Evidence map›Paper›PMID 33113371›Full record

ArticleCell reports2020

Endocannabinoid Receptor-1 and Sympathetic Nervous System Mediate the Beneficial Metabolic Effects of Gastric Bypass.

Yuanchao Ye, Marwa Abu El Haija, Donald A Morgan, Deng Guo, Yang Song, Aaron Frank, Liping Tian, Ruth A Riedl, Colin M L Burnett, Zhan Gao and 18 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Early Impact of Bariatric Surgery on Brain Functionality.Journal of metabolic and bariatric surgery · 2025
    Review
  4. The role of the gut-brain axis in bariatric surgery.Current opinion in neurobiology · 2025
    Review
  5. Article
  6. Article
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  8. Review
  9. Early-life sodium deprivation programs long-term changes in ingestive behaviors and energy expenditure in C57BL/6J mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Peripheral and central macrophages in obesity.Frontiers in endocrinology · 2023
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Toll-like receptor 4 and myeloid differentiation factor 88 are required for gastric bypass-induced metabolic effects.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 10 institutions in 3 countries.

Yuanchao YeDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Marwa Abu El HaijaDepartment of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Stanford University School of Medicine, Palo Alto, CA 94304, USA.
Donald A MorganDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Deng GuoDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Yang SongCollege of Pharmacy, China Medical University, 77 Puhe Rd., Liaoning 110122, P.R. China.
Aaron FrankThe Biomedical Research Department, Diabetes and Obesity Research Division, Cedars Sinai Medical Center, Beverly Hills, CA 90048, USA.
Liping TianDepartment of Clinical Pharmacy, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu 211198, P.R. China.
Ruth A RiedlDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Colin M L BurnettDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Department of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Zhan GaoDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Zhiyong ZhuDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Shailesh K ShahiDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Kasra ZareiMedical Scientist Training Program, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Anne CouvelardINSERM U1149, Centre de Recherche sur l'Inflammation, Université de Paris, Paris 75018, France; Department of Pathology, Bichat Hospital, AP-HP, Paris 75018, France.
Nicolas PotéINSERM U1149, Centre de Recherche sur l'Inflammation, Université de Paris, Paris 75018, France; Department of Pathology, Bichat Hospital, AP-HP, Paris 75018, France.
Lara Ribeiro-ParentiINSERM U1149, Centre de Recherche sur l'Inflammation, Université de Paris, Paris 75018, France; Department of General and Digestive Surgery, Bichat Hospital, AP-HP, Paris 75018, France.
André BadoINSERM U1149, Centre de Recherche sur l'Inflammation, Université de Paris, Paris 75018, France.
Lama NoureddineDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Andrew BellizziDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Paul KievitDivision of Diabetes, Obesity and Metabolism, Oregon National Primate Research Center, Oregon Health and Science University, Beaverton, OR 97006, USA.
Ashutosh K MangalamDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Interdisciplinary Graduate Program in Immunology and Molecular Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Leonid V ZingmanDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Fraternal Orders of Eagles Diabetes Research Center, Iowa City, IA 52242, USA; Veterans Affairs Health Care System, Iowa City, IA 52242, USA; Obesity Research & Education Initiative, University of Iowa, Iowa City, IA 52242, USA.
Maude Le GallINSERM U1149, Centre de Recherche sur l'Inflammation, Université de Paris, Paris 75018, France.
Justin L GrobeDepartments of Physiology and Biomedical Engineering, Medical College of Wisconsin, Milwaukee, MI 53226, USA.
Lee M KaplanDepartment of Medicine, Harvard Medical School, Boston, MA 02115, USA; Obesity, Metabolism, and Nutrition Institute, Massachusetts General Hospital, Boston, MA 02114, USA.
Deborah CleggCollege of Nursing and Health Professions, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102, USA.
Kamal RahmouniDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Department of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Medical Scientist Training Program, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Fraternal Orders of Eagles Diabetes Research Center, Iowa City, IA 52242, USA; Veterans Affairs Health Care System, Iowa City, IA 52242, USA; Obesity Research & Education Initiative, University of Iowa, Iowa City, IA 52242, USA.
Mohamad MokademDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Department of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA; Fraternal Orders of Eagles Diabetes Research Center, Iowa City, IA 52242, USA; Veterans Affairs Health Care System, Iowa City, IA 52242, USA; Obesity Research & Education Initiative, University of Iowa, Iowa City, IA 52242, USA. Electronic address: mohamad-mokadem@uiowa.edu.
University of Iowa · USInserm · FRCedars-Sinai Medical Center · USChina Medical University · CNChina Pharmaceutical University · CNDrexel University · USHarvard University · USMedical College of Wisconsin · USOregon National Primate Research Center · USStanford University · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Role of the brain Renin-Angiotensin Sys. in Cardiovas and Metabolic RegulationP01HL084207 · NHLBI · UNIVERSITY OF IOWA · PI SIGMUND, CURT DANIEL · 2007 to 2022
$30.2M
Interaction between leptin and angiotensin in the pathogenesis of obesity-hypertensionR01HL134850 · NHLBI · UNIVERSITY OF IOWA · PI Justin L Grobe · 2017 to 2026
$4.4M
SHORT-TERM TRAINING: STUDENTS IN HEALTH PROF. SCHOOLST35HL007485 · NHLBI · UNIVERSITY OF IOWA · PI ROGHAIR, ROBERT D · 1985 to 2019
$4.3M
Neuroendocrine Response to Gastric Bypass in Nonhuman PrimatesRC4DK090956 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ELMQUIST, JOEL K., GROVE, KEVIN L · 2010 to 2010
$3.8M
Skeletal muscle KATP channels determine bodily energy balanceR01DK092412 · NIDDK · UNIVERSITY OF IOWA · PI ZINGMAN, LEONID · 2012 to 2016
$1.6M
Request for Funds to Purchase a Replacement Laser Scanning Confocal MicroscopeS10RR025439 · NCRR · UNIVERSITY OF IOWA · PI ZABNER, JOSEPH · 2009 to 2009
$500k
Skeletal muscle ATP-sensitive potassium channels determine bodily energy balanceI01BX000718 · VA · IOWA CITY VA MEDICAL CENTER · PI ZINGMAN, LEONID · 2011 to 2015
–
Regulation of glucose homeostasis via the molecular clock machinery and the hepatic vagus nerve after Roux-en-Y gastric bypassI01BX004774 · VA · IOWA CITY VA MEDICAL CENTER · PI Mohamad Mokadem · 2020 to 2026
–
Neuronal Mechanisms of Obesity-Induced HypertensionI01BX004249 · VA · IOWA CITY VA MEDICAL CENTER · PI KAMAL RAHMOUNI · 2019 to 2026
–
BLRD VA I01 BX000718BLRD VA I01 BX004249BLRD VA I01 BX004774NCATS NIH HHS UL1 TR001436NCRR NIH HHS S10 RR025439NHLBI NIH HHS P01 HL084207NHLBI NIH HHS R01 HL134850NHLBI NIH HHS T35 HL007485NIDDK NIH HHS R01 DK092412NIDDK NIH HHS RC4 DK090956NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

