PMID- 36204098 OWN - NLM STAT- MEDLINE DCOM- 20221104 LR - 20230421 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 13 DP - 2022 TI - Metabolomics analysis of stool in rats with type 2 diabetes mellitus after single-anastomosis duodenal-ileal bypass with sleeve gastrectomy. PG - 1013959 LID - 10.3389/fendo.2022.1013959 [doi] LID - 1013959 AB - BACKGROUND: Single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is one of the most effective bariatric procedures in the treatment of type 2 diabetes mellitus (T2DM). However, the mechanisms by which SADI-S improves T2DM are not well-known. OBJECTIVE: To explore the effects of SADI-S on metabolites in the stool of rats with T2DM. METHODS: Twenty rats were fed on high-fat diet and administered with a low-dose (30mg/kg) of streptozotocin to establish T2DM models. The rats were then randomly assigned to the SADI-S group (n=10) and sham operation group (n=9). Stool samples were collected from all rats at 8 weeks after surgery and stored at -80 degrees C. Metabolomics analysis was performed to identify differential metabolites through ultra- performance liquid chromatography-mass spectrometry. RESULTS: At 8-week after surgery, rats of the SADI-S group showed significantly decreased fasting blood glucose, glucose tolerance test 2-hour, glycated haemoglobin, and body weight compared with those of the sham group. A total of 245 differential metabolites were identified between the two groups. Among them, 16 metabolites such as branched-chain amino acids (valine), aromatic amino acid (phenylalanine), bile acid (cholic acid, lithocholic acid, and beta-muricholic acid), short-chain fatty acid (isobutyric acid), and phospholipid [lysoPE(17:0), lysoPE(20:3) and lysoPS(16:0)] were associated to the T2DM remission after SADI-S. CONCLUSION: SADI-S improves T2DM in rats by regulating phenylalanine biosynthesis, valine, phenylalanine, alanine, glutamate, proline, bile acid, and phospholipid metabolism pathways. CI - Copyright (c) 2022 Wang, Wang, Yu, Ren, Jia, Wang, Li and Jiang. FAU - Wang, Lun AU - Wang L AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Wang, Zeyu AU - Wang Z AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Yu, Yang AU - Yu Y AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Ren, Zhaoheng AU - Ren Z AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Jia, Yongheng AU - Jia Y AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Wang, Jinfa AU - Wang J AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Li, Shixing AU - Li S AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. FAU - Jiang, Tao AU - Jiang T AD - Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital of Jilin University, Changchun City, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220920 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - OF5P57N2ZX (Alanine) RN - 0 (Amino Acids, Aromatic) RN - 0 (Amino Acids, Branched-Chain) RN - 0 (Bile Acids and Salts) RN - 0 (Blood Glucose) RN - 0 (Glutamates) RN - 0 (Glycated Hemoglobin A) RN - 0 (Isobutyrates) RN - 5QU0I8393U (Lithocholic Acid) RN - 47E5O17Y3R (Phenylalanine) RN - 0 (Phospholipids) RN - 9DLQ4CIU6V (Proline) RN - 5W494URQ81 (Streptozocin) RN - HG18B9YRS7 (Valine) SB - IM EIN - Front Endocrinol (Lausanne). 2023 Mar 28;14:1128339. PMID: 37082128 MH - Animals MH - Rats MH - Alanine MH - Amino Acids, Aromatic MH - Amino Acids, Branched-Chain MH - Anastomosis, Surgical/methods MH - Bile Acids and Salts MH - Blood Glucose/analysis MH - *Diabetes Mellitus, Type 2/surgery MH - Gastrectomy/methods MH - Glutamates MH - Glycated Hemoglobin/analysis MH - Ileum/chemistry/surgery MH - Isobutyrates MH - Lithocholic Acid MH - *Obesity, Morbid/surgery MH - Phenylalanine MH - Phospholipids MH - Proline MH - Streptozocin MH - Valine PMC - PMC9530139 OTO - NOTNLM OT - SADI-S OT - T2DM OT - bariatric surgery OT - metabolomics OT - single-anastomosis duodenal-ileal bypass with sleeve gastrectomy OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/10/08 06:00 MHDA- 2022/10/12 06:00 PMCR- 2022/01/01 CRDT- 2022/10/07 02:46 PHST- 2022/08/08 00:00 [received] PHST- 2022/08/29 00:00 [accepted] PHST- 2022/10/07 02:46 [entrez] PHST- 2022/10/08 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2022.1013959 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2022 Sep 20;13:1013959. doi: 10.3389/fendo.2022.1013959. eCollection 2022.