Abstract |
Gastric bypass surgery produces clear antidiabetic effects in a substantial proportion of morbidly obese patients. In view of the recent trend away from ' bariatric' surgery and toward ' metabolic' surgery, it is important to elucidate the enhancing effect of bypass surgery on pancreatic β-cell mass, which is related to diabetes remission in non-obese patients. We investigated the effects of gastric bypass surgery on glycemic control and other pancreatic changes in a spontaneous non-obese type 2 diabetes Goto-Kakizaki rat model. Significant improvements in postprandial hyperglycemia and plasma c-peptide level were observed when glucose was administered orally post-surgery. Other important events observed after surgery were enhanced first phase insulin secretion in a in site pancreatic perfusion experiment, pancreatic hyperplasia, improved islet structure (revealed by immunohistochemical analysis), striking increase in β-cell mass, slight increase in ratio of β-cell area to total pancreas area, and increased number of small islets closely related to exocrine ducts. No notable changes were observed in ratio of β-cell to non-β endocrine cell area, β-cell apoptosis, or β-cell proliferation. These findings demonstrate that gastric bypass surgery in this rat model increases endocrine cells and pancreatic hyperplasia, and reflect the important role of the gastrointestinal system in regulation of metabolism.
|
Authors | Xinrong Zhou, Bangguo Qian, Ning Ji, Conghui Lui, Zhiyuan Liu, Bing Li, Huarong Zhou, Caifeng Yan |
Journal | The Journal of endocrinology
(J Endocrinol)
Vol. 228
Issue 1
Pg. 13-23
(Jan 2016)
ISSN: 1479-6805 [Electronic] England |
PMID | 26468390
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
|
Copyright | © 2016 Society for Endocrinology. |
Chemical References |
- Blood Glucose
- C-Peptide
- Insulin
- Gastric Inhibitory Polypeptide
|
Topics |
- Animals
- Blood Glucose
(analysis)
- C-Peptide
(blood)
- Diabetes Mellitus, Type 2
(surgery)
- Disease Models, Animal
- Fasting
- Gastric Bypass
- Gastric Inhibitory Polypeptide
(blood)
- Glucose Tolerance Test
- Hyperglycemia
- Hyperplasia
- Insulin
(metabolism)
- Insulin Resistance
- Insulin Secretion
- Insulin-Secreting Cells
(metabolism, pathology)
- Pancreas
(metabolism, pathology)
- Rats
- Rats, Wistar
|