Evidence map›Paper›PMID 19212182›Full record

ArticleAnnals of surgery2009

Mechanisms of glucose homeostasis after Roux-en-Y gastric bypass surgery in the obese, insulin-resistant Zucker rat.

Katia Meirelles, Tamer Ahmed, Derek M Culnan, Christopher J Lynch, Charles H Lang, Robert N Cooney

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 82 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Katia MeirellesDepartments of Surgery, Pennsylvania State University College of Medicine, Hershey, 17033, USA.
Tamer Ahmed
Derek M Culnan
Christopher J Lynch
Charles H Lang
Robert N Cooney
Pennsylvania State University · US

Funding

SEPSIS INDUCED INSULIN RESISTANCE IN DIABETESR01GM038032 · NIGMS · STATE UNIVERSITY NEW YORK STONY BROOK · PI LANG, CHARLES H. · 1992 to 2015
$5.4M
Role of Leucine Metabolism in Leucine SignalingR01DK062880 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LYNCH, CHRISTOPHER JOHN · 2003 to 2010
$2.8M
Mechanisms of Growth Hormone Resistance in SepsisR01GM055639 · NIGMS · UPSTATE MEDICAL UNIVERSITY · PI COONEY, ROBERT N. · 2003 to 2010
$2.2M
Training Program in Trauma and Organ InjuryT32GM064332 · NIGMS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LANG, CHARLES H. · 2002 to 2011
$1.1M
MECHANISMS OF GH RESISTANCE IN SEPSISR29GM055639 · NIGMS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI COONEY, ROBERT N. · 1997 to 2001
$210k
SEPSIS INDUCED INSULIN RESISTANCE IN DIABETESR29GM038032 · NIGMS · LOUISIANA STATE UNIV HSC NEW ORLEANS · PI LANG, CHARLES H. · 1987 to 1991
–
NIDDK NIH HHS DK062880NIDDK NIH HHS R01 DK062880NIGMS NIH HHS GM-38032NIGMS NIH HHS GM-55639NIGMS NIH HHS R01 GM038032NIGMS NIH HHS R01 GM055639NIGMS NIH HHS R29 GM055639NIGMS NIH HHS T32 GM064332
6 · The paper itself

Abstract

objectiveObesity-related diabetes is caused by insulin resistance and beta-cell dysfunction. The current study examines changes in food intake, weight loss, body fat depots, oxygen consumption, insulin sensitivity, and incretin levels as potential mechanisms for improved glucose tolerance after Roux-en-Y gastric bypass (RYGB).

methodsThree groups of genetically obese Zucker rats were studied: RYGB, sham surgery pair-fed (PF), and sham surgery ad libitum (AL) fed rats. Changes in body weight, visceral and subcutaneous fat depots, oral glucose tolerance, insulin sensitivity, and the plasma concentrations of insulin, glucagon, glucagon-like peptide-1 (GLP-1), glucose-dependent insulinotropic peptide, and peptide YY (PYY) were measured.

resultsBody weight and subcutaneous fat were decreased after RYGB, compared with the PF and AL groups. The reduction in visceral fat after RYGB appeared largely because of food restriction. Glucose tolerance and insulin sensitivity were significantly improved in only the RYGB group (P < 0.05 vs. AL, PF). Euglycemic, hyperinsulinemic clamp studies indicated RYGB improved the ability of insulin to stimulate peripheral (eg, skeletal muscle) glucose uptake. Fasting total GLP-1, glucose-dependent insulinotropic peptide, and PYY levels were similar between the groups, whereas postprandial plasma levels of intact GLP-1 (7-36) amide, total GLP-1, and PYY were increased in the RYGB group compared with PF and AL controls.

conclusionsGlucose homeostasis after RYGB is associated with decreased subcutaneous fat, increased postprandial PYY, GLP-1, and insulin, as well as improved insulin sensitivity/action. Changes in food intake and visceral fat do not seem to explain improvements in insulin action after RYGB in the Zucker rat model.

Indexed as

Gastric BypassAnimalsBlood GlucoseDisease Models, AnimalHomeostasisMaleObesity, MorbidRatsRats, ZuckerBlood Glucose

Identifiers

PMID19212182
PMCPMC2748974
OpenAlexW1987000712

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.