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Bone Health and Obesity Treatments: It's Time to Give Bone Its Due 骨骼健康和肥胖治疗:是时候给骨骼应有的待遇了。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-28 DOI: 10.1002/oby.70074
Robert L. Dubin
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引用次数: 0
Effects of Eicosapentaenoic Acid on the Glycerophosphate Shuttle-Regulated Inflammatory and Thermogenic Responses 二十碳五烯酸对甘油磷酸盐穿梭调节的炎症和产热反应的影响。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-28 DOI: 10.1002/oby.70053
Yujiao Zu, Mark Mikhael, Jose Andrade, Shane Scoggin, Mohammad Yosofvand, Hanna Moussa, William T. Festuccia, Naima Moustaid-Moussa

Objective

Mitochondrial glycerol-3-phosphate dehydrogenase (GPD2) is a crucial enzyme in the glycerophosphate shuttle, linking glycolysis, lipogenesis, and oxidative phosphorylation, making it a potential target for obesity treatment. Given the metabolic benefits of eicosapentaenoic acid (EPA), an omega-3 polyunsaturated fatty acid, we hypothesized that EPA modulates the GPD2-centered glycerophosphate shuttle to reduce adiposity, glucose intolerance, and inflammation while increasing energy expenditure.

Methods

Male and female GPD2 knockout (KO) and wild-type (WT) littermates were fed a high-fat diet (HF) without or with an 18 g EPA/kg (EPA) diet for 13 weeks. Body weight, glucose tolerance, and metabolic profiles were assessed, and blood and tissues were collected following euthanasia.

Results

Male GPD2 KO mice exhibited reduced adiposity and lower lipid accumulation in hepatic and adipose tissues compared to WT males. These effects were linked to lipid metabolism and beige fat activation. EPA supplementation reduced body weight and promoted glucose clearance in both WT and KO males, with enhanced hepatic lipid oxidation. However, GPD2 deficiency and EPA had minimal metabolic effects in females.

Conclusions

Our findings highlight potential mechanisms by which GPD2 combats obesity by mediating lipid metabolism. Our findings further demonstrate the sex-dependent nature of EPA's metabolic benefits, independent of GPD2 deficiency.

目的:线粒体甘油-3-磷酸脱氢酶(GPD2)是甘油磷酸穿梭过程中的关键酶,连接糖酵解、脂肪生成和氧化磷酸化,使其成为肥胖治疗的潜在靶点。考虑到二十碳五烯酸(EPA)(一种omega-3多不饱和脂肪酸)的代谢益处,我们假设EPA可以调节以gpd2为中心的甘油磷酸穿梭,从而减少肥胖、葡萄糖耐受不良和炎症,同时增加能量消耗。方法:将GPD2敲除(KO)和野生型(WT)的公母幼崽分别饲喂高脂肪饲粮(HF),不添加或添加18 g EPA/kg (EPA)的饲粮,持续13周。评估体重、葡萄糖耐量和代谢谱,并在安乐死后收集血液和组织。结果:与WT雄性相比,雄性GPD2 KO小鼠表现出脂肪减少,肝脏和脂肪组织中的脂质积累更低。这些影响与脂质代谢和米色脂肪活化有关。EPA的补充降低了WT和KO雄性的体重,促进了葡萄糖清除,并增强了肝脏脂质氧化。然而,GPD2缺乏和EPA对女性的代谢影响很小。结论:我们的研究结果强调了GPD2通过调节脂质代谢来对抗肥胖的潜在机制。我们的研究结果进一步证明了EPA代谢益处的性别依赖性,与GPD2缺乏无关。
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引用次数: 0
Weight Loss After Obesity Disrupts Cognitive Flexibility Through Reinforcement Learning Strategies 肥胖后的减肥通过强化学习策略破坏认知灵活性。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-28 DOI: 10.1002/oby.70057
Yufan Li, Reema Sharma, Abigail Usiyevich, Xiwen Shen, Kelly W. Zhang, Koulik Khamaru, Bridget A. Matikainen-Ankney

Objective

Despite successful weight loss, many individuals with obesity regain weight, yet cognitive factors in the weight loss state remain unclear. Here, we tested whether obesity induces deficits in cognitive flexibility, a core component of reinforcement learning (RL), after body weight normalizes.

