Metabolic outcomes in obese mice undergoing one-anastomosis gastric bypass (OAGB) with a long or a short biliopancreatic limb.
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UNIL restricted access
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_CC38E2EC8DFD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Metabolic outcomes in obese mice undergoing one-anastomosis gastric bypass (OAGB) with a long or a short biliopancreatic limb.
Journal
American journal of physiology. Endocrinology and metabolism
ISSN
1522-1555 (Electronic)
ISSN-L
0193-1849
Publication state
Published
Issued date
01/06/2024
Peer-reviewed
Oui
Volume
326
Number
6
Pages
E819-E831
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
One-anastomosis gastric bypass (OAGB) has gained importance as a simple, safe, and effective operation to treat morbid obesity. We previously found that Roux-en-Y gastric bypass surgery with a long compared with a short biliopancreatic limb (BPL) leads to improved weight loss and glucose tolerance in obese mice. However, it is not known whether a long BPL in OAGB surgery also results in beneficial metabolic outcomes. Five-week-old male C57BL/6J mice fed a high-fat diet (HFD) for 8 weeks underwent OAGB surgery with defined BPL lengths (5.5 cm distally of the duodenojejunal junction for short and 9.5 cm for long BPL), or sham surgery combined with caloric restriction. Weight loss, glucose tolerance, obesity-related comorbidities, endocrine effects, gut microbiota, and bile acids were assessed. Total weight loss was independent of the length of the BPL after OAGB surgery. However, a long BPL was associated with lower glucose-stimulated insulin on day 14, and an improved glucose tolerance on day 35 after surgery. Moreover, a long BPL resulted in reduced total cholesterol, while there were no differences in the resolution of metabolic dysfunction-associated steatotic liver disease (MASLD) and adipose tissue inflammation. Tendencies of an attenuated hypothalamic-pituitary-adrenal (HPA) axis and aldosterone were present in the long BPL group. With both the short and long BPL, we found an increase in primary conjugated bile acids (pronounced in long BPL) along with a loss in bacterial Desulfovibrionaceae and Erysipelotrichaceae and simultaneous increase in Akkermansiaceae, Sutterellaceae, and Enterobacteriaceae. In summary, OAGB surgery with a long compared with a short BPL led to similar weight loss, but improved glucose metabolism, lipid, and endocrine outcomes in obese mice, potentially mediated through changes in gut microbiota and related bile acids. Tailoring the BPL length in humans might help to optimize metabolic outcomes after bariatric surgery.NEW & NOTEWORTHY Weight loss following OAGB surgery in obese mice was not influenced by BPL length, but a longer BPL was associated with improved metabolic outcomes, including glucose and lipid homeostasis. These changes could be mediated by bile acids upon altered gut microbiota. Further validation of these findings is required through a randomized human study.
Keywords
Animals, Male, Mice, Gastric Bypass, Mice, Inbred C57BL, Weight Loss/physiology, Mice, Obese, Obesity/surgery, Obesity/metabolism, Diet, High-Fat, Gastrointestinal Microbiome/physiology, Anastomosis, Surgical, Obesity, Morbid/surgery, Obesity, Morbid/metabolism, Bile Acids and Salts/metabolism, bariatric surgery, bile acids, limb length, obesity, one-anastomosis gastric bypass
Pubmed
Web of science
Open Access
Yes
Create date
19/04/2024 8:22
Last modification date
26/07/2024 6:01