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New Mouse Models of Roux-en Y Gastric Bypass and One Anastomosis Gastric Bypass for Type 2 Diabetes

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机构: [1]Department of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510280, People’s Republic of China [2]Southern Medical University School of Laboratory Medicine and Biotechnology, Guangzhou, Guangdong Province 510280, People’s Republic of China [3]Department of Basic Medical Research, General Hospital of Southern Theater Command of PLA, Guangzhou, Guangdong Province 510280, People’s Republic of China [4]Surgical Center for Obesity and Diabetes, Jinshazhou Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510282, People’s Republic of China [5]Department of Cardiovascular Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510280, People’s Republic of China
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关键词: Bariatric surgery  Diabetes  Animal model  Roux-en-Y gastric bypass  One anastomosis gastric bypass

摘要:
Current bariatric surgery models primarily utilize mice with obesity, overlooking those with type 2 diabetes (T2DM). These models have limitations in replicating clinical procedures accurately and achieving broad applicability. This study aimed to develop novel mouse models of Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB) surgeries specifically designed for T2DM research, utilizing simplified surgical techniques closely resembling clinical procedures.Eight-week-old C57/Bl6 mice, except for the Blank-Control group, were induced with T2DM by combining a high-fat diet and streptozotocin injection. RYGB involved creating a 10% gastric pouch, a 4-cm biliopancreatic limb (BL), and a 4-cm Roux limb (RL). Similarly, OAGB maintained a 10% gastric pouch and a 4-cm BL. To assess the efficacy of these models, we measured the body weight and fasting blood glucose (FBG) and conducted intraperitoneal glucose tolerance test (IPGTT), insulin tolerance test (ITT), and liver B-ultrasound, as well as a histopathological analysis of multiple organs 12 weeks post-operation.The survival rates in the Blank-Control, T2DM-Sham, T2DM-RYGB, and T2DM-OAGB groups were 100% (6/6), 100% (6/6), 85.7% (6/7), and 100% (6/6), respectively. Both RYGB and OAGB surgeries similarly led to sustained weight loss, reduced the FBG levels, improved the IPGTT and ITT results, and alleviated the histopathological manifestations in multiple organs.The innovative mouse models of RYGB and OAGB surgeries effectively improve T2DM. Both surgeries demonstrate comparable efficacy in ameliorating T2DM, even when utilizing a gastric pouch of the same size and the same length of BL in OAGB.© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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大类 | 3 区 医学
小类 | 3 区 外科
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大类 | 3 区 医学
小类 | 3 区 外科
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Q2 SURGERY
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Q1 SURGERY

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第一作者机构: [1]Department of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510280, People’s Republic of China
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通讯机构: [2]Southern Medical University School of Laboratory Medicine and Biotechnology, Guangzhou, Guangdong Province 510280, People’s Republic of China [3]Department of Basic Medical Research, General Hospital of Southern Theater Command of PLA, Guangzhou, Guangdong Province 510280, People’s Republic of China
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