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Retraction Note: Correlation between body mass index and gut concentrations of Lactobacillus reuteri, Bifidobacterium animalis, Methanobrevibacter smithii and Escherichia coli 撤稿说明:体重指数与肠道中芦特氏乳杆菌、动物双歧杆菌、甲烷杆菌和大肠埃希氏菌浓度之间的相关性。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-21 DOI: 10.1038/s41366-024-01557-9
M. Million, E. Angelakis, M. Maraninchi, M. Henry, R. Giorgi, R. Valero, B. Vialettes, D. Raoult
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引用次数: 0
Fifteen-year changes in health-related quality of life after bariatric surgery and non-surgical obesity treatment. 减肥手术和非手术肥胖治疗后十五年健康相关生活质量的变化。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-20 DOI: 10.1038/s41366-024-01572-w
Hanna Konttinen, Kajsa Sjöholm, Lena M S Carlsson, Markku Peltonen, Per-Arne Svensson

Background: Evidence on the long-term (≥10 years) development of health-related quality of life (HRQoL) following bariatric surgery is still limited and mainly based on small-scale studies. This study aimed to investigate (1) 15-year changes in mental, physical, social, and obesity-related HRQoL after bariatric surgery and non-surgical obesity treatment; and (2) whether sociodemographic factors and pre-operative health status are associated with 15-year HRQoL changes in the surgery group.

Methods: Participants were from the non-randomized, prospective, controlled Swedish Obese Subjects study. The surgery group (N = 2007, per-protocol) underwent gastric bypass, banding or vertical banded gastroplasty, and matched controls (N = 2040) received usual obesity care. Recruitment took place in 1987-2001 and measurements (including six HRQoL scales) were administered before treatment and after 0.5, 1, 2, 3, 4, 6, 8, 10 and 15 years. Multilevel mixed-effect regression models using all observations for estimation were conducted.

Results: Surgical patients experienced greater 15-year improvements in perceived health and overall mood, and greater reductions in depression, obesity-related problems, and social interaction limitations than controls (all p < 0.001, adjusted for baseline differences). Effect size (ES) was classified as large only for obesity-related problems (ES = 0.82). At the 15-year follow-up, surgical patients reported better perceived health (p < 0.001) and less obesity-related problems (p = 0.020) than controls. In the surgery group, patients with baseline diabetes had smaller 15-year reductions in social interaction limitations (p < 0.001) and depression (p = 0.049) compared to those without baseline diabetes. Although surgical patients with a history of psychiatric disorder reported lower HRQoL than those without such history over the 15-year follow-up, there were no significant differences in the long-term improvements between the two groups (p = 0.211-0.902).

Conclusions: Over 15 years, surgical patients experienced more positive development of HRQoL compared to those receiving usual care. This difference was large for obesity-related problems, but otherwise the differences were small. Patients with pre-operative diabetes might be at increased risk for smaller long-term HRQoL improvements.

