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Preoperative administration of branched-chain amino acids reduces postoperative insulin resistance in rats by reducing liver gluconeogenesis

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机构: [1]Shanghai Jiao Tong Univ, Tongren Hosp, Dept Gen Surg, Sch Med, Shanghai 200336, Peoples R China [2]Shanghai Jiao Tong Univ, Dept Pathophysiol, Key Lab Cell Differentiat & Apoptosis Chinese, Minist Educ,Sch Med, Shanghai 200025, Peoples R China [3]Shanghai Jiao Tong Univ, Tongren Hosp, Hongqiao Int Inst Med, Sch Med, Shanghai 200336, Peoples R China [4]Tianjin Med Univ, NHC Key Lab Hormones & Dev, Ctr Cardiovasc Dis, Prov & Minist Cosponsored Collaborat Innovat Ctr, Tianjin 300134, Peoples R China [5]Tianjin Med Univ, Tianjin Inst Endocrinol, Tianjin 300134, Peoples R China [6]Shanghai Jiao Tong Univ, Dept Pathophysiol, Key Lab Cell Differentiat & Apoptosis Chinese, Minist Educ,Hongqiao Int Inst Med,Sch Med,Tongren, Shanghai 200025, Peoples R China
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关键词: Branched-chain amino acids Postoperative insulin resistance Gluconeogenesis CRTC2 G6PC Hyperglycemia

摘要:
Background Postoperative insulin resistance (PIR) represents an important characteristic of metabolic response following surgical injury. Clinical outcomes are negatively correlated to postoperative insulin resistance and hyperglycemia, indicating a novel treatment for reducing postoperative insulin resistance is urgently needed. The current work aimed to assess the protective effects of branched-chain amino acids (BCAA) on glucose metabolism disorders induced surgically in a rat model, and to explore the underpinning mechanism. Methods and results Rats were randomly assigned to 2 groups, including the control and BCAA groups. Rats were given a compulsory oral 3 mL load by gavage two hours before surgery. The results showed that BCAA remarkably reduced glycemia by suppressing liver gluconeogenesis via reduction of cAMP-response element-binding protein-regulated transcription coactivator 2 (CRTC2) and glucose-6-phosphatase (G6PC) gene and protein expression levels (all Ps < 0.05). Conclusions This study revealed that BCAA lower blood glucose levels by reducing liver gluconeogenesis without significant elevation of plasma insulin levels. We anticipate that preoperative BCAA supplementation may be a means for preventing postoperative insulin resistance.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 营养学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 营养学
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出版当年[2020]版:
Q2 NUTRITION & DIETETICS
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Q2 NUTRITION & DIETETICS

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第一作者机构: [1]Shanghai Jiao Tong Univ, Tongren Hosp, Dept Gen Surg, Sch Med, Shanghai 200336, Peoples R China
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通讯机构: [4]Tianjin Med Univ, NHC Key Lab Hormones & Dev, Ctr Cardiovasc Dis, Prov & Minist Cosponsored Collaborat Innovat Ctr, Tianjin 300134, Peoples R China [5]Tianjin Med Univ, Tianjin Inst Endocrinol, Tianjin 300134, Peoples R China [6]Shanghai Jiao Tong Univ, Dept Pathophysiol, Key Lab Cell Differentiat & Apoptosis Chinese, Minist Educ,Hongqiao Int Inst Med,Sch Med,Tongren, Shanghai 200025, Peoples R China
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