PMID- 37438984 OWN - NLM STAT- MEDLINE DCOM- 20230814 LR - 20230814 IS - 1753-0407 (Electronic) IS - 1753-0393 (Print) IS - 1753-0407 (Linking) VI - 15 IP - 8 DP - 2023 Aug TI - Interventional metabology: A review of bariatric arterial embolization and endovascular denervation for treating metabolic disorders. PG - 665-673 LID - 10.1111/1753-0407.13437 [doi] AB - The rising prevalence of metabolic disorders such as obesity and type 2 diabetes mellitus (T2DM) poses a major challenge to global health. Existing therapeutic approaches have limitations, and there is a need for new, safe, and less invasive treatments. Interventional metabolic therapy is a new addition to the treatment arsenal for metabolic disorders. This review focuses on two interventional techniques: bariatric arterial embolization (BAE) and endovascular denervation (EDN). BAE involves embolizing specific arteries feeding ghrelin-producing cells to suppress appetite and promote weight loss. EDN targets nerves that regulate metabolic organs to improve glycemic control in T2DM patients. We describe the current state of these techniques, their mechanisms of action, and the available safety and effectiveness data. We also propose a new territory called "Interventional Metabology" to encompass these and other interventional approaches to treating metabolic disorders. CI - (c) 2023 The Authors. Journal of Diabetes published by Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Wang, Zhi AU - Wang Z AUID- ORCID: 0000-0002-5056-2242 AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Zhu, Dan-Qi AU - Zhu DQ AUID- ORCID: 0000-0001-5811-1860 AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Zhu, Xiang-Yun AU - Zhu XY AUID- ORCID: 0000-0002-7605-6700 AD - Department of Endocrinology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. AD - Institute of Pancreas, Southeast University, Nanjing, China. FAU - Liu, De-Chen AU - Liu DC AUID- ORCID: 0000-0002-2776-441X AD - Department of Endocrinology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. AD - Institute of Pancreas, Southeast University, Nanjing, China. FAU - Cao, Qing-Yue AU - Cao QY AUID- ORCID: 0000-0002-9324-9379 AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Pan, Tao AU - Pan T AUID- ORCID: 0000-0002-1835-8516 AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Zhang, Qi AU - Zhang Q AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Gu, Xiao-Chun AU - Gu XC AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Li, Ling AU - Li L AUID- ORCID: 0000-0003-0083-6978 AD - Department of Endocrinology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. AD - Institute of Pancreas, Southeast University, Nanjing, China. FAU - Teng, Gao-Jun AU - Teng GJ AUID- ORCID: 0000-0001-5800-3640 AD - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. LA - eng GR - 61821002/National Natural Science Foundation of China/ GR - 82000740/National Natural Science Foundation of China/ GR - 82170845/National Natural Science Foundation of China/ GR - 82200929/National Natural Science Foundation of China/ PT - Journal Article PT - Review DEP - 20230712 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/complications/therapy MH - Obesity/metabolism MH - *Bariatrics MH - Weight Loss MH - Denervation MH - *Bariatric Surgery PMC - PMC10415876 OTO - NOTNLM OT - 2型糖尿病 OT - T2DM OT - intervention metabology OT - metabolic disorders OT - obesity OT - 代谢干预 OT - 代谢紊乱 OT - 肥胖 COIS- The authors declare that they have no competing interest. EDAT- 2023/07/13 06:42 MHDA- 2023/08/14 06:42 PMCR- 2023/07/12 CRDT- 2023/07/13 02:08 PHST- 2023/05/12 00:00 [revised] PHST- 2022/09/21 00:00 [received] PHST- 2023/06/06 00:00 [accepted] PHST- 2023/08/14 06:42 [medline] PHST- 2023/07/13 06:42 [pubmed] PHST- 2023/07/13 02:08 [entrez] PHST- 2023/07/12 00:00 [pmc-release] AID - JDB13437 [pii] AID - 10.1111/1753-0407.13437 [doi] PST - ppublish SO - J Diabetes. 2023 Aug;15(8):665-673. doi: 10.1111/1753-0407.13437. Epub 2023 Jul 12.