背景:有关减肥手术后长期(≥10 年)健康相关生活质量(HRQoL)发展的证据仍然有限,且主要基于小规模研究。本研究旨在探讨:(1) 减肥手术和非手术肥胖治疗后15年精神、身体、社会和肥胖相关HRQoL的变化;(2) 社会人口学因素和术前健康状况是否与手术组15年HRQoL变化相关:参与者来自非随机、前瞻性、对照瑞典肥胖受试者研究。手术组(N = 2007,按协议)接受胃旁路术、胃束带术或垂直胃束带成形术,匹配对照组(N = 2040)接受常规肥胖护理。研究人员于 1987-2001 年招募,在治疗前和 0.5、1、2、3、4、6、8、10 和 15 年后进行了测量(包括六种 HRQoL 量表)。使用所有观测数据建立了多层次混合效应回归模型:与对照组相比,手术患者在 15 年中的健康感知和总体情绪改善幅度更大,抑郁、肥胖相关问题和社会交往限制的减少幅度也更大(均为 p 结论:手术患者在 15 年中的健康感知和总体情绪改善幅度更大,抑郁、肥胖相关问题和社会交往限制的减少幅度也更大(均为 p):与接受常规治疗的患者相比,手术患者在 15 年内的 HRQoL 有了更积极的发展。在肥胖相关问题上,这种差异很大,但在其他方面差异很小。术前患有糖尿病的患者可能面临更大的风险,其长期的 HRQoL 改善程度较小。
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引用次数: 0
PPARα suppresses low-intensity-noise-induced body weight gain in mice: the activated HPA axis plays an critical role PPARα 可抑制低强度噪音诱导的小鼠体重增加:激活的 HPA 轴发挥了关键作用。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-20 DOI: 10.1038/s41366-024-01550-2
Zheng Yan, Jia Luo, Ying Wang, Jie Yang, Mingli Su, Lei Jiang, Julin Yang, Manyun Dai, Aiming Liu
As the second most risky environmental pollution, noise imposes threats to human health. Exposure to high-intensity noise causes hearing impairment, psychotic disorders, endocrine modifications. The relationship among low-intensity noise, obesity and lipid-regulating nuclear factor PPARα is not yet clear. In this study, male wild-type (WT) and Pparα-null (KO) mice on a high-fat diet (HFD) were exposed to 75 dB noise for 12 weeks to explore the effect of low-intensity noise on obesity development and the role of PPARα. 3T3-L1 cells were treated with dexamethasone (DEX) and sodium oleate (OA) to verify the down-stream effect of hypothalamic-pituitary-adrenal (HPA) axis activation on the adipose tissues. The average body weight gain (BWG) of WT mice on HFD exposed to noise was inhibited, which was not observed in KO mice. The mass and adipocyte size of adipose tissues accounted for the above difference of BWG tendency. In WT mice on HFD, the adrenocorticotropic hormone level was increased by the noise challenge. The aggravation of fatty liver by noise exposure occurred in both mouse lines, and the transport of hepatic redundant lipid to adipose tissues were similar. The lipid metabolism in adipose tissue driven by HPA axis accorded with the BWG inhibition in vivo, validated in 3T3-L1 adipogenic stem cells. Chronic exposure to low-intensity noise aggravated fatty liver in both WT and KO mice. BWG inhibition was observed only in WT mice, which covered up the aggravation of fatty liver by noise exposure. PPARα mediates the activation of HPA axis by noise exposure in mice on HFD. Elevated adrenocorticotropic hormone (ACTH) promoted lipid metabolism in adipocytes, which contributed to the disassociation of BWG and fatty liver development in male WT mice.
背景:作为第二大危险环境污染,噪声对人类健康构成威胁。暴露于高强度噪声会导致听力损伤、精神失常和内分泌改变。低强度噪声、肥胖和调节血脂的核因子 PPARα 之间的关系尚不清楚:本研究将雄性野生型(WT)和Pparα-null(KO)小鼠置于高脂饮食(HFD)的75 dB噪音中12周,以探讨低强度噪音对肥胖发生的影响以及PPARα的作用。用地塞米松(DEX)和油酸钠(OA)处理3T3-L1细胞,以验证下丘脑-垂体-肾上腺(HPA)轴激活对脂肪组织的下游效应:结果:WT小鼠摄入暴露于噪声的高密度脂蛋白(HFD)后,平均体重增加(BWG)受到抑制,而KO小鼠则没有受到抑制。脂肪组织的质量和脂肪细胞大小是造成上述体重增长趋势差异的原因。在服用高密度脂蛋白饲料的 WT 小鼠中,促肾上腺皮质激素水平因噪声挑战而升高。两个品系小鼠的脂肪肝均因噪声暴露而加重,肝脏多余脂质向脂肪组织的转运情况相似。由 HPA 轴驱动的脂肪组织脂质代谢与体内 BWG 抑制作用一致,这在 3T3-L1 成脂干细胞中得到了验证:结论:长期暴露于低强度噪声会加重WT和KO小鼠的脂肪肝。结论:长期暴露于低强度噪声会加重 WT 小鼠和 KO 小鼠的脂肪肝,只有在 WT 小鼠中观察到 BWG 抑制作用,这掩盖了噪声暴露对脂肪肝的加重作用。PPARα介导了噪音暴露对高脂蛋白胆固醇小鼠HPA轴的激活。促肾上腺皮质激素(ACTH)的升高促进了脂肪细胞的脂质代谢,从而导致雄性WT小鼠的BWG与脂肪肝的发生脱节。PPARα可抑制噪音诱导的高脂饮食小鼠体重增加。通过 PPARα 依赖性激活 HPA 轴,慢性暴露于低强度噪声可抑制体重增加。
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引用次数: 0
Providing a common language for obesity: the European Association for the Study of Obesity obesity taxonomy. 为肥胖症提供共同语言:欧洲肥胖症研究协会肥胖症分类法。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-20 DOI: 10.1038/s41366-024-01565-9
Jacqueline Bowman-Busato, Lucas Schreurs, Jason C G Halford, Volkan Yumuk, Grace O'Malley, Euan Woodward, Diederik De Cock, Jennifer L Baker

