Upregulation of intestinal glucose transporters after Roux‐en‐Y gastric bypass to prevent carbohydrate malabsorption

Objective To determine the effect of Roux‐en‐Y gastric bypass (RYGB) on the expression of intestinal sweet taste receptors (STRs), glucose transporters (GTs), glucose absorption, and glycemia. Methods Intestinal biopsies were collected for mRNA expression of STR (T1R2) and GTs (SGLT‐1 and GLUT2) fro...

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Veröffentlicht in:Obesity (Silver Spring, Md.) Md.), 2014-10, Vol.22 (10), p.2164-2171
Hauptverfasser: Nguyen, Nam Q., Debreceni, Tamara L., Bambrick, Jenna E., Chia, Bridgette, Deane, Adam M., Wittert, Gary, Rayner, Chris K., Horowitz, Michael, Young, Richard L.
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container_end_page 2171
container_issue 10
container_start_page 2164
container_title Obesity (Silver Spring, Md.)
container_volume 22
creator Nguyen, Nam Q.
Debreceni, Tamara L.
Bambrick, Jenna E.
Chia, Bridgette
Deane, Adam M.
Wittert, Gary
Rayner, Chris K.
Horowitz, Michael
Young, Richard L.
description Objective To determine the effect of Roux‐en‐Y gastric bypass (RYGB) on the expression of intestinal sweet taste receptors (STRs), glucose transporters (GTs), glucose absorption, and glycemia. Methods Intestinal biopsies were collected for mRNA expression of STR (T1R2) and GTs (SGLT‐1 and GLUT2) from 11 non‐diabetic RYGB, 13 non‐diabetic obese, and 11 healthy subjects, at baseline and following a 30 min small intestinal (SI) glucose infusion (30 g/150 ml water with 3 g 3‐O‐methyl‐d‐glucopyranose (3‐OMG)). Blood glucose, plasma 3‐OMG, and insulin were measured for 270 min. Results In RYGB patients, expression of both GTs was ∼2‐fold higher at baseline and after glucose infusion than those of morbidly obese or healthy subjects (P 
doi_str_mv 10.1002/oby.20829
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Methods Intestinal biopsies were collected for mRNA expression of STR (T1R2) and GTs (SGLT‐1 and GLUT2) from 11 non‐diabetic RYGB, 13 non‐diabetic obese, and 11 healthy subjects, at baseline and following a 30 min small intestinal (SI) glucose infusion (30 g/150 ml water with 3 g 3‐O‐methyl‐d‐glucopyranose (3‐OMG)). Blood glucose, plasma 3‐OMG, and insulin were measured for 270 min. Results In RYGB patients, expression of both GTs was ∼2‐fold higher at baseline and after glucose infusion than those of morbidly obese or healthy subjects (P &lt; 0.001). STR expressions were comparable amongst the groups. Peak plasma 3‐OMG in both RYGB (r = 0.69, P = 0.01) and obese (r = 0.72, P = 0.005) correlated with baseline expression of SGLT‐1, as was the case with peak blood glucose in RYGB subjects (r = 0.69, P = 0.02). Conclusions The upregulated intestinal GTs in RYGB patients are associated with increased glucose absorption when glucose is delivered at a physiological rate, suggesting a molecular adaptation to prevent carbohydrate malabsorption from rapid intestinal transit after RYGB.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1002/oby.20829</identifier><identifier>PMID: 24990218</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Age ; Biopsy ; Blood Glucose - metabolism ; Carbohydrate Metabolism ; Case-Control Studies ; Diabetes ; Female ; Gastric Bypass - adverse effects ; Gender ; Glucose ; Glucose - pharmacokinetics ; Glucose Transport Proteins, Facilitative - genetics ; Glucose Transport Proteins, Facilitative - metabolism ; Humans ; Insulin - blood ; Intestinal Absorption ; Intestines - metabolism ; Malabsorption Syndromes - genetics ; Malabsorption Syndromes - metabolism ; Malabsorption Syndromes - prevention &amp; control ; Male ; Middle Aged ; Obesity ; Obesity, Morbid - genetics ; Obesity, Morbid - metabolism ; Obesity, Morbid - surgery ; Small intestine ; Up-Regulation - genetics</subject><ispartof>Obesity (Silver Spring, Md.), 2014-10, Vol.22 (10), p.2164-2171</ispartof><rights>Copyright © 2014 The Obesity Society</rights><rights>Copyright © 2014 The Obesity Society.</rights><rights>Copyright Blackwell Publishing Ltd. Oct 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4249-7b568b19d3da3ceada56d35d07b155891f71f507e7bfa79f9d9d2ced87e314a03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Foby.20829$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Foby.20829$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24990218$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nguyen, Nam Q.