胃旁路手术减肥独立诱导肠道Il-22释放与肥胖Zucker脂肪大鼠血糖控制改善相关

Florian Seyfried , Rebecca Springer , Annett Hoffmann, Maximilian Gruber, Christoph Otto, Nicolas Schlegel, Mohammed K. Hankir
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引用次数: 0

摘要

背景Roux-en-Y胃旁路手术(RYGB)改善了严重肥胖患者的血糖控制,而不仅仅是减肥的效果。为了确定潜在的潜在机制,我们询问了RYGB和慢性热量限制的等效体重减轻如何影响肠道代谢有益细胞因子白细胞介素-22(Il-22)的释放。方法将肥胖雄性Zucker脂肪大鼠随机分为假手术组、RYGB组和假手术组,体重与RYGB组相匹配。连续4周定期测量食物摄入量和体重。术后第27天进行口服葡萄糖耐量试验(OGTT)。术后第28天采集来自整个肠道的门静脉血浆、全身血浆和全壁样本。通过实时定量PCR测定肠道Il-22 mRNA的表达。通过酶联免疫吸附剂测定(ELISA)测定血浆Il-22水平。结果与Sham大鼠相比,RYGB和BWM大鼠具有较低的采食量和体重,并具有较高的血糖清除能力。与BWM大鼠相比,RYGB大鼠也具有优越的血糖清除能力,尽管它们具有相似的体重和更高的食物摄入量。与Sham大鼠相比,RYGB大鼠的上空肠中Il-22 mRNA的特异性表达高出约100倍。在RYGB大鼠中,Il-22蛋白仅在门静脉(34.1±9.4 pg/mL)和全身(46.9±10.5 pg/mL)血浆中检测到。OGTT期间的血糖曲线下面积与RYGB大鼠的门静脉和全身血浆Il-22水平呈负相关,但与食物摄入或体重无关。结论这些结果表明,肠道Il-22释放的诱导可能部分解释了RYGB后血糖控制的非依赖于体重减轻的改善,并进一步支持使用这种细胞因子治疗代谢性疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gastric bypass surgery weight loss-independently induces gut Il-22 release in association with improved glycemic control in obese Zucker fatty rats

Background

Roux-en-Y gastric bypass surgery (RYGB) improves glycemic control in individuals with severe obesity beyond the effects of weight loss alone. To identify potential underlying mechanisms, we asked how equivalent weight loss from RYGB and from chronic caloric restriction impact gut release of the metabolically beneficial cytokine interleukin-22 (Il-22).

Methods

Obese male Zucker fatty rats were randomized into sham-operated (Sham), RYGB, and sham-operated, body weight-matched to RYGB (BWM) groups. Food intake and body weight were measured regularly for 4 weeks. An oral glucose tolerance test (OGTT) was performed on postoperative day 27. Portal vein plasma, systemic plasma, and whole-wall samples from throughout the gut were collected on postoperative day 28. Gut Il-22 mRNA expression was determined by real-time quantitative PCR. Plasma Il-22 levels were determined by enzyme-linked immunosorbant assay (ELISA).

Results

RYGB and BWM rats had lower food intake and body weight as well as superior blood glucose clearing capability compared with Sham rats. RYGB rats also had superior blood glucose clearing capability compared with BWM rats despite having similar body weights and higher food intake. Il-22 mRNA expression was approximately 100-fold higher specifically in the upper jejunum in RYGB rats compared with Sham rats. Il-22 protein was only detectable in portal vein (34.1 ± 9.4 pg/mL) and systemic (46.9 ± 10.5 pg/mL) plasma in RYGB rats. Area under the curve of blood glucose during the OGTT, but not food intake or body weight, negatively correlated with portal vein and systemic plasma Il-22 levels in RYGB rats.

Conclusions

These results suggest that induction of gut Il-22 release might partly account for the weight loss-independent improvements in glycemic control after RYGB, and further support the use of this cytokine for the treatment of metabolic disease.

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来源期刊
Metabolism open
Metabolism open Agricultural and Biological Sciences (General), Endocrinology, Endocrinology, Diabetes and Metabolism
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