Background: The basis for a high-performing and resilient healthcare system is having a common, precise, and scientifically accurate language used across all stakeholder groups. However, such a common language is lacking for obesity. Therefore, the European Association for the Study of Obesity undertook a taxonomy initiative to provide standardised language for obesity as commonly used from policy to practice for other major policy-prioritised non-communicable diseases (NCDs).

Methods: An online Delphi consensus study was conducted, involving a panel of experts representing stakeholder groups of policymakers, healthcare professionals, people with lived experience, and researchers. Based on the understanding of obesity as an adiposity-based chronic disease, 54 statements demarcated into definition, scope and contextual usage were developed across six themes: Definition of obesity, Causes, onset and progression, Obesity prevention, Screening and early diagnosis, Treatment and management, Obesity consequences.

Results: Of the 194 invited experts, 70 (36%), 63 (33%), and 58 (30%) experts participated in rounds one, two, and three, respectively. Consensus was achieved on 70% of the proposed definitions, scope, and contextual usage after round one, 94% after round two and 100% after round three. The Definition of Obesity theme included distinctions between population-level indicators and individual-level signs of obesity, and how pre-obesity was defined. The Causes, Onset and Progression theme characterised the timing of obesity development. The Obesity Prevention theme explicitly differentiated between health promotion and primary prevention. Both the Screening and Early Diagnosis, and the Treatment and Management themes defined concepts supporting a continuum of care model. The Consequences of Obesity theme encompassed health and socio-economic outcomes.

Conclusion: The taxonomy provides a contemporary evidence-based language about obesity that aligns with language used for policy-prioritised NCDs. The taxonomy is useful for education, advocacy, and communication and can be used by policymakers, healthcare professionals, people living with obesity, researchers, and health system users.

