Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes

This review is aimed at synthesizing the mechanisms and outcomes of metabolic surgery on the endocrine system, microbiome, metabolomics, and at the molecular level. We review the hormonal, adipokine, microbiota, microRNA, and metabolomic changes in human and animal models following metabolic surgery...

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Main Authors: Mansor Fazliana, Zubaidah Nor Hanipah
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/12/11/1134
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author Mansor Fazliana
Zubaidah Nor Hanipah
author_facet Mansor Fazliana
Zubaidah Nor Hanipah
author_sort Mansor Fazliana
collection DOAJ
description This review is aimed at synthesizing the mechanisms and outcomes of metabolic surgery on the endocrine system, microbiome, metabolomics, and at the molecular level. We review the hormonal, adipokine, microbiota, microRNA, and metabolomic changes in human and animal models following metabolic surgery for the treatment of obesity and diabetes. The most relevant studies in this area over the past 17 years have been considered for this review. In most cases, metabolic procedures, especially those that include intestinal bypass components, showed the remission of type 2 diabetes. This involves a variety of weight-independent mechanisms to improve glucose homeostasis, improving insulin sensitivity and secretion, gut microbiota, and bile acid cross-talk.
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spelling doaj.art-601dd59deb7a45e882bdfdddc3fce7ec2023-11-24T09:13:35ZengMDPI AGMetabolites2218-19892022-11-011211113410.3390/metabo12111134Mechanisms and Outcomes of Metabolic Surgery in Type 2 DiabetesMansor Fazliana0Zubaidah Nor Hanipah1Nutrition, Metabolism and Cardiovascular Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Selangor 40170, MalaysiaDepartment of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor 43400, MalaysiaThis review is aimed at synthesizing the mechanisms and outcomes of metabolic surgery on the endocrine system, microbiome, metabolomics, and at the molecular level. We review the hormonal, adipokine, microbiota, microRNA, and metabolomic changes in human and animal models following metabolic surgery for the treatment of obesity and diabetes. The most relevant studies in this area over the past 17 years have been considered for this review. In most cases, metabolic procedures, especially those that include intestinal bypass components, showed the remission of type 2 diabetes. This involves a variety of weight-independent mechanisms to improve glucose homeostasis, improving insulin sensitivity and secretion, gut microbiota, and bile acid cross-talk.https://www.mdpi.com/2218-1989/12/11/1134diabetesbariatric surgerymetabolic surgeryendocrinemicroRNAgut microbiota
spellingShingle Mansor Fazliana
Zubaidah Nor Hanipah
Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes
Metabolites
diabetes
bariatric surgery
metabolic surgery
endocrine
microRNA
gut microbiota
title Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes
title_full Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes
title_fullStr Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes
title_full_unstemmed Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes
title_short Mechanisms and Outcomes of Metabolic Surgery in Type 2 Diabetes
title_sort mechanisms and outcomes of metabolic surgery in type 2 diabetes
topic diabetes
bariatric surgery
metabolic surgery
endocrine
microRNA
gut microbiota
url https://www.mdpi.com/2218-1989/12/11/1134
work_keys_str_mv AT mansorfazliana mechanismsandoutcomesofmetabolicsurgeryintype2diabetes
AT zubaidahnorhanipah mechanismsandoutcomesofmetabolicsurgeryintype2diabetes