Methods

Male and female C57BL/6J mice were exposed to high-fat diet-induced obesity followed by weight loss. Weight loss and control mice were tested on a modified probabilistic reversal learning (PRL) task to assess cognitive flexibility and a progressive-ratio (PR) task to evaluate motivation. RL modeling was applied to dissociate latent decision-making parameters.

Results

Post-weight-loss mice exhibited persistent impairments in PRL efficiency. Males showed reduced late-phase reversal efficiency (p < 0.001), while females showed early-phase inefficiency but later recovery (p < 0.05). RL modeling revealed reduced learning rates in both sexes, indicating impaired value updating despite intact motivation, as PR performance did not differ between groups. Across tasks, food intake remained unchanged, suggesting reduced efficiency reflected cognitive inflexibility rather than diminished appetite.

Conclusions

Weight loss after obesity produced sex-specific RL deficits. These findings dissociated motivational drive from cognitive flexibility and highlighted maladaptive decision-making as a feature of the weight loss state. This demonstrates the need for targeted interventions addressing post-weight-loss cognitive barriers.

目的:尽管减肥成功,但许多肥胖患者体重反弹,但减肥状态下的认知因素尚不清楚。在这里,我们测试了肥胖是否会在体重正常化后导致认知灵活性的缺陷,认知灵活性是强化学习(RL)的核心组成部分。方法:将雄性和雌性C57BL/6J小鼠暴露于高脂饮食引起的肥胖,然后体重减轻。研究人员用改良概率逆转学习(PRL)任务评估减肥小鼠的认知灵活性,用递进比例(PR)任务评估减肥小鼠的动机。RL模型用于解离潜在决策参数。结果:减重后小鼠PRL效率持续受损。结论:肥胖后体重减轻会导致性别特异性RL缺陷。这些发现将动机驱动与认知灵活性分离开来,并强调了不适应决策是减肥状态的一个特征。这表明需要针对减肥后认知障碍进行有针对性的干预。
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引用次数: 0
Stem Cell Secretome Treatment Reduces Adiposity and Improves Glucose Handling During Obesity and Weight Loss in Mice 干细胞分泌组治疗在小鼠肥胖和减肥过程中减少肥胖和改善葡萄糖处理。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-27 DOI: 10.1002/oby.70068
Zachary J. Fennel, Anu S. Kurian, Paul-Emile Bourrant, Chad M. Skiles, Robert J. Castro, Elena M. Yee, Scott A. Greilach, Hans S. Keirstead, Gabriel Nistor, Nicole C. Berchtold, Thomas E. Lane, Micah J. Drummond

Objective

In this study, we investigated the effects of a stem cell-derived secretome product on adiposity and tissue quality and insulin and glucose levels in obese mice and those undergoing dietary weight loss.

Methods

Following 16 weeks of high fat diet mice received acute (4 weeks) biweekly intramuscular injections with vehicle or secretome while remaining on a high fat diet (HFD vs. HFD-S) or during weight loss upon return to a normal chow diet (HFD/WL vs. HFD/WL-S).

Results

After 4 weeks of treatment, HFD-S mice had greater lean mass (vs HFD), muscle weights, and quadriceps myofibrillar size and improved muscle quality (capillary density and fibrosis). HFD/WL-S mice had accelerated whole-body fat loss and improved glucose handling, fasting insulin levels, and HOMA-IR. In both secretome-treated groups (HFD-S and HFD/WL-S), liver steatosis and fibrosis were improved and similar to chow controls.

Conclusions

Together, these results support that a stem cell secretome treatment may be useful to improve tissue quality and metabolic health during obesity and weight loss.

目的:在本研究中,我们研究了干细胞来源的分泌组产品对肥胖小鼠和饮食减肥小鼠的肥胖和组织质量以及胰岛素和葡萄糖水平的影响。方法:高脂饮食16周后,小鼠在保持高脂饮食(HFD vs. HFD- s)或体重减轻后恢复正常饮食(HFD/WL vs. HFD/WL- s)期间接受急性(4周)双周肌肉注射载药或分泌组。结果:治疗4周后,HFD- s小鼠有更大的瘦质量(与HFD相比)、肌肉重量和股四头肌肌纤维大小,肌肉质量(毛细血管密度和纤维化)得到改善。HFD/WL-S小鼠加速了全身脂肪的减少,改善了葡萄糖处理、空腹胰岛素水平和HOMA-IR。在两个分泌组(HFD- s和HFD/WL-S)中,肝脏脂肪变性和纤维化得到改善,与对照组相似。结论:总之,这些结果支持干细胞分泌组治疗可能有助于改善肥胖和减肥期间的组织质量和代谢健康。
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引用次数: 0
Application of the Lancet Commission Criteria for the Diagnosis of Obesity to a Clinical Trials Population: The LEAP Trial 《柳叶刀》委员会肥胖症诊断标准在临床试验人群中的应用:LEAP试验
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-27 DOI: 10.1002/oby.70070
Faith Anne N. Heeren, Kathleen R. Ruddiman, Courtney Simmons, Brian N. White, Byron C. Jaeger, Nicholas M. Pajewski, Stephanie A. Hooker, Deborah B. Horn, Katy Martin-Fernandez, Kimberly A. Gudzune, Caroline Blackwell Young, Jamy Ard, Kristina Henderson Lewis