背景:在所有利益相关者群体中使用共同、准确、科学的语言,是建立高效、灵活的医疗保健系统的基础。然而,肥胖症却缺乏这样一种通用语言。因此,欧洲肥胖症研究协会发起了一项分类倡议,为肥胖症提供标准化的语言,就像其他主要政策优先考虑的非传染性疾病(NCDs)从政策到实践中常用的语言一样:方法:开展了一项在线德尔菲共识研究,由代表政策制定者、医疗保健专业人员、有生活经验者和研究人员等利益相关群体的专家小组参与。基于对肥胖症是一种以脂肪为基础的慢性疾病的理解,共制定了 54 项声明,分为定义、范围和背景使用等六个主题:结果显示,在 194 位受邀专家中,有 70 位专家认为肥胖症是一种慢性疾病:在 194 位受邀专家中,分别有 70 位(36%)、63 位(33%)和 58 位(30%)专家参加了第一、第二和第三轮讨论。在第一轮讨论后,70%的专家就建议的定义、范围和语境用法达成了共识,第二轮讨论后达成了 94%的共识,第三轮讨论后达成了 100%的共识。肥胖的定义主题包括人群指标和个人肥胖迹象之间的区别,以及如何定义肥胖前期。肥胖的原因、发病和进展主题描述了肥胖发生的时间。肥胖预防主题明确区分了健康促进和初级预防。筛查和早期诊断主题以及治疗和管理主题都定义了支持持续护理模式的概念。肥胖症的后果主题包括健康和社会经济后果:该分类法提供了有关肥胖症的现代循证语言,与政策优先考虑的非传染性疾病的语言相一致。该分类法可用于教育、宣传和交流,可供政策制定者、医疗保健专业人员、肥胖症患者、研究人员和医疗系统用户使用。
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引用次数: 0
Paternal obesity induces subfertility in male offspring by modulating the oxidative stress-related transcriptional network 父亲肥胖通过调节与氧化应激相关的转录网络诱导男性后代的不育症。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-20 DOI: 10.1038/s41366-024-01562-y
Long Li, Yuxuan Ma, Chao Zhu, Yan Li, Heran Cao, Zifang Wu, Tianqi Jin, Yang Wang, Shaoxian Chen, Wuzi Dong
The effects of fathers’ high-fat diet (HFD) on the reproductive health of their male offspring (HFD- F1) remain to be elucidated. Parental obesity is known to have a negative effect on offspring fertility, but there are few relevant studies on the effects of HFD-F1 on reproductive function. We first succeeded in establishing the HFD model, which provides a scientific basis in the analysis of HFD-F1 reproductive health. Next, we assessed biometric indices, intratesticular cellular status, seminiferous tubules and testicular transcriptomic homeostasis in HFD-F1. Finally, we examined epididymal (sperm-containing) apoptosis, as well as antioxidant properties, motility, plasma membrane oxidation, DNA damage, and sperm-egg binding in the epididymal sperm. Our initial results showed that HFD-F1 mice had characteristics similar to individuals with obesity, including higher body weight and altered organ size. Despite no major changes in the types of testicular cells, we found decreased activity of important genes and noticed the presence of abnormally shaped sperm at seminiferous tubule lumen. Further analysis of HFD-F1 testes suggests that these changes might be caused by increased vulnerability to oxidative stress. Finally, we measured several sperm parameters, these results presented HFD-F1 offspring exhibited a deficiency in antioxidant properties, resulting in damaged sperm mitochondrial membrane potential, insufficient ATP content, increased DNA fragmentation, heightened plasma membrane oxidation, apoptosis-prone and decreased capacity for sperm-oocyte binding during fertilization. HFD- F1 subfertility arises from the susceptibility of the transcriptional network to oxidative stress, resulting in reduced antioxidant properties, motility, sperm-egg binding, and elevated DNA damage.
背景/目的:父亲高脂饮食(HFD)对其男性后代(HFD- F1)生殖健康的影响仍有待阐明。众所周知,父母肥胖会对后代的生育能力产生负面影响,但有关 HFD-F1 对生殖功能影响的相关研究却很少:我们首先成功建立了高密度脂蛋白模型,为分析高密度脂蛋白-F1 生殖健康提供了科学依据。接下来,我们评估了HFD-F1的生物计量指数、睾丸内细胞状态、曲细精管和睾丸转录组平衡。最后,我们检测了附睾(含精子)精子凋亡以及附睾精子的抗氧化性、运动能力、质膜氧化、DNA损伤和精子与卵子结合情况:我们的初步研究结果表明,HFD-F1小鼠具有与肥胖症患者相似的特征,包括体重增加和器官大小改变。尽管睾丸细胞的类型没有发生重大变化,但我们发现重要基因的活性降低,并注意到曲细精管腔中存在形状异常的精子。对HFD-F1睾丸的进一步分析表明,这些变化可能是由于对氧化应激的脆弱性增加所致。最后,我们测量了精子的几个参数,这些结果表明HFD-F1后代精子的抗氧化能力不足,导致精子线粒体膜电位受损、ATP含量不足、DNA碎片增加、质膜氧化加剧、易凋亡以及受精过程中精子与卵细胞结合能力下降:结论:HFD- F1亚不育是由于转录网络易受氧化应激影响,导致抗氧化性、运动能力、精子与卵子结合能力降低,DNA损伤加剧。HFD-F1 氧化应激易导致不育的示意图。值得注意的是,ROS 的过度积累超过了生理阈值,从而破坏了精子质膜内的 PUFA。这种氧化攻击会影响线粒体和 DNA 等重要成分。因此,精子的抗氧化防御机制会受到损害,导致活力、运动能力和生育能力下降。
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引用次数: 0
Maternal obesity and offspring cardiovascular remodelling — the effect of preconception and antenatal lifestyle interventions: a systematic review 孕产妇肥胖与后代心血管重塑--孕前和产前生活方式干预的影响:系统综述。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-19 DOI: 10.1038/s41366-024-01536-0
Samuel J. Burden, Rahaf Alshehri, Pablo Lamata, Lucilla Poston, Paul D. Taylor
Preconception or antenatal lifestyle interventions in women with obesity may prevent adverse cardiovascular outcomes in the child, including cardiac remodelling. We undertook a systematic review of the existing data to examine the impact of randomised controlled trials of lifestyle interventions in pregnant women with obesity on offspring cardiac remodelling and related parameters of cardiovascular health. This review was registered with PROSPERO (CRD42023454762) and aligns with PRISMA guidelines. PubMed, Embase, and previous reviews were systematically searched. Follow-up studies from randomised trials of lifestyle interventions in pregnant women with obesity, which included offspring cardiac remodelling or related cardiovascular parameters as outcome measures, were included based on pre-defined inclusion criteria. Eight studies from five randomised controlled trials were included after screening 3252 articles. Interventions included antenatal exercise (n = 2), diet and physical activity (n = 2), and preconception diet and physical activity (n = 1). Children were <2-months to 3–7-years-old, with sample sizes ranging between n = 18–404. Reduced cardiac remodelling, with reduced interventricular septal wall thickness, was consistently reported. Some studies identified improved systolic and diastolic function and a reduced resting heart rate. Risk of bias analyses rated all studies as ‘fair’ (some risk of bias). A high loss-to-follow-up was a common limitation. Although there is some evidence to suggest that lifestyle interventions in women with obesity may limit offspring cardiac remodelling, further high-quality longitudinal studies with larger sample sizes are required to confirm these observations and to determine whether these changes persist to adulthood.
背景:对肥胖症妇女进行孕前或产前生活方式干预可预防儿童出现不良心血管后果,包括心脏重塑。我们对现有数据进行了系统性回顾,研究肥胖孕妇生活方式干预随机对照试验对后代心脏重塑和心血管健康相关参数的影响:本综述已在 PROSPERO(CRD42023454762)上注册,并符合 PRISMA 指南。系统检索了 PubMed、Embase 和以往的综述。根据预先确定的纳入标准,纳入了针对肥胖孕妇的生活方式干预随机试验的后续研究,这些研究将后代心脏重塑或相关心血管参数作为结果测量指标:在筛选了 3252 篇文章后,纳入了来自五项随机对照试验的八项研究。干预措施包括产前锻炼(2 项)、饮食和体育锻炼(2 项)以及孕前饮食和体育锻炼(1 项)。结论尽管有证据表明,对肥胖妇女进行生活方式干预可能会限制后代心脏重塑,但还需要进一步开展样本量更大的高质量纵向研究,以证实这些观察结果,并确定这些变化是否会持续到成年。对肥胖妇女进行孕前和产前生活方式干预对后代心血管健康有益。
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引用次数: 0
Adenovirus 36 seropositivity is related to the expression of anti-adipogenic lncRNAs GAS5 and MEG3 in adipose tissue obtained from subjects with obesity. 腺病毒36血清阳性与肥胖症患者脂肪组织中抗脂肪生成lncRNAs GAS5和MEG3的表达有关。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-19 DOI: 10.1038/s41366-024-01555-x
Víctor Manríquez, Roberto Brito, Monica Pavez, Jorge Sapunar, Luis Fonseca, Víctor Molina, Eugenia Ortiz, Romilio Baeza, Camila Reimer, Maria Charles, Constance Schneider, Mario Hiroyuki Hirata, Rosario Dominguez Crespo Hirata, Alvaro Cerda

