Evidence map›Paper›PMID 38149757›Full record

ArticleJournal of diabetes2024

Bariatric surgery induces pancreatic cell transdifferentiation as indicated by single-cell transcriptomics in Zucker diabetic rats.

Yongjun Liang, Jason Widjaja, Jiawei Sun, Mengyi Li, Zhengdong Qiao, Ting Cao, Yueqian Wang, Xiong Zhang, Zhongtao Zhang, Yan Gu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

12 authors at 3 institutions in 1 country.

Yongjun LiangCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Jason WidjajaDepartment of Bariatric and Metabolic Surgery, Fudan University Affiliated Huadong Hospital, Shanghai, China.ORCID https://orcid.org/0000-0003-0103-6147
Jiawei SunNovogene Bioinformatics Institute, Beijing, China.
Mengyi LiDivision of Metabolic and Bariatric Surgery, General Surgery Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zhengdong QiaoCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Ting CaoCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Yueqian WangCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Xiong ZhangCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Zhongtao ZhangDivision of Metabolic and Bariatric Surgery, General Surgery Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yan GuDepartment of Bariatric and Metabolic Surgery, Fudan University Affiliated Huadong Hospital, Shanghai, China.
Peng ZhangDivision of Metabolic and Bariatric Surgery, General Surgery Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-2194-8760
Jianjun YangDepartment of Bariatric and Metabolic Surgery, Fudan University Affiliated Huadong Hospital, Shanghai, China.
Fudan University · CNCapital Medical University · CNNovogene Bioinformatics Institute · CN

Funding

Fudan Zhangjiang Clinical Medicine Innovation Fund KP7202104Medical Innovation Research Special Project of Shanghai 2022 Annual Science and Technology Innovation Action Plan 22Y11904500National Key Research and Development Program of China 2022YFC2505204
6 · The paper itself

Abstract

aimsBariatric surgery results in rapid recovery of glucose control in subjects with type 2 diabetes mellitus. However, the underlying mechanisms are still largely unknown. The present study aims to clarify how bariatric surgery modifies pancreatic cell subgroup differentiation and transformation in the single-cell RNA level.

methodsMale, 8-week-old Zucker diabetic fatty (ZDF) rats with obesity and diabetes phenotypes were randomized into sleeve gastrectomy (Sleeve, n = 9), Roux-en-Y gastric bypass (RYGB, n = 9), and Sham (n = 7) groups. Two weeks after surgery, the pancreas specimen was further analyzed using single-cell RNA-sequencing technique.

resultsTwo weeks after surgery, compared to the Sham group, the metabolic parameters including fasting plasma glucose, plasma insulin, and oral glucose tolerance test values were dramatically improved after RYGB and Sleeve procedures (p < .05) as predicted. In addition, RYGB and Sleeve groups increased the proportion of pancreatic β cells and reduced the ratio of α cells. Two multiple hormone-expressing cells were identified, the Gcg+/Ppy + and Ins+/Gcg+/Ppy + cells. The pancreatic Ins+/Gcg+/Ppy + cells were defined for the first time, and further investigation indicates similarities with α and β cells, with unique gene expression patterns, which implies that pancreatic cell transdifferentiation occurs following bariatric surgery.

conclusionsFor the first time, using the single-cell transcriptome map of ZDF rats, we reported a comprehensive characterization of the heterogeneity and differentiation of pancreatic endocrinal cells after bariatric surgery, which may contribute to the underlying mechanisms. Further studies will be needed to elucidate these results.

Indexed as

Bariatric SurgeryCell TransdifferentiationDiabetes Mellitus, Type 2Insulin-Secreting CellsRats, ZuckerTranscriptomeAnimalsBlood GlucoseDiabetes Mellitus, ExperimentalMaleObesityPancreasRatsSingle-Cell AnalysisBlood Glucosebariatric surgerypancreatic cell differentiationtype 2 diabetes mellitus

Identifiers

PMID38149757
PMCPMC11333916
OpenAlexW4390268547

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.