Differential GIP/GLP‐1 intestinal cell distribution in diabetics’ yields distinctive rearrangements depending on Roux‐en‐Y biliopancreatic limb length

التفاصيل البيبلوغرافية
العنوان: Differential GIP/GLP‐1 intestinal cell distribution in diabetics’ yields distinctive rearrangements depending on Roux‐en‐Y biliopancreatic limb length
المؤلفون: António M. Palha, Tiago Morais, Mário Nora, Madalena Costa, Marta Guimarães, André F. Maia, Sofia S Pereira, Mariana P. Monteiro
المصدر: Journal of Cellular Biochemistry. 119:7506-7514
بيانات النشر: Wiley, 2018.
سنة النشر: 2018
مصطلحات موضوعية: Adult, Male, endocrine system, medicine.medical_specialty, endocrine system diseases, Enteroendocrine Cells, Gastric Bypass, Incretin, 030209 endocrinology & metabolism, Type 2 diabetes, Anastomosis, Immunofluorescence, Incretins, Biochemistry, 03 medical and health sciences, 0302 clinical medicine, Glucagon-Like Peptide 1, Internal medicine, Intestine, Small, medicine, Humans, Obesity, 030212 general & internal medicine, Molecular Biology, medicine.diagnostic_test, Chemistry, digestive, oral, and skin physiology, nutritional and metabolic diseases, Cell Biology, medicine.disease, Roux-en-Y anastomosis, Small intestine, Staining, Endocrinology, medicine.anatomical_structure, Diabetes Mellitus, Type 2, Immunohistochemistry, Female, hormones, hormone substitutes, and hormone antagonists
الوصف: As incretins are known to play an important role in type 2 diabetics (T2D) improvement observed after Roux-en-Y gastric bypass (RYGB), our aim was to assess whether increasing the length of RYGB biliopancreatic limb in T2D would modify the incretin staining cell density found after the gastric outlet. Small intestine biopsies (n = 38) were harvested during RYGB at two different distances from the duodenal angle; either 60-90 cm (n = 28), from non-diabetic (n = 18) patients, and T2D (n = 10), or 200 cm (n = 10) from T2D. GIP and GLP-1 staining cells were identified by immunohistochemistry and GLP-1/GIP co-staining cells by immunofluorescence. Incretin staining cell density at the proximal small intestine of T2D and non-diabetic individuals was similar. At 200 cm, T2D patients depicted a significantly lower GIP staining cell density (0.181 ± 0.016 vs 0.266 ± 0.033, P = 0.038) with a similar GLP-1 staining cell density when compared to the proximal gut. GIP/GLP-1 co-staining cells was similar in all studied groups. In T2D patients, the incretin staining cells density in the distal intestine is significantly different from the proximal gut. Thus, a longer RYGB biliopancreatic limb produces a distinctive incretin cell pattern at the gastro-enteric anastomosis that can result in different endocrine profiles.
تدمد: 1097-4644
0730-2312
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::785656406ae3b1df93145045fca3d996Test
https://doi.org/10.1002/jcb.27062Test
حقوق: CLOSED
رقم الانضمام: edsair.doi.dedup.....785656406ae3b1df93145045fca3d996
قاعدة البيانات: OpenAIRE