Background: Human Adenovirus D-36 (HAdV-D36) promotes adipogenesis in cellular and animal models and may contribute to the development of human obesity. Induction of PPARγ by HAdV-D36 seems to have a central role in the maintenance of adipogenic status. There is limited information about epigenetic mechanisms contributing to this process in human adipose tissue. This study evaluated the expression of lncRNAs (ADINR, GAS5 and MEG3) and miRNAs (miR-18a and miR-140) involved in the adipogenic process in visceral adipose tissue (VAT) of subjects with obesity with previous HAdV-D36 infection (seropositive) and unexposed (seronegative) subjects with obesity.

Methods: Individuals with obesity were grouped according to the presence of antibodies against HAdV-D36 (Seropositive: HAdV-D36[+], n = 29; and Seronegative: HAdV-D36[-], n = 28). Additionally, a group of individuals without obesity (n = 17) was selected as a control group. The HAdV-D36 serology was carried out by ELISA. Biopsies of VAT were obtained during an elective and clinically indicated surgery (bariatric or cholecystectomy). RNA extraction from VAT was performed and the expression of PPARG and non-coding RNAs was evaluated by qPCR.

Results: HAdV-D36[+] individuals had lower expression of anti-adipogenic lncRNAs GAS5 (p = 0.016) and MEG3 (p = 0.035) compared with HAdV-D36[-] subjects with obesity. HAdV-D36[+] subjects also presented increased expression of the adipogenic miRNA miR-18a (p = 0.042), which has been reported to be modulated by GAS5 through a RNA sponging mechanism during adipogenic differentiation. Additionally, an inverse correlation of GAS5 with PPARG expression was observed (r = -0.917, p = 0.01).

Conclusion: Our results suggest that HAdV-D36 is related to non-coding RNAs implicated in adipogenesis, representing a potential mechanism by which previous HAdV-D36 infection could be associated with the long-term maintenance of adipogenic status, probably through the GAS5/miR-18a axis.

