Duodenal-jejunal bypass improves nonalcoholic fatty liver disease independently of weight loss in rodents with diet-induced obesity

Author:

Angelini Giulia1,Castagneto-Gissey Lidia2,Casella-Mariolo James3,Caristo Maria Emiliana1,Russo Maria Francesca1,Lembo Erminia1,Verrastro Ornella1,Stefanizzi Gianluigi1,Marini Pier Luigi3,Casella Giovanni2,Bornstein Stefan R.45,Rubino Francesco5,Mingrone Geltrude15

Affiliation:

1. Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Università Cattolica del S. Cuore, Rome, Italy

2. Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy

3. Department of Surgery, Azienda Ospedaliera S. Camillo Forlanini, Rome, Italy

4. Department of Medicine III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany

5. Diabetes and Nutritional Sciences, King's College London, London, United Kingdom

Abstract

Our findings suggest that duodenal-jejunal bypass can reverse, independently of weight loss, ectopic fat deposition and insulin resistance, two features of nonalcoholic fatty liver disease that share a mutual pathway, in which perilipin-2 seems to be the main player. Our study supports further investigation into the role of proximal small intestine exclusion in the pathophysiology of nonalcoholic fatty liver disease to uncover less invasive treatments that mimic the effects of metabolic surgery and aims to prevent and treat metabolic liver disease.

Publisher

American Physiological Society

Subject

Physiology (medical),Gastroenterology,Hepatology,Physiology

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