Insulin Resistance, Microbiota, and Fat Distribution Changes by a New Model of Vertical Sleeve Gastrectomy in Obese Rats
Open accessAbstract
Metabolic surgery improves insulin resistance and type 2 diabetes possibly because of weight loss. We performed a novel sleeve gastrectomy in rats that resects ∼80% of the glandular portion, leaving the forestomach almost intact (glandular gastrectomy [GG]) and compared subsequent metabolic remodeling with a sham operation. GG did not affect body weight, at least after 10 weeks; improved hepatic and peripheral insulin sensitivity likely through increased Akt, glycogen synthase kinase 3, and AMPK phosphorylation; and reduced ectopic fat deposition and hepatic glycogen overaccumulation. Body adipose tissue was redistributed, with reduction of intraabdominal fat. We found a reduction of circulating ghrelin levels, increased GLP-1 plasma concentration, and remodeling of gut microbiome diversity characterized by a lower relative abundance of Ruminococcus and a higher relative abundance of Lactobacillus and Collinsella. These data suggest that at least in rat, the glandular stomach plays a central role in the improvement of insulin resistance, even if obesity persists. GG provides a new model of the metabolically healthy obese phenotype.
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A different dietary pattern influences β diversity of gut microbiota composition but not α diversity.
“A different dietary pattern has been shown to influence β diversity of the gut microbiota composition, but not α diversity (Basso et al., 2016), which was quite divergent in individuals on an animal-based diet (David et al., 2014).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Basso et al., 2016
The Gut Microbiota section reports significant differences in both β-diversity and α-diversity between gastrectomy and sham-operated rats, contrary to the claim that α-diversity was unaffected. The Animals section says both groups received the same high-fat diet, so this was not a comparison of dietary patterns. (LLM, conf=0.87)
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- Authors
- Basso, N., Soricelli, E., Castagneto-Gissey, L., Casella, G., Albanese, D., Fava, F., Donati, C., Tuohy, K., Angelini, G., La Neve, F., Severino, A., Kamvissi-Lorenz, V., Birkenfeld, A. L., Bornstein, S., Manco, M., & Mingrone, G.
- Affiliations
- Policlinico Umberto I (IT)
- Surgical-Medical Department for Digestive Diseases, Policlinico Umberto I, University of Rome Sapienza, Rome, Italy
- Fondazione Edmund Mach (IT)
- Institute of Cardiology, Catholic University, Rome, Italy
- Department of Medicine III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany
- King's College London (GB)
- Bambino Gesù Children's Hospital (IT)
- Corresponding author
- Mingrone, Geltrude
- ORCID
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2016-07-18
- Volume
- 65
- Issue
- 10
- Pages
- 2990-3001
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2488594835
- Cited by
- 53
- References
- 6
- Citations by year
- 2025: 8 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 13 · 2019: 6 · 2018: 7 · 2017: 4
- FWCI
- 6.28
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- CINECA IRIS Institutional Research Information System (Fondazione Edmund Mach) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- insulin resistance, sleeve gastrectomy, obesity, gut microbiota, body fat distribution, ectopic fat deposition, liver glycogen, ghrelin, glucagon-like peptide-1, Ruminococcus, Lactobacillus, Collinsella, Akt, glycogen synthase kinase-3, AMPK, metabolically healthy obesity, rat model
- MeSH terms
- Animals, Blood Glucose, Fats, Gastrectomy, Glucose Tolerance Test, Insulin, Insulin Resistance, Lactobacillus, Male, Obesity, Postoperative Care, RNA, Ribosomal, 16S, Blotting, Western, Rats, Wistar, Ruminococcus, Rats, Microbiota
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