke M, Becker A, Greif M, et al. Chemerin is associated with markers of inflammation and components of the metabolicsyndrome but does not predict coronary atherosclerosis. Eur J Endocrinol. 2009;161(2):339–44.CrossRefPubMed
28.
Zurück zum Zitat Weigert J, Neumeier M, Wanninger J, et al. Systemic chemerin is related to inflammation rather than obesity in type 2 diabetes. Clin Endocrinol. 2010;72(3):342–8. Oxf.CrossRef Weigert J, Neumeier M, Wanninger J, et al. Systemic chemerin is related to inflammation rather than obesity in type 2 diabetes. Clin Endocrinol. 2010;72(3):342–8. Oxf.CrossRef
29.
Zurück zum Zitat Mody N, Graham TE, Tsuij Y, et al. Decreased clearance of serum reitinol-binding protein and elevated levels of transthyrein in insulin resistant ob/ob mice. Am J Physiol Endocrinol Metabol. 2008;294:785–93.CrossRef Mody N, Graham TE, Tsuij Y, et al. Decreased clearance of serum reitinol-binding protein and elevated levels of transthyrein in insulin resistant ob/ob mice. Am J Physiol Endocrinol Metabol. 2008;294:785–93.CrossRef
30.
Zurück zum Zitat Culnan DM, Albaugh V, Sun M, et al. Ileal interposition improves glucose tolerance and insulin sensitivity in the obese Zucker rat. Am J Physiol Gastrointest Liver Physiol. 2010;299:751–60.CrossRef Culnan DM, Albaugh V, Sun M, et al. Ileal interposition improves glucose tolerance and insulin sensitivity in the obese Zucker rat. Am J Physiol Gastrointest Liver Physiol. 2010;299:751–60.CrossRef
31.
Zurück zum Zitat Pezeshki A, Chelikani PK. Effects of Roux-en-Y gastric bypass and ileal transposition surgeries on glucose and lipid metabolism in skeletal muscle and liver. Sur Obes Relat Dis. 2014;10(2):217–28.CrossRef Pezeshki A, Chelikani PK. Effects of Roux-en-Y gastric bypass and ileal transposition surgeries on glucose and lipid metabolism in skeletal muscle and liver. Sur Obes Relat Dis. 2014;10(2):217–28.CrossRef
32.
Zurück zum Zitat Patriti A, Facchiano E, Annetti C, et al. Early improvement of glucose tolerance after ileal transposition in a non-obese type 2 diabetes rat model. Obes Surg. 2005;15(9):1258–64.CrossRefPubMed Patriti A, Facchiano E, Annetti C, et al. Early improvement of glucose tolerance after ileal transposition in a non-obese type 2 diabetes rat model. Obes Surg. 2005;15(9):1258–64.CrossRefPubMed
33.
Zurück zum Zitat Patriti A, Aisa MC, Annetti C, et al. How the hindgut can cure type 2 diabetes. Ileal transposition improves glucose metabolism and beta-cell function in Goto-Kakizaki rats through an enhanced proglucagon gene expression and L-cell number. Surgery. 2007;142(1):74–85.CrossRefPubMed Patriti A, Aisa MC, Annetti C, et al. How the hindgut can cure type 2 diabetes. Ileal transposition improves glucose metabolism and beta-cell function in Goto-Kakizaki rats through an enhanced proglucagon gene expression and L-cell number. Surgery. 2007;142(1):74–85.CrossRefPubMed
34.
Zurück zum Zitat Hooper LP. Insulin signaling, GSK-3, heat shock proteins and the natural history of type 2 diabetes mellitus: a hypothesis. Metab Syndr Relat Disord. 2007;5(3):220–30.CrossRefPubMed Hooper LP. Insulin signaling, GSK-3, heat shock proteins and the natural history of type 2 diabetes mellitus: a hypothesis. Metab Syndr Relat Disord. 2007;5(3):220–30.CrossRefPubMed
35.
Zurück zum Zitat Hansen FC, Vassiliadis E, Vrang N, et al. The effect of ileal interposition surgery on enteroendocrine cell numbers inthe UC Davis type 2 diabetes mellitus rat. Regul Pept. 2014;189:31–9.CrossRefPubMed Hansen FC, Vassiliadis E, Vrang N, et al. The effect of ileal interposition surgery on enteroendocrine cell numbers inthe UC Davis type 2 diabetes mellitus rat. Regul Pept. 2014;189:31–9.CrossRefPubMed
36.
Zurück zum Zitat Iqubal CW, Qandeel HG, Zeng Y, et al. Mechanism of ileal adaptation for glucose absorption after proximal-based small bowel resection. J Gastrointest Surg. 2008;12(11):1854–65.CrossRef Iqubal CW, Qandeel HG, Zeng Y, et al. Mechanism of ileal adaptation for glucose absorption after proximal-based small bowel resection. J Gastrointest Surg. 2008;12(11):1854–65.CrossRef
37.
Zurück zum Zitat Quinn R. Comparing rat’s to human’s age: how old is my rat in people years? Nutrition. 2005;21:775–7.CrossRefPubMed Quinn R. Comparing rat’s to human’s age: how old is my rat in people years? Nutrition. 2005;21:775–7.CrossRefPubMed
Metadaten
Titel
Long-term Effect of Ileal Transposition on Adipokine Serum Level in Zucker (Orl)-Lepr fa Fatty Rats
verfasst von
Sawczyn Tomasz
Stygar Dominika
Karcz-Socha Iwona
Fink Jodok
Skrzep-Poloczek Bronisława
Kłosok Marcin
Doleżych Bogdan
Augustyniak Maria
Zawisza-Raszka Agnieszka
Kukla Michał
Michalski Marek
Fimiarz Aleksandra
Żwirska-Korczala Krystyna
Karcz Wojciech Kondrad
Freiburg and Lübeck, Germany, and Katowice, Poland
Publikationsdatum
01.10.2015
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 10/2015
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1618-6

Weitere Artikel der Ausgabe 10/2015

Obesity Surgery 10/2015 Zur Ausgabe

Original Contributions

Bariatric Surgery Worldwide 2013

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.