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Gastric bypass alters diurnal feeding behavior and reprograms the hepatic clock to regulate endogenous glucose flux.
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2023 (English)In: JCI insight, ISSN 2379-3708, Vol. 8, no 6, article id e166618Article in journal (Refereed) Published
Abstract [en]

The molecular clock machinery regulates several homeostatic rhythms, including glucose metabolism. We previously demonstrated that Roux-en-Y gastric bypass (RYGB) has a weight-independent effect on glucose homeostasis and transiently reduces food intake. In this study we investigate the effects of RYGB on diurnal eating behavior as well as on the molecular clock and this clock's requirement for the metabolic effects of this bariatric procedure in obese mice. We find that RYGB reversed the high-fat diet-induced disruption in diurnal eating pattern during the early postsurgery phase of food reduction. Dark-cycle pair-feeding experiments improved glucose tolerance to the level of bypass-operated animals during the physiologic fasting phase (Zeitgeber time 2, ZT2) but not the feeding phase (ZT14). Using a clock gene reporter mouse model (mPer2Luc), we reveal that RYGB induced a liver-specific phase shift in peripheral clock oscillation with no changes to the central clock activity within the suprachiasmatic nucleus. In addition, we show that weight loss effects were attenuated in obese ClockΔ19 mutant mice after RYGB that also failed to improve glucose metabolism after surgery, specifically hepatic glucose production. We conclude that RYGB reprograms the peripheral clock within the liver early after surgery to alter diurnal eating behavior and regulate hepatic glucose flux.

Place, publisher, year, edition, pages
2023. Vol. 8, no 6, article id e166618
Keywords [en]
Endocrinology, Gluconeogenesis, Glucose metabolism, Metabolism
National Category
Endocrinology and Diabetes Genetics and Genomics
Research subject
Medical Science
Identifiers
URN: urn:nbn:se:uu:diva-548783DOI: 10.1172/jci.insight.166618PubMedID: 36787197OAI: oai:DiVA.org:uu-548783DiVA, id: diva2:1932293
Available from: 2025-01-28 Created: 2025-01-28 Last updated: 2025-01-28

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf