1. Nutrient Transporter Expression in the Jejunum in Relation to Body Mass Index in Patients Undergoing Bariatric Surgery.
- Author
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Irving BA, Wood GC, Bennotti PN, Babu E, Deshpande A, Lent MR, Petrick A, Gabrielsen J, Strodel W, Gerhard GS, Still CD, Ganapathy V, and Rolston DD
- Subjects
- Adult, Body Mass Index, Cohort Studies, Comorbidity, Cross-Sectional Studies, Fatty Acids, Volatile blood, Female, Gastric Bypass, Humans, Intestinal Mucosa surgery, Jejunum surgery, Male, Membrane Transport Proteins genetics, Membrane Transport Proteins metabolism, Middle Aged, Monocarboxylic Acid Transporters genetics, Obesity blood, Obesity epidemiology, Obesity surgery, Obesity, Morbid blood, Obesity, Morbid pathology, Obesity, Morbid surgery, RNA, Messenger metabolism, Waist Circumference, Fatty Acids, Volatile metabolism, Gene Expression Regulation, Intestinal Mucosa metabolism, Jejunum metabolism, Monocarboxylic Acid Transporters metabolism, Obesity metabolism, Obesity, Morbid metabolism
- Abstract
Nutrient tranters (NT) facilitate nutrient absorption and contribute to the regulation of circulating nutrients. In this cross-sectional study, we determined the associations between the level of obesity; mRNA abundance for NTs; and serum concentrations of amino acids, short-chain fatty acids, and glucose in patients with morbid obesity undergoing a Roux-en-Y gastric bypass. Proximal jejunal samples were obtained at the time of surgery from 42 patients (90% female, age = 42.6 ± 11.9 years, pre-operative body mass index (BMI) = 55.5 ± 11.3 kg/m²) undergoing a Roux-en-Y gastric bypass. RNA was extracted from the jejunal mucosa and quantitative real-time-PCR was performed for the NTs studied. BMI negatively correlated with jejunal mRNA abundance of the amino acid NTs TauT ( r = -0.625, p < 0.0001), ASCT2 ( r = -0.320, p = 0.039), LAT1 ( r = -0.304, p = 0.05). BMI positively correlated with jejunal mRNA abundance of the lactate/short-chain fatty acid NT SMCT1 ( r = 0.543, p = 0.0002). Serum concentrations of the short-chain fatty acids, butyric, valeric, and isocaproic acid correlated positively with BMI ( n = 30) ( r = 0.45, r = 0.44, r = 0.36, p ≤ 0.05; respectively). Lower jejunal mRNA abundance for the amino acid NTs TauT , ASCT2 , and LAT1 could protect against further obesity-related elevations in circulating amino acids. The positive correlation between BMI and the jejunal mRNA abundance of the high-affinity short-chain fatty acid/monocarboxylate transporter SMCT1 is intriguing and requires further investigation., Competing Interests: The authors declare no conflict of interest.
- Published
- 2016
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