</creatorcontrib><creatorcontrib>Debreceni, Tamara L.</creatorcontrib><creatorcontrib>Bambrick, Jenna E.</creatorcontrib><creatorcontrib>Chia, Bridgette</creatorcontrib><creatorcontrib>Deane, Adam M.</creatorcontrib><creatorcontrib>Wittert, Gary</creatorcontrib><creatorcontrib>Rayner, Chris K.</creatorcontrib><creatorcontrib>Horowitz, Michael</creatorcontrib><creatorcontrib>Young, Richard L.</creatorcontrib><title>Upregulation of intestinal glucose transporters after Roux‐en‐Y gastric bypass to prevent carbohydrate malabsorption</title><title>Obesity (Silver Spring, Md.)</title><addtitle>Obesity (Silver Spring)</addtitle><description>Objective To determine the effect of Roux‐en‐Y gastric bypass (RYGB) on the expression of intestinal sweet taste receptors (STRs), glucose transporters (GTs), glucose absorption, and glycemia. Methods Intestinal biopsies were collected for mRNA expression of STR (T1R2) and GTs (SGLT‐1 and GLUT2) from 11 non‐diabetic RYGB, 13 non‐diabetic obese, and 11 healthy subjects, at baseline and following a 30 min small intestinal (SI) glucose infusion (30 g/150 ml water with 3 g 3‐O‐methyl‐d‐glucopyranose (3‐OMG)). Blood glucose, plasma 3‐OMG, and insulin were measured for 270 min. Results In RYGB patients, expression of both GTs was ∼2‐fold higher at baseline and after glucose infusion than those of morbidly obese or healthy subjects (P &lt; 0.001). STR expressions were comparable amongst the groups. Peak plasma 3‐OMG in both RYGB (r = 0.69, P = 0.01) and obese (r = 0.72, P = 0.005) correlated with baseline expression of SGLT‐1, as was the case with peak blood glucose in RYGB subjects (r = 0.69, P = 0.02). Conclusions The upregulated intestinal GTs in RYGB patients are associated with increased glucose absorption when glucose is delivered at a physiological rate, suggesting a molecular adaptation to prevent carbohydrate malabsorption from rapid intestinal transit after RYGB.</description><subject>Adult</subject><subject>Age</subject><subject>Biopsy</subject><subject>Blood Glucose - metabolism</subject><subject>Carbohydrate Metabolism</subject><subject>Case-Control Studies</subject><subject>Diabetes</subject><subject>Female</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gender</subject><subject>Glucose</subject><subject>Glucose - pharmacokinetics</subject><subject>Glucose Transport Proteins, Facilitative - genetics</subject><subject>Glucose Transport Proteins, Facilitative - metabolism</subject><subject>Humans</subject><subject>Insulin - blood</subject><subject>Intestinal Absorption</subject><subject>Intestines - metabolism</subject><subject>Malabsorption Syndromes - genetics</subject><subject>Malabsorption Syndromes - metabolism</subject><subject>Malabsorption Syndromes - prevention &amp; control</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - genetics</subject><subject>Obesity, Morbid - metabolism</subject><subject>Obesity, Morbid - surgery</subject><subject>Small intestine</subject><subject>Up-Regulation - genetics</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctKxDAUhoMojo4ufAEJuHEzTtI0TbNU8QaCIArOqpw06VjpNDVJ1e58BJ_RJzHjqAs35z9wPs7tR2iPkiNKSDK1ajhKSJ7INbRFJSMTweTD-l-e0xHa9v6JkDQjnG6iUZJKSRKab6G3-86Zed9AqG2LbYXrNhgf6hYaPG_60nqDg4PWd9YF4zyGKgq-tf3b5_uHaWOY4Tn44OoSq6ED73GwODZ9MW3AJThlHwftIBi8gAaUt65bztpBGxU03uz-6Bjdn5_dnV5Orm8urk6PrydlGrecCMWzXFGpmQZWGtDAM824JkJRznNJK0ErToQRqgIhK6mlTkqjc2EYTYGwMTpc9e2cfe7jacWi9qVpGmiN7X1BeZalREpGI3rwD32yvYufiFQmOJWCMxmp_R-qVwuji87VC3BD8fvTCExXwGvdmOGvTkmxNKuIZhXfZhU3J7PvhH0Bb2OLcQ</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Nguyen, Nam Q.</creator><creator>Debreceni, Tamara L.</creator><creator>Bambrick, Jenna E.</creator><creator>Chia, Bridgette</creator><creator>Deane, Adam M.</creator><creator>Wittert, Gary</creator><creator>Rayner, Chris K.</creator><creator>Horowitz, Michael</creator><creator>Young, Richard L.