Objective

This study aimed to apply The Lancet Diabetes & Endocrinology criteria for diagnosing obesity among clinical trial participants and understand participants' characteristics by obesity status.

Methods

The criteria were operationalized and applied to baseline data from the Long-term Effectiveness of the Anti-obesity medication Phentermine (LEAP) trial (NCT05176626). Excess adiposity, organ and tissue dysfunction, and limitations to daily activities were assessed. We examined differences between participants with “no obesity,” “pre-clinical obesity,” and “clinical obesity.”

Results

Among the 860 participants, 0.8% had no obesity (mean BMI 29.0 kg/m2 [SD 0.6]), 18.7% had pre-clinical obesity (mean BMI 35.2 kg/m2 [SD 3.5]), and 80.5% had clinical obesity (mean BMI 35.9 kg/m2 [SD 4.3]). Participants with no/pre-clinical obesity had lower mean SF-12 mental component scores and greater baseline engagement with weight control strategies compared to those with clinical obesity. Participants with clinical obesity were older and, by definition, had a greater burden of cardiometabolic risk factors.

Conclusions

Among clinical trial participants eligible for obesity pharmacotherapy, 19.5% were classified as having no/pre-clinical obesity using the Lancet criteria. Applying the criteria was complicated in a well-resourced trial setting, which suggests potential challenges in implementing these guidelines in real-world practice.

目的:本研究旨在应用《柳叶刀糖尿病与内分泌学》(The Lancet Diabetes & Endocrinology)标准对临床试验参与者进行肥胖诊断,并通过肥胖状况了解参与者的特征。方法:将该标准应用于抗肥胖药物芬特明(Phentermine, LEAP)长期有效性试验(NCT05176626)的基线数据。评估了过度肥胖、器官和组织功能障碍以及日常活动限制。我们检查了“无肥胖”、“临床前肥胖”和“临床肥胖”参与者之间的差异。结果:860名参与者中,0.8%的人没有肥胖(平均BMI为29.0 kg/m2 [SD 0.6]), 18.7%的人有临床前肥胖(平均BMI为35.2 kg/m2 [SD 3.5]), 80.5%的人有临床肥胖(平均BMI为35.9 kg/m2 [SD 4.3])。与临床肥胖的参与者相比,无/临床前肥胖的参与者SF-12平均心理成分得分较低,对体重控制策略的基线参与度较高。临床肥胖的参与者年龄较大,根据定义,他们有更大的心脏代谢风险因素负担。结论:在有资格接受肥胖药物治疗的临床试验参与者中,19.5%的人按照《柳叶刀》的标准被归类为无/临床前肥胖。在资源充足的试验环境中应用这些标准是复杂的,这表明在实际实践中实施这些指南存在潜在的挑战。
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引用次数: 0
Critical Appraisal of Healthcare Resource Use and Costs in Digital Weight Loss Intervention Participants vs. Nonparticipants 数字减肥干预参与者与非参与者的医疗资源使用和成本的批判性评估。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-27 DOI: 10.1002/oby.70085
Iftikhar Khan, Amna Pervaiz Kayani, Ehsanullah Alokozay
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引用次数: 0
Role of Acid-Sensing Ion Channels 1a in the Regulation of Obesity and the Gut Microbiota 酸感离子通道1a在肥胖和肠道微生物群调节中的作用。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-26 DOI: 10.1002/oby.70059
Jane Shearer, Morris H. Scantlebury, Oghenefejiro Erome-Utunedi, Anamika Choudhary, Jennifer A. Thompson, Christina Ohland, Kathy D. McCoy, Chunlong Mu

Objective

Acid-sensing ion channels are proton-activated ion channels predominantly found in the nervous system. They are well known to affect metabolic and neurological health, yet their role in obesity and gut physiology remains unclear. This study investigates how systemic deletion of Asic1a influences obesity, metabolic, and gut-based outcomes.

