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Gastric bypass alters diurnal feeding behavior and reprograms hepatic clock to regulate endogenous glucose flux
Journal article   Open access   Peer reviewed

Gastric bypass alters diurnal feeding behavior and reprograms 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, …
JCI insight, Vol.8(6), e166618
03/22/2023
DOI: 10.1172/jci.insight.166618
PMCID: PMC10070113
PMID: 36787197
url
https://doi.org/10.1172/jci.insight.166618View
Published (Version of record) Open Access

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 its effects on the molecular clock, and its requirement for the metabolic effects of this bariatric procedure in obese mice. We find that RYGB reverses the high fat diet-induced disruption in diurnal eating pattern during the early post-surgery 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 ZT2), but not the "feeding" phase (ZT14). Using a clock gene reporter mouse model (mPer2Luc), we reveal that RYGB induces a liver-specific phase shift in peripheral clock oscillation with no changes to the central clock activity within the suprachiasmatic nucleus (SCN). In addition, we show that weight loss effects are attenuated in obese ClockΔ19 mutant mice post-RYGB that also fail 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.
Endocrinology Metabolism Glucose metabolism Gluconeogenesis

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