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Gastric bypass alters diurnal feeding behavior and reprograms the hepatic clock to regulate endogenous glucose flux
Yuanchao Ye, Marwa Abu El Haija, Reine Obeid, Hussein Herz, Liping Tian, Benjamin Linden, Yi Chu, Deng Fu Guo, Daniel C. Levine, Jonathan Cedernaes, Kamal Rahmouni, Joseph Bass, Mohamad Mokadem
Yuanchao Ye, Marwa Abu El Haija, Reine Obeid, Hussein Herz, Liping Tian, Benjamin Linden, Yi Chu, Deng Fu Guo, Daniel C. Levine, Jonathan Cedernaes, Kamal Rahmouni, Joseph Bass, Mohamad Mokadem
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Research Article Endocrinology Metabolism

Gastric bypass alters diurnal feeding behavior and reprograms the hepatic clock to regulate endogenous glucose flux

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Abstract

The molecular clock machinery regulates several homeostatic rhythms, including glucose metabolism. We previously demonstrated that Roux-en-Y gastric bypass (RYGB) has a weight-independent effect on glucose homeostasis and transiently reduces food intake. In this study we investigate the effects of RYGB on diurnal eating behavior as well as on the molecular clock and this clock’s requirement for the metabolic effects of this bariatric procedure in obese mice. We find that RYGB reversed the high-fat diet–induced disruption in diurnal eating pattern during the early postsurgery phase of food reduction. Dark-cycle pair-feeding experiments improved glucose tolerance to the level of bypass-operated animals during the physiologic fasting phase (Zeitgeber time 2, ZT2) but not the feeding phase (ZT14). Using a clock gene reporter mouse model (mPer2Luc), we reveal that RYGB induced a liver-specific phase shift in peripheral clock oscillation with no changes to the central clock activity within the suprachiasmatic nucleus. In addition, we show that weight loss effects were attenuated in obese ClockΔ19 mutant mice after RYGB that also failed to improve glucose metabolism after surgery, specifically hepatic glucose production. We conclude that RYGB reprograms the peripheral clock within the liver early after surgery to alter diurnal eating behavior and regulate hepatic glucose flux.

Authors

Yuanchao Ye, Marwa Abu El Haija, Reine Obeid, Hussein Herz, Liping Tian, Benjamin Linden, Yi Chu, Deng Fu Guo, Daniel C. Levine, Jonathan Cedernaes, Kamal Rahmouni, Joseph Bass, Mohamad Mokadem

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Figure 5

RYGB-induced metabolic effects are significantly attenuated in ClockΔ19 mice.

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RYGB-induced metabolic effects are significantly attenuated in ClockΔ19 ...
(A) Average weekly body weight expressed in percentage of preoperative weight in RYGB-operated DIO ClockΔ19/Δ19 mice and WT littermates maintained on a 60% HFD diet and under normal light/dark conditions, compared with their sham counterparts. (B) Body weight change (%) on week 5 after RYGB, (C) feeding efficiency (expressed as mg of body weight gain per KJ consumed), and (D) food intake separated in diurnal rhythm during postsurgery day 7 through day 14. (E) Total energy expenditure (expressed in kcal/h), measured by respirometry or indirect calorimetry 3 weeks after surgery, using weight-adjusted ANCOVA. (F) O2 consumption and (G) CO2 consumption were obtained from measurements taken in the CLAMS using respirometry or indirect calorimetry in free moving animals during postsurgery week 3. Mean ± SEM. WT Sham n = 8–11, WT RYGB n = 7–10, ClockΔ19/Δ19 Sham n = 11, ClockΔ19/Δ19 RYGB n = 7–10 (CLAMS data n = 4). One-way ANOVA followed by Tukey’s test. *, #, $P < 0.05, $$, &&P < 0.01, ****P < 0.0001. *WT Sham versus WT RYGB, #ClockΔ19/Δ19 Sham versus ClockΔ19/Δ19 RYGB, &WT Sham versus ClockΔ19/Δ19 Sham, $WT RYGB versus ClockΔ19/Δ19 RYGB.

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