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RYGB Induces Vagal Sensory Neuropathy Characterized by Altered GLP1R Expression and Enhanced Exendin-4 Responsiveness in Male Mice
Journal article   Open access   Peer reviewed

RYGB Induces Vagal Sensory Neuropathy Characterized by Altered GLP1R Expression and Enhanced Exendin-4 Responsiveness in Male Mice

Warda Merchant, Arely Salazar Tinajero, Adan Khan, Yi Chu, Sanaz Saleh, Dana Tasabehji, Donald A Morgan, Kevin W Williams, Kamal Rahmouni, Mohamad Mokadem, …
American journal of physiology: endocrinology and metabolism, Vol.330(1), pp.E114-E126
01/01/2026
DOI: 10.1152/ajpendo.00452.2025
PMCID: PMC12797217
PMID: 41385561
url
https://doi.org/10.1152/ajpendo.00452.2025View
Published (Version of record) Open Access

Abstract

The effects of Roux-en-Y gastric bypass (RYGB) on the gut-brain axis remain poorly understood. This study specifically explores phenotypic changes in vagal afferent neurons in male obese C57BL/6J mice following RYGB. Our results show that RYGB induced the expression of Activating Transcription Factor 3 (Atf3) mRNA-a well-established marker of axonal injury-in a subset of vagal sensory neurons. Additionally, RYGB led to a significant reduction in both the proportion of vagal afferents expressing the Glucagon-Like Peptide 1 Receptor (Glp1r) and the overall Glp1r mRNA levels in the nodose ganglion. Nerve transection experiments replicated these changes, suggesting that axonal injury alone may account for the observed phenotypic alterations in vagal afferent neurons following RYGB. Electrophysiological recordings further revealed that acute administration of exendin-4, a GLP1R agonist, significantly enhanced afferent vagus nerve firing. Interestingly, this response was notably exaggerated in RYGB animals and those with injured gastric vagus nerves. Collectively, these findings provide both molecular and electrophysiological evidence that RYGB induces vagal neuropathy, characterized by reduced Glp1r expression and heightened sensitivity to GLP1.
weight loss vagus nerve bariatric surgery hyperexcitability neuroplasticity

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