The exact mechanisms underlying the metabolic effects of bariatric surgery remain unclear. Here, we demonstrate, using a combination of direct and indirect calorimetry, an increase in total resting metabolic rate (RMR) and specifically anaerobic RMR after Roux-en-Y gastric bypass (RYGB), but not sleeve gastrectomy (SG). We also show an RYGB-specific increase in splanchnic sympathetic nerve activity and "browning" of visceral mesenteric fat. Consequently, selective splanchnic denervation abolishes all beneficial metabolic outcomes of gastric bypass that involve changes in the endocannabinoid signaling within the small intestine. Furthermore, we demonstrate that administration of rimonabant, an endocannabinoid receptor-1 (CB1) inverse agonist, to obese mice mimics RYGB-specific effects on energy balance and splanchnic nerve activity. On the other hand, arachidonoylethanolamide (AEA), a CB1 agonist, attenuates the weight loss and metabolic signature of this procedure. These findings identify CB1 as a key player in energy regulation post-RYGB via a pathway involving the sympathetic nervous system.

Indexed as

AnimalsEndocannabinoidsFemaleGastric BypassHumansMaleMiceSympathetic Nervous SystemEndocannabinoidsendocannabinoid receptor-1energy expendituregastric bypassobesityresting metabolic ratesleeve gastrectomysympathetic nervous systemthermogenesis

Identifiers

PMID33113371
PMCPMC7660289
OpenAlexW3096068172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.