Section of Cell Biology and Functional Genomics, Imperial College London, Hammersmith Hospital Campus, London, UK.
Central Biological Services (CBS) Hammersmith Hospital Campus, London, UK.
Nat Commun. 2021 Aug 27;12(1):5165. doi: 10.1038/s41467-021-25423-8.
Bariatric surgery improves both insulin sensitivity and secretion and can induce diabetes remission. However, the mechanisms and time courses of these changes, particularly the impact on β cell function, are difficult to monitor directly. In this study, we investigated the effect of Vertical Sleeve Gastrectomy (VSG) on β cell function in vivo by imaging Ca dynamics in islets engrafted into the anterior eye chamber. Mirroring its clinical utility, VSG in mice results in significantly improved glucose tolerance, and enhanced insulin secretion. We reveal that these benefits are underpinned by augmented β cell function and coordinated activity across the islet. These effects involve changes in circulating GLP-1 levels which may act both directly and indirectly on the β cell, in the latter case through changes in body weight. Thus, bariatric surgery leads to time-dependent increases in β cell function and intra-islet connectivity which are likely to contribute to diabetes remission.
减重手术可改善胰岛素敏感性和分泌功能,并可能诱导糖尿病缓解。然而,这些变化的机制和时程,特别是对β细胞功能的影响,很难直接监测。在这项研究中,我们通过对前房内移植胰岛的钙动力学进行成像,来研究垂直袖状胃切除术(VSG)对体内β细胞功能的影响。与临床应用相吻合,VSG 可显著改善小鼠的葡萄糖耐量,并增强胰岛素分泌。我们揭示了这些益处是由胰岛内β细胞功能增强和协调活动所支撑的。这些影响涉及循环 GLP-1 水平的变化,其可能直接和间接作用于β细胞,在后一种情况下,是通过体重变化来实现的。因此,减重手术导致β细胞功能和胰岛内连接性的时间依赖性增加,这可能有助于糖尿病缓解。