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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2013, Vol. 7 Issue (2) : 191-200     DOI: 10.1007/s11684-013-0258-2
REVIEW |
From gut changes to type 2 diabetes remission after gastric bypass surgeries
Bing Li1, Xinrong Zhou2(), Jiarui Wu1(), Huarong Zhou1()
1. Key Laboratory of Systems Biology, SIBS-Novo Nordisk Translational Research Centre for PreDiabetes, Shanghai Institutes for Biological Sciences, CAS, Shanghai 200233, China; 2. Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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Abstract  

Increasing evidence suggests that the gut may influence the host’s metabolism and ultimately change the outcomes of type 2 diabetes mellitus (T2DM). We review the evidence on the relationship between the gut and T2DM remission after gastric bypass surgery, and discuss the potential mechanisms underlying the above relationship: gut anatomical rearrangement, microbial composition changes, altered gut cells, and gut hormone modulation. However, the exact changes and their relative importance in the metabolic improvements after gastric bypass surgery remain to be further clarified. Elucidating the precise metabolic mechanisms of T2DM resolution after bypass surgery will help to reveal the molecular mechanisms of pathogenesis, and facilitate the development of novel diagnoses and preventative interventions for this common disease.

Keywords gastric bypass      T2DM      gut     
Corresponding Authors: Zhou Xinrong,Email:zhouxinrong8@126.com; Wu Jiarui,Email:wujr@sibs.ac.cn; Zhou Huarong,Email:huarongzhou@hotmail.com   
Issue Date: 05 June 2013
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-013-0258-2     OR     http://academic.hep.com.cn/fmd/EN/Y2013/V7/I2/191
Fig.1  Perspective of changes after gastric bypass surgeries. We schematically summarized the recent results which addressed the changes in the gut related to T2DM amelioration after gastric bypass. They were depicted from macroscopic to microscopic levels, i.e., gut anatomical rearrangement, changes at cellular and molecular level, which include microbial composition changes, altered gut cells, and gut hormone modulations.
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