Methods

Employing male and female rats with systemic Asic1a deletion (Asic1a −/−), metabolic, gut, and fecal microbiota (16S rRNA sequencing) measures were assessed following chow diet or high-fat diet administration for 8 weeks. Fecal microbiota transplantation into germ-free mice was carried out as a proof-of-concept approach to assess the gut microbiota's direct impact.

Results

On a chow diet, Asic1a deletion resulted in significant gains in body weight, fat mass, glucose intolerance, and insulin resistance in both male and female rats compared to wild-type controls. These effects were exacerbated with high-fat diet administration. Asic1a −/− reshaped the gut microbiota, characterized by the enrichment of Bacteroides and Akkermansia. Microbiota transplantation from Asic1a −/− rats to recipient germ-free mice increased body weight gain relative to those from wild-type rats, implicating the potential role of gut microbiota.

Conclusions

Results provide evidence that ASIC1a plays a role in regulating metabolic homeostasis and the gut microbiota impacting body composition.

目的:酸感离子通道是主要存在于神经系统的质子激活离子通道。众所周知,它们会影响代谢和神经健康,但它们在肥胖和肠道生理中的作用尚不清楚。本研究探讨了Asic1a的系统性缺失如何影响肥胖、代谢和基于肠道的结果。方法:采用系统性Asic1a缺失(Asic1a-/-)的雄性和雌性大鼠,在给鼠粮或高脂饮食8周后,评估代谢、肠道和粪便微生物群(16S rRNA测序)。将粪便微生物群移植到无菌小鼠中,作为一种概念验证方法来评估肠道微生物群的直接影响。结果:在鼠粮中,与野生型对照相比,Asic1a缺失导致雄性和雌性大鼠的体重、脂肪量、葡萄糖耐受不良和胰岛素抵抗显著增加。这些影响在高脂肪饮食管理中加剧。Asic1a-/-重塑了肠道微生物群,其特征是拟杆菌和Akkermansia的富集。与野生型大鼠相比,将Asic1a-/-大鼠的微生物群移植到无菌小鼠受体中增加了体重增加,暗示肠道微生物群的潜在作用。结论:结果证明ASIC1a在调节代谢稳态和肠道微生物群影响体组成中发挥作用。
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引用次数: 0
High-Throughput Proteomics to Unlock Visceral Adiposity 高通量蛋白质组学解锁内脏脂肪。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-26 DOI: 10.1002/oby.70075
Mi-Jeong Lee
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引用次数: 0
Neural Stimulation of Prefrontal Cortex Improves Food-Related Memory Suppression 前额叶皮层神经刺激改善食物相关记忆抑制。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-26 DOI: 10.1002/oby.70052
Jingjing Li, Yuan Gao, Jiangming Chen, Yuchen Zhang, Yaru Yang, Xiao Gao

Objective

Individuals with obesity often struggle to resist the temptation of palatable food, which may be linked to impaired inhibitory control—a crucial cognitive function for regulating eating behavior. Enhancing inhibitory control over food-related memories has been proposed as a potential intervention strategy for obesity. The right dorsolateral prefrontal cortex (dlPFC) plays a key role in regulating reward-driven impulses. However, it remains unclear whether neuromodulating the right dlPFC can selectively strengthen inhibitory control over food-related memories, particularly in individuals with overweight/obesity status who exhibit heightened reward sensitivity and diminished executive function.

Methods

This study employed a food Think/No-Think (TNT) training combined with HD-tDCS targeting the right dlPFC to assess its effects on inhibitory control over food-related memory in individuals with overweight/obesity.

Results

Both groups with healthy weight and overweight/obesity demonstrated significant improvements in memory suppression following anodal stimulation. Notably, individuals with overweight/obesity exhibited greater reductions in memory intrusion at the early stage, suggesting they may benefit more from anodal stimulation in resisting memory intrusions.

Conclusions

These findings highlight the potential of combining neuromodulation with cognitive training as a promising intervention for obesity, providing both theoretical insights and empirical evidence for future prevention and treatment approaches.

