PMID- 36982617 OWN - NLM STAT- MEDLINE DCOM- 20240123 LR - 20240123 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 6 DP - 2023 Mar 14 TI - Sleeve Gastrectomy Improves Hepatic Glucose Metabolism by Downregulating FBXO2 and Activating the PI3K-AKT Pathway. LID - 10.3390/ijms24065544 [doi] LID - 5544 AB - Type 2 diabetes mellitus (T2DM), a chronic metabolic disease, is a public health concern that seriously endangers human health. Sleeve gastrectomy (SG) can relieve T2DM by improving glucose homeostasis and enhancing insulin sensitivity. However, its specific underlying mechanism remains elusive. SG and sham surgery were performed on mice fed a high-fat diet (HFD) for 16 weeks. Lipid metabolism was evaluated via histology and serum lipid analysis. Glucose metabolism was evaluated using the oral glucose tolerance test (OGTT) and insulin tolerance test (ITT). Compared with the sham group, the SG group displayed a reduction in liver lipid accumulation and glucose intolerance, and western blot analysis revealed that the AMPK and PI3K-AKT pathways were activated. Furthermore, transcription and translation levels of FBXO2 were reduced after SG. After liver-specific overexpression of FBXO2, the improvement in glucose metabolism observed following SG was blunted; however, the remission of fatty liver was not influenced by the over expression of FBXO2. Our study explores the mechanism of SG in relieving T2DM, indicating that FBXO2 is a noninvasive therapeutic target that warrants further investigation. FAU - Chen, Ningyuan AU - Chen N AD - Cheeloo College of Medicine, Shandong University, Jinan 250012, China. FAU - Cao, Ruican AU - Cao R AD - Cheeloo College of Medicine, Shandong University, Jinan 250012, China. FAU - Zhang, Zhao AU - Zhang Z AUID- ORCID: 0000-0003-2206-8682 AD - Cheeloo College of Medicine, Shandong University, Jinan 250012, China. FAU - Zhou, Sai AU - Zhou S AD - Graduate Faculty, Shandong First Medical University, Jinan 250117, China. FAU - Hu, Sanyuan AU - Hu S AD - Cheeloo College of Medicine, Shandong University, Jinan 250012, China. LA - eng GR - 82070869/National Natural Science Foundation of China/ PT - Journal Article DEP - 20230314 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Blood Glucose) RN - 0 (Cell Cycle Proteins) RN - 0 (F-Box Proteins) RN - 0 (FBXO2 protein, human) RN - IY9XDZ35W2 (Glucose) RN - 0 (Lipids) RN - 0 (Nerve Tissue Proteins) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - 0 (Fbx2 protein, mouse) SB - IM MH - Animals MH - Humans MH - Mice MH - Blood Glucose/analysis MH - Cell Cycle Proteins/metabolism MH - *Diabetes Mellitus, Type 2/metabolism MH - *F-Box Proteins MH - Gastrectomy MH - Glucose/metabolism MH - Lipids MH - Nerve Tissue Proteins/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism PMC - PMC10052132 OTO - NOTNLM OT - FBXO2 OT - PI3K-AKT pathway OT - SG OT - T2DM OT - glucose metabolism COIS- The authors declare no conflict of interest. EDAT- 2023/03/30 06:00 MHDA- 2023/03/30 06:11 PMCR- 2023/03/14 CRDT- 2023/03/29 01:38 PHST- 2023/02/07 00:00 [received] PHST- 2023/03/02 00:00 [revised] PHST- 2023/03/08 00:00 [accepted] PHST- 2023/03/30 06:11 [medline] PHST- 2023/03/29 01:38 [entrez] PHST- 2023/03/30 06:00 [pubmed] PHST- 2023/03/14 00:00 [pmc-release] AID - ijms24065544 [pii] AID - ijms-24-05544 [pii] AID - 10.3390/ijms24065544 [doi] PST - epublish SO - Int J Mol Sci. 2023 Mar 14;24(6):5544. doi: 10.3390/ijms24065544.