Dynamic changes of muscle insulin sensitivity after metabolic surgery

Autor: Klaus Strassburger, Sofiya Gancheva, Lucia Mastrototaro, Chrysi Koliaki, Markus Jähnert, Christian Herder, Daniel F. Markgraf, Matthias Schlensak, Dominik Pesta, Elisabetta De Filippo, Julia Szendroedi, Annette Schürmann, Jürgen Weiss, Frederico G.S. Toledo, Michael Roden, Meriem Ouni, Tomas Jelenik
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Nature Communications, Vol 10, Iss 1, Pp 1-13 (2019)
Nature Communications
ISSN: 2041-1723
Popis: The mechanisms underlying improved insulin sensitivity after surgically-induced weight loss are still unclear. We monitored skeletal muscle metabolism in obese individuals before and over 52 weeks after metabolic surgery. Initial weight loss occurs in parallel with a decrease in muscle oxidative capacity and respiratory control ratio. Persistent elevation of intramyocellular lipid intermediates, likely resulting from unrestrained adipose tissue lipolysis, accompanies the lack of rapid changes in insulin sensitivity. Simultaneously, alterations in skeletal muscle expression of genes involved in calcium/lipid metabolism and mitochondrial function associate with subsequent distinct DNA methylation patterns at 52 weeks after surgery. Thus, initial unfavorable metabolic changes including insulin resistance of adipose tissue and skeletal muscle precede epigenetic modifications of genes involved in muscle energy metabolism and the long-term improvement of insulin sensitivity.
Surgical weight-loss interventions improve insulin sensitivity via incompletely understood mechanisms. Here the authors assess skeletal muscle epigenetic changes in individuals with obesity following metabolic surgery and compare them with data from individuals without obesity.
Databáze: OpenAIRE