目的:肥胖的人经常难以抗拒美味食物的诱惑,这可能与抑制控制受损有关——抑制控制是调节饮食行为的关键认知功能。加强对食物相关记忆的抑制控制已被提出作为肥胖的潜在干预策略。右背外侧前额叶皮层(dlPFC)在调节奖励驱动的冲动中起着关键作用。然而,神经调节右侧dlPFC是否可以选择性地加强对食物相关记忆的抑制控制仍不清楚,特别是在超重/肥胖状态的个体中,他们表现出更高的奖励敏感性和降低的执行功能。方法:本研究采用食物思考/不思考(TNT)训练结合针对右侧dlPFC的HD-tDCS来评估其对超重/肥胖个体食物相关记忆抑制控制的影响。结果:正常体重组和超重/肥胖组均表现出阳极刺激后记忆抑制的显著改善。值得注意的是,超重/肥胖的个体在记忆入侵的早期阶段表现出更大的减少,这表明他们在抵抗记忆入侵方面可能更受益于阳极刺激。结论:这些发现强调了将神经调节与认知训练相结合作为一种有希望的肥胖干预措施的潜力,为未来的预防和治疗方法提供了理论见解和经验证据。
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引用次数: 0
Exploring the Role of TAS2Rs in Obesity: Insights From Human and Rat Models 探索TAS2Rs在肥胖中的作用:来自人类和大鼠模型的见解。
IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-10-26 DOI: 10.1002/oby.70055
Maria Descamps-Solà, Florijan Jalševac, Adrià Vilalta, Margalida Fontcuberta, Harry Park, Carmen Aguilar, Teresa Auguet, Raúl Beltrán-Debón, Esther Rodríguez-Gallego, Montserrat Pinent, Ximena Terra, Anna Ardévol

Objective

Obesity is a chronic disease with various causes and diverse treatments, including dietary restriction and bariatric surgery. Bitter taste receptors (TAS2Rs), found in the oral cavity and gastrointestinal tract (GIT), are implicated in digestive and metabolic regulation, but their role in obesity remains unclear. This study investigates intestinal TAS2R expression concerning obesity and bariatric surgery outcomes.

Methods

TASas2r expression was assessed in intestinal segments of female rats fed a cafeteria diet for 17 weeks. Additionally, jejunal TAS2R expression was measured in women with class III obesity, with or without metabolic syndrome (MS), undergoing Roux-en-Y gastric bypass (RYGB). Associations with weight loss at 12 months postsurgery were evaluated.

Results

In rats, cafeteria diet significantly reduced Tas2r expression, especially in the jejunum and duodenum. In women with MS, higher expression of TAS2R13 and TAS2R20 correlated with greater weight loss post-after RYGB. In those without metabolic syndrome, higher TAS2R5 expression showed similar associations. TAS2R expression was strongly linked to surgical outcomes. In rats, Tas2r108 (ileum) and Tas2r144 (jejunum) expression levels differed between obese and lean animals.

Conclusions

Intestinal TAS2Rs may influence metabolic regulation and bariatric surgery outcomes, suggesting their potential as therapeutic targets in female obesity. Further studies should clarify their underlying mechanisms.

目的:肥胖是一种慢性疾病,有多种原因和多种治疗方法,包括饮食限制和减肥手术。在口腔和胃肠道(GIT)中发现的苦味受体(TAS2Rs)与消化和代谢调节有关,但它们在肥胖中的作用尚不清楚。本研究探讨肠道TAS2R表达与肥胖和减肥手术结果的关系。方法:用自助饮食喂养17周的雌性大鼠,测定其肠段TASas2r的表达。此外,在接受Roux-en-Y胃旁路治疗(RYGB)的III类肥胖、伴或不伴代谢综合征(MS)的女性中,测量空肠TAS2R表达。评估术后12个月与体重减轻的关系。结果:在大鼠中,自助饮食显著降低Tas2r的表达,尤其是在空肠和十二指肠。在MS女性中,TAS2R13和TAS2R20的高表达与RYGB后更大的体重减轻相关。在没有代谢综合征的患者中,TAS2R5的高表达也有类似的关联。TAS2R表达与手术结果密切相关。在大鼠中,Tas2r108(回肠)和Tas2r144(空肠)的表达水平在肥胖动物和瘦动物之间存在差异。结论:肠道TAS2Rs可能影响代谢调节和减肥手术结果,提示其作为女性肥胖治疗靶点的潜力。进一步的研究应阐明其潜在机制。
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引用次数: 0
期刊
Obesity
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