背景:人腺病毒 D-36(HAdV-D36)可促进细胞和动物模型中的脂肪生成,并可能导致人类肥胖症的发生。HAdV-D36 对 PPARγ 的诱导似乎在维持脂肪生成状态方面起着核心作用。关于人类脂肪组织中促成这一过程的表观遗传学机制的信息很有限。本研究评估了既往感染过HAdV-D36的肥胖症患者(血清反应阳性)和未感染过HAdV-D36的肥胖症患者(血清反应阴性)的内脏脂肪组织(VAT)中参与成脂过程的lncRNAs(ADINR、GAS5和MEG3)和miRNAs(miR-18a和miR-140)的表达情况:肥胖症患者根据是否存在 HAdV-D36 抗体进行分组(血清阳性:HAdV-D36[+],n = 29;血清阴性:HAdV-D36[-],n = 28)。此外,还选择了一组无肥胖症的个体(n = 17)作为对照组。HAdV-D36 血清学检测采用 ELISA 方法进行。在有临床指征的择期手术(减肥手术或胆囊切除术)中获取 VAT 活检组织。从 VAT 提取 RNA,并通过 qPCR 评估 PPARG 和非编码 RNA 的表达:结果:与 HAdV-D36[-]肥胖症患者相比,HAdV-D36[+]患者的抗脂肪生成 lncRNAs GAS5(p = 0.016)和 MEG3(p = 0.035)表达较低。HAdV-D36[+]受试者的成脂miRNA miR-18a的表达也有所增加(p = 0.042),据报道,在成脂分化过程中,GAS5通过RNA海绵机制调节miR-18a的表达。此外,还观察到 GAS5 与 PPARG 的表达呈反相关(r = -0.917,p = 0.01):我们的研究结果表明,HAdV-D36 与涉及脂肪生成的非编码 RNA 有关,这代表了一种潜在的机制,即之前的 HAdV-D36 感染可能通过 GAS5/miR-18a 轴与脂肪生成状态的长期维持有关。
{"title":"Adenovirus 36 seropositivity is related to the expression of anti-adipogenic lncRNAs GAS5 and MEG3 in adipose tissue obtained from subjects with obesity.","authors":"Víctor Manríquez, Roberto Brito, Monica Pavez, Jorge Sapunar, Luis Fonseca, Víctor Molina, Eugenia Ortiz, Romilio Baeza, Camila Reimer, Maria Charles, Constance Schneider, Mario Hiroyuki Hirata, Rosario Dominguez Crespo Hirata, Alvaro Cerda","doi":"10.1038/s41366-024-01555-x","DOIUrl":"https://doi.org/10.1038/s41366-024-01555-x","url":null,"abstract":"<p><strong>Background: </strong>Human Adenovirus D-36 (HAdV-D36) promotes adipogenesis in cellular and animal models and may contribute to the development of human obesity. Induction of PPARγ by HAdV-D36 seems to have a central role in the maintenance of adipogenic status. There is limited information about epigenetic mechanisms contributing to this process in human adipose tissue. This study evaluated the expression of lncRNAs (ADINR, GAS5 and MEG3) and miRNAs (miR-18a and miR-140) involved in the adipogenic process in visceral adipose tissue (VAT) of subjects with obesity with previous HAdV-D36 infection (seropositive) and unexposed (seronegative) subjects with obesity.</p><p><strong>Methods: </strong>Individuals with obesity were grouped according to the presence of antibodies against HAdV-D36 (Seropositive: HAdV-D36[+], n = 29; and Seronegative: HAdV-D36[-], n = 28). Additionally, a group of individuals without obesity (n = 17) was selected as a control group. The HAdV-D36 serology was carried out by ELISA. Biopsies of VAT were obtained during an elective and clinically indicated surgery (bariatric or cholecystectomy). RNA extraction from VAT was performed and the expression of PPARG and non-coding RNAs was evaluated by qPCR.</p><p><strong>Results: </strong>HAdV-D36[+] individuals had lower expression of anti-adipogenic lncRNAs GAS5 (p = 0.016) and MEG3 (p = 0.035) compared with HAdV-D36[-] subjects with obesity. HAdV-D36[+] subjects also presented increased expression of the adipogenic miRNA miR-18a (p = 0.042), which has been reported to be modulated by GAS5 through a RNA sponging mechanism during adipogenic differentiation. Additionally, an inverse correlation of GAS5 with PPARG expression was observed (r = -0.917, p = 0.01).</p><p><strong>Conclusion: </strong>Our results suggest that HAdV-D36 is related to non-coding RNAs implicated in adipogenesis, representing a potential mechanism by which previous HAdV-D36 infection could be associated with the long-term maintenance of adipogenic status, probably through the GAS5/miR-18a axis.</p>","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":null,"pages":null},"PeriodicalIF":4.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of guidelines for bariatric and metabolic surgery: a systematic review and evaluation using appraisal of guidelines for research and evaluation II (AGREE II) 减肥和代谢外科手术指南评估:使用研究和评估指南评估 II(AGREE II)进行系统回顾和评估。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-18 DOI: 10.1038/s41366-024-01559-7
Yung Lee, Caroline Hircock, Jerry Dang, James Jung, Boris Zevin, Ahmad Elnahas, Jigish Khamar, Ashley Vergis, Umair Tahir, Krista Hardy, Yasith Samarasinghe, Richdeep Gill, Jeffrey Gu, Tyler McKechnie, Radu Pescarus, Laurent Biertho, Elaine Lam, Amy Neville, James Ellsmere, Shahzeer Karmali, Timothy Jackson, Allan Okrainec, Aristithes Doumouras, Matthew Kroh, Dennis Hong
In recent years, multiple guidelines on bariatric and metabolic surgery were published, however, their quality remains unknown, leaving providers with uncertainty when using them to make perioperative decisions. This study aims to evaluate the quality of existing guidelines for perioperative bariatric surgery care. A comprehensive search of MEDLINE and EMBASE were conducted from January 2010 to October 2022 for bariatric clinical practice guidelines. Guideline evaluation was carried out using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) framework. The initial search yielded 1483 citations, of which, 26 were included in final analysis. The overall median domain scores for guidelines were: (1) scope and purpose: 87.5% (IQR: 57–94%), (2) stakeholder involvement: 49% (IQR: 40–64%), (3) rigor of development: 42.5% (IQR: 22–68%), (4) clarity of presentation: 85% (IQR: 81–90%), (5) applicability: 6% (IQR: 3–16%), (6) editorial independence: 50% (IQR: 48–67%), (7) overall impressions: 48% (IQR: 33–67%). Only six guidelines achieved an overall score >70%. Bariatric surgery guidelines effectively outlined their aim and presented recommendations. However, many did not adequately seek patient input, state search criteria, use evidence rating tools, and consider resource implications. Future guidelines should reference the AGREE II framework in study design.
背景:近年来,有关减肥和代谢手术的多种指南相继出版,然而,这些指南的质量仍不明朗,使医疗服务提供者在使用这些指南做出围手术期决定时存在不确定性。本研究旨在评估现有减肥手术围手术期护理指南的质量:方法:从 2010 年 1 月到 2022 年 10 月,对 MEDLINE 和 EMBASE 进行了全面搜索,以了解减肥临床实践指南。采用研究与评估指南评估II(AGREE II)框架对指南进行评估:结果:初步搜索共获得 1483 条引文,其中 26 条被纳入最终分析。指南的总体领域得分中位数为(1) 范围和目的:87.5% (IQR: 57-94%),(2) 利益相关者的参与:49% (IQR: 40-64%),(3) 制定的严谨性:42.5% (IQR: 22-68%),(4) 清晰度:85% (IQR: 81-90%),(5) 适用性:6% (IQR: 3-16%),(6) 编辑独立性:50% (IQR: 48-94%):50%(IQR:48-67%),(7) 总体印象:48%(IQR:33-67%)。只有六份指南的总体得分高于 70%:减肥手术指南有效地概述了其目标并提出了建议。然而,许多指南并未充分征求患者意见、说明检索标准、使用证据评级工具以及考虑资源影响。未来的指南在研究设计中应参考 AGREE II 框架。
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引用次数: 0
DACRA induces profound weight loss, satiety control, and increased mitochondrial respiratory capacity in adipose tissue. DACRA 可显著减轻体重,控制饱腹感,并提高脂肪组织线粒体的呼吸能力。
IF 4.9 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-15 DOI: 10.1038/s41366-024-01564-w
Emilie A Petersen, Ida Blom, Simone A Melander, Mays Al-Rubai, Marina Vidotto, Louise T Dalgaard, Morten A Karsdal, Kim Henriksen, Steen Larsen, Anna T Larsen

