Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity

Bariatric surgery has been recognized as the safest and most effective procedure for controlling type 2 diabetes (T2D) and obesity in carefully selected patients. The aim of the present study was to compare the effects of Sleeve Gastrectomy (SG) and Single Anastomosis Duodenoileal Bypass with SG (SA...

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Main Authors: Sara Becerril, Carlota Tuero, Javier A. Cienfuegos, Amaia Rodríguez, Victoria Catalán, Beatriz Ramírez, Víctor Valentí, Rafael Moncada, Xabier Unamuno, Javier Gómez-Ambrosi, Gema Frühbeck
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/19/11641
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author Sara Becerril
Carlota Tuero
Javier A. Cienfuegos
Amaia Rodríguez
Victoria Catalán
Beatriz Ramírez
Víctor Valentí
Rafael Moncada
Xabier Unamuno
Javier Gómez-Ambrosi
Gema Frühbeck
author_facet Sara Becerril
Carlota Tuero
Javier A. Cienfuegos
Amaia Rodríguez
Victoria Catalán
Beatriz Ramírez
Víctor Valentí
Rafael Moncada
Xabier Unamuno
Javier Gómez-Ambrosi
Gema Frühbeck
author_sort Sara Becerril
collection DOAJ
description Bariatric surgery has been recognized as the safest and most effective procedure for controlling type 2 diabetes (T2D) and obesity in carefully selected patients. The aim of the present study was to compare the effects of Sleeve Gastrectomy (SG) and Single Anastomosis Duodenoileal Bypass with SG (SADI-S) on the metabolic profile of diet-induced obese rats. A total of 35 four-week-old male Wistar rats were submitted to surgical interventions (sham operation, SG and SADI-S) after 4 months of being fed a high-fat diet. Body weight, metabolic profile and the expression of molecules involved in the control of subcutaneous white (SCWAT), brown (BAT) and beige (BeAT) adipose tissue function were analyzed. SADI-S surgery was associated with significantly decreased amounts of total fat pads (<i>p</i> < 0.001) as well as better control of lipid and glucose metabolism compared to the SG counterparts. An improved expression of molecules involved in fat browning in SCWAT and in the control of BAT and BeAT differentiation and function was observed following SADI-S. Together, our findings provide evidence that the enhanced metabolic improvement and their continued durability after SADI-S compared to SG rely, at least in part, on the improvement of the BeAT phenotype and function.
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spelling doaj.art-671a4ff783054b8182e512550473002e2023-11-23T20:36:58ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-10-0123191164110.3390/ijms231911641Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced ObesitySara Becerril0Carlota Tuero1Javier A. Cienfuegos2Amaia Rodríguez3Victoria Catalán4Beatriz Ramírez5Víctor Valentí6Rafael Moncada7Xabier Unamuno8Javier Gómez-Ambrosi9Gema Frühbeck10Metabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainDepartment of Surgery, Clínica Universidad de Navarra, 31008 Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, SpainMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, SpainMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainMetabolic Research Laboratory, Clínica Universidad de Navarra, 31008 Pamplona, SpainBariatric surgery has been recognized as the safest and most effective procedure for controlling type 2 diabetes (T2D) and obesity in carefully selected patients. The aim of the present study was to compare the effects of Sleeve Gastrectomy (SG) and Single Anastomosis Duodenoileal Bypass with SG (SADI-S) on the metabolic profile of diet-induced obese rats. A total of 35 four-week-old male Wistar rats were submitted to surgical interventions (sham operation, SG and SADI-S) after 4 months of being fed a high-fat diet. Body weight, metabolic profile and the expression of molecules involved in the control of subcutaneous white (SCWAT), brown (BAT) and beige (BeAT) adipose tissue function were analyzed. SADI-S surgery was associated with significantly decreased amounts of total fat pads (<i>p</i> < 0.001) as well as better control of lipid and glucose metabolism compared to the SG counterparts. An improved expression of molecules involved in fat browning in SCWAT and in the control of BAT and BeAT differentiation and function was observed following SADI-S. Together, our findings provide evidence that the enhanced metabolic improvement and their continued durability after SADI-S compared to SG rely, at least in part, on the improvement of the BeAT phenotype and function.https://www.mdpi.com/1422-0067/23/19/11641sleeve gastrectomysingle anastomosis duodenoileal bypassdiet-induced obesitybrown adipose tissuebeige adipose tissue
spellingShingle Sara Becerril
Carlota Tuero
Javier A. Cienfuegos
Amaia Rodríguez
Victoria Catalán
Beatriz Ramírez
Víctor Valentí
Rafael Moncada
Xabier Unamuno
Javier Gómez-Ambrosi
Gema Frühbeck
Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity
International Journal of Molecular Sciences
sleeve gastrectomy
single anastomosis duodenoileal bypass
diet-induced obesity
brown adipose tissue
beige adipose tissue
title Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity
title_full Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity
title_fullStr Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity
title_full_unstemmed Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity
title_short Improved Adipose Tissue Function after Single Anastomosis Duodeno-Ileal Bypass with Sleeve-Gastrectomy (SADI-S) in Diet-Induced Obesity
title_sort improved adipose tissue function after single anastomosis duodeno ileal bypass with sleeve gastrectomy sadi s in diet induced obesity
topic sleeve gastrectomy
single anastomosis duodenoileal bypass
diet-induced obesity
brown adipose tissue
beige adipose tissue
url https://www.mdpi.com/1422-0067/23/19/11641
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