Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet

Obesity is affecting global health with multiple complications, including cardiac dysfunction. Currently, it is uncertain whether drug therapy should be applied in the early stages of obesity-induced cardiac dysfunction, with weight reduction as the first choice. Sleeve gastrectomy (SG) has been wid...

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Main Authors: Xiaojuan Li, Luming Qiao, Wei Wang, Ying Shi, Lei Yuan, Zhiwei Zhai
Format: Article
Language:English
Published: The Japan Endocrine Society 2024-05-01
Series:Endocrine Journal
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Online Access:https://www.jstage.jst.go.jp/article/endocrj/71/5/71_EJ23-0567/_html/-char/en
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author Xiaojuan Li
Luming Qiao
Wei Wang
Ying Shi
Lei Yuan
Zhiwei Zhai
author_facet Xiaojuan Li
Luming Qiao
Wei Wang
Ying Shi
Lei Yuan
Zhiwei Zhai
author_sort Xiaojuan Li
collection DOAJ
description Obesity is affecting global health with multiple complications, including cardiac dysfunction. Currently, it is uncertain whether drug therapy should be applied in the early stages of obesity-induced cardiac dysfunction, with weight reduction as the first choice. Sleeve gastrectomy (SG) has been widely used to treat obesity and its complications, showing promising results. However, it remains unclear whether SG can alleviate obesity-induced cardiac dysfunction. A sudden decline in body weight and food intake was observed in both the obese and obese + SG groups, with a higher rate of increase observed in the Obese group. Elevated levels of plasma glucose, serum insulin, and glycated haemoglobin in obese rats were significantly reduced by SG. Markedly increased levels of alanine transaminase, aspartate transaminase, alkaline phosphatase albumin, total cholesterol, triglycerides, and low-density lipoprotein cholesterol levels, elevated values of heart rate, left ventricular end-systolic pressure, left ventricular end-diastolic pressure, systolic pressure, and end diastolic pressure, and decreased value of stroke volume were observed in obese rats, which were sharply reversed by SG. Furthermore, enhanced pathological changes, including inflammatory cell infiltration and loss of cytoplasm striations, enhanced oil red O staining, increased TUNEL-positive cells, upregulated Bax and cleaved-caspase-3, and downregulated Bcl-2, were observed in obese rats, which were notably alleviated by SG. Lastly, the increased levels of relative proteins observed in obese rats were significantly reduced by SG. In conclusion, SG improved cardiac function and glucose-lipid metabolism disorders in obese rats induced by a high-fat and high-sugar diet.
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institution Kabale University
issn 1348-4540
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publisher The Japan Endocrine Society
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series Endocrine Journal
spelling doaj-art-671d8325522546119a3d7beaa879f2312025-01-22T06:39:10ZengThe Japan Endocrine SocietyEndocrine Journal1348-45402024-05-0171552753610.1507/endocrj.EJ23-0567endocrjSleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar dietXiaojuan Li0Luming Qiao1Wei Wang2Ying Shi3Lei Yuan4Zhiwei Zhai5Department of Endocrinology, Laizhou People’s Hospital, Laizhou 261400, Shandong Province, ChinaDepartment of Laboratory Medicine, Laizhou People’s Hospital, Laizhou 261400, Shandong Province, ChinaDepartment of Gastrointestinal Surgery, Laizhou People’s Hospital, Laizhou 261400, Shandong Province, ChinaDepartment of Reproductive Medicine, Laizhou People’s Hospital, Laizhou 261400, Shandong Province, ChinaDepartment of Gastrointestinal Surgery, Laizhou People’s Hospital, Laizhou 261400, Shandong Province, ChinaDepartment of Gastrointestinal Surgery, Laizhou People’s Hospital, Laizhou 261400, Shandong Province, ChinaObesity is affecting global health with multiple complications, including cardiac dysfunction. Currently, it is uncertain whether drug therapy should be applied in the early stages of obesity-induced cardiac dysfunction, with weight reduction as the first choice. Sleeve gastrectomy (SG) has been widely used to treat obesity and its complications, showing promising results. However, it remains unclear whether SG can alleviate obesity-induced cardiac dysfunction. A sudden decline in body weight and food intake was observed in both the obese and obese + SG groups, with a higher rate of increase observed in the Obese group. Elevated levels of plasma glucose, serum insulin, and glycated haemoglobin in obese rats were significantly reduced by SG. Markedly increased levels of alanine transaminase, aspartate transaminase, alkaline phosphatase albumin, total cholesterol, triglycerides, and low-density lipoprotein cholesterol levels, elevated values of heart rate, left ventricular end-systolic pressure, left ventricular end-diastolic pressure, systolic pressure, and end diastolic pressure, and decreased value of stroke volume were observed in obese rats, which were sharply reversed by SG. Furthermore, enhanced pathological changes, including inflammatory cell infiltration and loss of cytoplasm striations, enhanced oil red O staining, increased TUNEL-positive cells, upregulated Bax and cleaved-caspase-3, and downregulated Bcl-2, were observed in obese rats, which were notably alleviated by SG. Lastly, the increased levels of relative proteins observed in obese rats were significantly reduced by SG. In conclusion, SG improved cardiac function and glucose-lipid metabolism disorders in obese rats induced by a high-fat and high-sugar diet.https://www.jstage.jst.go.jp/article/endocrj/71/5/71_EJ23-0567/_html/-char/ensleeve gastrectomyobesitycardiac dysfunctionlipid metabolism disorder
spellingShingle Xiaojuan Li
Luming Qiao
Wei Wang
Ying Shi
Lei Yuan
Zhiwei Zhai
Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
Endocrine Journal
sleeve gastrectomy
obesity
cardiac dysfunction
lipid metabolism disorder
title Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
title_full Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
title_fullStr Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
title_full_unstemmed Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
title_short Sleeve gastrectomy improves cardiac function and glucose-lipid metabolism disorder in obese rats induced by a high-fat and high-sugar diet
title_sort sleeve gastrectomy improves cardiac function and glucose lipid metabolism disorder in obese rats induced by a high fat and high sugar diet
topic sleeve gastrectomy
obesity
cardiac dysfunction
lipid metabolism disorder
url https://www.jstage.jst.go.jp/article/endocrj/71/5/71_EJ23-0567/_html/-char/en
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