Background and objectives: Dual amylin and calcitonin receptor agonists (DACRAs) are therapeutic candidates in the treatment of obesity with beneficial effects on weight loss superior to suppression of food intake. Hence, suggesting effects on energy expenditure by possibly targeting mitochondria in metabolically active tissue.

Methods: Male rats with HFD-induced obesity received a DACRA, KBP-336, every third day for 8 weeks. Upon study end, mitochondrial respiratory capacity (MRC), - enzyme activity, - transcriptional factors, and -content were measured in perirenal (pAT) and inguinal adipose tissue. A pair-fed group was included to examine food intake-independent effects of KBP-336.

Results: A vehicle-corrected weight loss (23.4 ± 2.8%) was achieved with KBP-336, which was not observed to the same extent with the food-restricted weight loss (12.4 ± 2.8%) (P < 0.001). Maximal coupled respiration supported by carbohydrate and lipid-linked substrates was increased after KBP-336 treatment independent of food intake in pAT (P < 0.01). Moreover, oligomycin-induced leak respiration and the activity of citrate synthase and β-hydroxyacetyl-CoA-dehydrogenase were increased with KBP-336 treatment (P < 0.05). These effects occurred without changes in mitochondrial content in pAT.

Conclusions: These findings demonstrate favorable effects of KBP-336 on MRC in adipose tissue, indicating an increased energy expenditure and capacity to utilize fatty acids. Thus, providing more mechanistic insight into the DACRA-induced weight loss.

背景和目的:双淀粉样蛋白和降钙素受体激动剂(DACRAs)是治疗肥胖症的候选药物,其减肥效果优于抑制食物摄入。因此,可能通过靶向代谢活跃组织中的线粒体来影响能量消耗:方法:高频分解膳食诱发肥胖的雄性大鼠每隔三天接受一次 DACRA(KBP-336)治疗,持续 8 周。研究结束后,测量肾周(pAT)和腹股沟脂肪组织的线粒体呼吸能力(MRC)、酶活性、转录因子和含量。研究还包括一个配对喂食组,以检测 KBP-336 对食物摄入的影响:结果:KBP-336 实现了载体校正体重减轻(23.4 ± 2.8%),而食物限制体重减轻(12.4 ± 2.8%)的程度则不尽相同:这些研究结果表明,KBP-336 对脂肪组织中的 MRC 有有利影响,表明能量消耗和脂肪酸利用能力增加。因此,对 DACRA 诱导的体重减轻提供了更多的机理启示。
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引用次数: 0
Fluctuation in body size and glymphatic system derangement in obesity 肥胖症患者的体型波动和肾上腺系统失调。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-06-15 DOI: 10.1038/s41366-024-01567-7
Pasquale Gallina, Francesco Lolli
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引用次数: 0
期刊
International Journal of Obesity
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