Effects of duodenal exclusion at different levels on energy metabolism and glucose regulation in diet-induced obese rats
Li Xiaoke, Qiu Niancun, Zhang Qin, Shan Chengxiang, Qiu Ming
Published 2014-05-08
Cite as Chin J Exp Surg, 2014,31(05): 1027-1029. DOI: 10.3760/cma.j.issn.1001-9030.2014.05.036
Abstract
Objective By implantating endoluminal sleeve devices at different length,We sought to investigate the influence on energy metabolism,glucose regulation and the expression of glucagon-like peptide-1 receptor (GLP-1R) in the pancreas of diet-induced obese rats.Methods Sprague-Dawley rats were randomly divided into four groups:sham-operated animnals (SO,n =8),rats implanted with a 1 cm endoluminal sleeve devices (ELS) device (ELS-1,n =10),4 cm ELS (ELS-4,n=8),or 10 cm ELS (ELS-10; n =9).We examined the effects of ELS implanted in rats on body weight,energy expenditure,insulin resistance,levels of GLP-1 and so on,comparing them with sham-operated (SO) rats.After 8 weeks,reverse transcriptase-polymerase chain reaction (RT-PCR) was used to analysis the mRNA levels of GLP-1 receptor in the pancreas.To determine the extent of duodenal exclusion required to influence metabolic outcomes and glucose control,we compared the effects of implanting 10,4,or 1 cm ELS with SO.Results ELS-10 rats exhibited 13% higher total and 9% higher resting energy expenditure than SO con-trols (P < 0.05).ELS-10 rats also exhibited enhanced fasting GLP-1 secretion and improved GLP-1 receptor expression (P < 0.05),insulin resistance (P < 0.05) with a significantly 14% lower weight loss (P <0.05).While implantation of 4 or 1 cm ELS devices had no effect on energy expenditure and limited effects on glucose homeostasis (P > 0.05).Conclusion Here we report that fully excluding the duode-num with an ELS increased total and resting energy expenditure,improved glucose regulation,as well as the GLP-1 receptor in pancreatic.Exclusion of only a portion of the duodenum resulted in more modest weight loss.
Key words:
Duodenal exclusion ; Energy metabolism ; Glucagon-like peptide-1 receptor
Contributor Information
Li Xiaoke
Department of General Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, China
Qiu Niancun
Department of General Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, China
Zhang Qin
Department of General Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, China
Shan Chengxiang
Department of General Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, China
Qiu Ming
Department of General Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, China