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201410</creationdate><title>Upregulation of intestinal glucose transporters after Roux‐en‐Y gastric bypass to prevent carbohydrate malabsorption</title><author>Nguyen, Nam Q. ; Debreceni, Tamara L. ; Bambrick, Jenna E. ; Chia, Bridgette ; Deane, Adam M. ; Wittert, Gary ; Rayner, Chris K. ; Horowitz, Michael ; Young, Richard L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4249-7b568b19d3da3ceada56d35d07b155891f71f507e7bfa79f9d9d2ced87e314a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age</topic><topic>Biopsy</topic><topic>Blood Glucose - metabolism</topic><topic>Carbohydrate Metabolism</topic><topic>Case-Control Studies</topic><topic>Diabetes</topic><topic>Female</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gender</topic><topic>Glucose</topic><topic>Glucose - pharmacokinetics</topic><topic>Glucose Transport Proteins, Facilitative - genetics</topic><topic>Glucose Transport Proteins, Facilitative - metabolism</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>Intestinal Absorption</topic><topic>Intestines - metabolism</topic><topic>Malabsorption Syndromes - genetics</topic><topic>Malabsorption Syndromes - metabolism</topic><topic>Malabsorption Syndromes - prevention &amp; control</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - genetics</topic><topic>Obesity, Morbid - metabolism</topic><topic>Obesity, Morbid - surgery</topic><topic>Small intestine</topic><topic>Up-Regulation - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nguyen, Nam Q.</creatorcontrib><creatorcontrib>Debreceni, Tamara L.</creatorcontrib><creatorcontrib>Bambrick, Jenna E.</creatorcontrib><creatorcontrib>Chia, Bridgette</creatorcontrib><creatorcontrib>Deane, Adam M.</creatorcontrib><creatorcontrib>Wittert, Gary</creatorcontrib><creatorcontrib>Rayner, Chris K.</creatorcontrib><creatorcontrib>Horowitz, Michael</creatorcontrib><creatorcontrib>Young, Richard L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Nam Q.</au><au>Debreceni, Tamara L.</au><au>Bambrick, Jenna E.</au><au>Chia, Bridgette</au><au>Deane, Adam M.</au><au>Wittert, Gary</au><au>Rayner, Chris K.</au><au>Horowitz, Michael</au><au>Young, Richard L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Upregulation of intestinal glucose transporters after Roux‐en‐Y gastric bypass to prevent carbohydrate malabsorption</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2014-10</date><risdate>2014</risdate><volume>22</volume><issue>10</issue><spage>2164</spage><epage>2171</epage><pages>2164-2171</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>Objective To determine the effect of Roux‐en‐Y gastric bypass (RYGB) on the expression of intestinal sweet taste receptors (STRs), glucose transporters (GTs), glucose absorption, and glycemia. Methods Intestinal biopsies were collected for mRNA expression of STR (T1R2) and GTs (SGLT‐1 and GLUT2) from 11 non‐diabetic RYGB, 13 non‐diabetic obese, and 11 healthy subjects, at baseline and following a 30 min small intestinal (SI) glucose infusion (30 g/150 ml water with 3 g 3‐O‐methyl‐d‐glucopyranose (3‐OMG)). Blood glucose, plasma 3‐OMG, and insulin were measured for 270 min. Results In RYGB patients, expression of both GTs was ∼2‐fold higher at baseline and after glucose infusion than those of morbidly obese or healthy subjects (P &lt; 0.001). STR expressions were comparable amongst the groups. Peak plasma 3‐OMG in both RYGB (r = 0.69, P = 0.01) and obese (r = 0.72, P = 0.005) correlated with baseline expression of SGLT‐1, as was the case with peak blood glucose in RYGB subjects (r = 0.69, P = 0.02). Conclusions The upregulated intestinal GTs in RYGB patients are associated with increased glucose absorption when glucose is delivered at a physiological rate, suggesting a molecular adaptation to prevent carbohydrate malabsorption from rapid intestinal transit after RYGB.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24990218</pmid><doi>10.1002/oby.20829</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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ispartof Obesity (Silver Spring, Md.), 2014-10, Vol.22 (10), p.2164-2171
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source MEDLINE; Wiley Online Library; Wiley Free Archive
subjects Adult
Age
Biopsy
Blood Glucose - metabolism
Carbohydrate Metabolism
Case-Control Studies
Diabetes
Female
Gastric Bypass - adverse effects
Gender
Glucose
Glucose - pharmacokinetics
Glucose Transport Proteins, Facilitative - genetics
Glucose Transport Proteins, Facilitative - metabolism
Humans
Insulin - blood
Intestinal Absorption
Intestines - metabolism
Malabsorption Syndromes - genetics
Malabsorption Syndromes - metabolism
Malabsorption Syndromes - prevention & control
Male
Middle Aged
Obesity
Obesity, Morbid - genetics
Obesity, Morbid - metabolism
Obesity, Morbid - surgery
Small intestine
Up-Regulation - genetics
title Upregulation of intestinal glucose transporters after Roux‐en‐Y gastric bypass to prevent carbohydrate malabsorption
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