Evidence mapPaperPMID 34732821Full record

ArticleScientific reports2021

Hypoglycemic mechanism of intestinal bypass surgery in type 2 diabetic rats.

Siqi Xie, MingChang Wang, Bin Zhang, ShanGeng Weng

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Siqi Xie *Hepatopancreatobiliary Surgery Department, The First Affiliated Hospital of Fujian Medical University, National Abdominal Surgery Institute of Fujian, No 20 Chazhong Road, Fuzhou City, Fujian, People's Republic of China.
MingChang Wang *Department of Intensive Care Unit, The Second Affiliated Hospital of Fujian Medical University, No. 34, North Zhongshan Road, Licheng District, Quanzhou City, Fujian, People's Republic of China.
Bin ZhangHepatopancreatobiliary Surgery Department, The First Affiliated Hospital of Fujian Medical University, National Abdominal Surgery Institute of Fujian, No 20 Chazhong Road, Fuzhou City, Fujian, People's Republic of China.
ShanGeng WengHepatopancreatobiliary Surgery Department, The First Affiliated Hospital of Fujian Medical University, National Abdominal Surgery Institute of Fujian, No 20 Chazhong Road, Fuzhou City, Fujian, People's Republic of China. shangeng@sina.com.
First Affiliated Hospital of Fujian Medical University · CNFujian Medical University · CNSecond Affiliated Hospital of Fujian Medical University · CN

Funding

National Natural Science Foundation of China 81770516The Natural Science Foundation of Fujian Province 2019J01449
6 · The paper itself

Abstract

To investigate the effect of duodenal-jejunal bypass (DJB) surgery on postoperative blood glucose in type 2 diabetic rats, and further explore possible mechanisms for the effect of surgical treatment of type 2 diabetes. Forty rats with type 2 diabetes were randomly assigned to 4 groups (n = 10 rats per group), which subsequently underwent DJB, new biliopancreatic diversion (NBPD) or duodenal-jejunal exclusion (DJE) surgery or a sham operation (SHAM). Fasting glucose, 2-h postprandial glucose and blood lipids were measured, and the mRNA in liver and intestinal tissue for bile acid receptor (FXR), as well as the FXR protein expression in the liver tissues were determined. Postprandial blood glucose and fasting TG and FFA in the DJB and NBPD groups were significantly lower than those in the SHAM group and preoperative (p < 0.05) at 8 weeks postoperation. Liver FXR protein was expressed at significantly higher in the DJB and NBPD groups than in the other two (p < 0.05), and the intestinal FXR mRNA in the DJE group were highest. DJB up-regulates the expression of bile acid receptors in the liver and down-regulates those receptors in the intestinal tract via biliopancreatic diversion. This process reduces TG levels, and subsequently any lipotoxicity to islet cells to produce a hypoglycemic effect.

Indexed as

Anastomosis, SurgicalAnimalsApoptosisBile Acids and SaltsBiliopancreatic DiversionCholesterolCholesterol 7-alpha-HydroxylaseDiabetes Mellitus, Type 2DuodenumFragile X Messenger Ribonucleoprotein 1Gastrointestinal TractGene Expression RegulationHypoglycemiaInsulinInsulin ResistanceIntestinesBile Acids and SaltsCholesterolCholesterol 7-alpha-HydroxylaseCYP7A1 protein, ratFragile X Messenger Ribonucleoprotein 1FXR1 protein, ratInsulinRNA-Binding ProteinsTriglycerides

Identifiers

PMID34732821
PMCPMC8566479
OpenAlexW3209486839

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.