Literature DB >> 22911147

The deleterious effect of bariatric surgery on cortical and trabecular bone density in the femurs of non-obese, type 2 diabetic Goto-Kakizaki rats.

José Luis Pérez-Castrillón1, José Antonio Riancho, Daniel de Luis, José Ramón Caeiro, David Guede, Manuel González-Sagrado, Marta Ruiz-Mambrilla, María Domingo-Andrés, Rosa Conde, David Primo-Martín.   

Abstract

BACKGROUND: The effects of type 2 diabetes on bone mass and microstructure are not clear. The aim of this study was to evaluate bone microstructural properties and volumetric bone mineral density (vBMD) in type 2 diabetic Goto-Kakizaki non-obese rats after gastrojejunal bypass and their relationship with hormonal parameters.
METHODS: We designed an experimental study in Goto-Kakizaki rats with and without gastrojejunal bypass, performing densitometric and microstructural studies of the distal femur using X-ray computed microtomography (micro-CT). Levels of insulin, glucagon, leptin, and glucagon-like peptide-1 (GLP-1) were also determined.
RESULTS: We observed reduced cortical (1,488.92 ± 98.2 vs. 1,727.92 ± 133.45 mg/cm(3), p = 0.028) and trabecular (180.8 ± 9 vs. 261.23 ± 45.54 mg/cm(3), p = 0.036) vBMD in operated rats. Bone volume fraction (BV/TV) and trabecular connectivity were reduced in operated rats, while there was a reduction in cortical thickness and an increase in rod-like trabeculae at the expense of plate-like trabeculae. Leptin was reduced (1,042 ± 549 vs. 2,447 ± 1,035 pg/ml, p = 0.05) and GLP-1 increased (1.62 ± 0.32 vs. 0.96 ± 0.1 ng/ml, p = 0.008) but only leptin showed a significant association with vBMD
CONCLUSIONS: In type 2 diabetic Goto-Kakizaki rats, gastrojejunal bypass produces a reduction in cortical and trabecular bone mineral density and a deterioration in bone quality that could be explained, in part, by the reduction in leptin levels.

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Year:  2012        PMID: 22911147     DOI: 10.1007/s11695-012-0732-y

Source DB:  PubMed          Journal:  Obes Surg        ISSN: 0960-8923            Impact factor:   4.129


  21 in total

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Review 1.  Bone metabolism after bariatric surgery.

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Authors:  Jose L Pérez-Castrillón; Jose A Riancho; Daniel de Luis; Manuel Gonzalez-Sagrado; Marta Ruiz-Mambrilla; María Domingo-Andres; Rosa Conde; David Primo; Antonio Dueñas-Laita
Journal:  Obes Surg       Date:  2014-01       Impact factor: 4.129

3.  Cortical and trabecular deterioration in mouse models of Roux-en-Y gastric bypass.

Authors:  Elaine W Yu; Jill S Carmody; Daniel J Brooks; Scott LaJoie; Lee M Kaplan; Mary L Bouxsein
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4.  Unraveling the compromised biomechanical performance of type 2 diabetes- and Roux-en-Y gastric bypass bone by linking mechanical-structural and physico-chemical properties.

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