Abstract
ObjectiveThis study examined whether changes in adipocyte LCFA uptake kinetics explain the weight regain increasingly observed post bariatric surgery.DesignThree groups (10 patients each) were studied: patients who were not obese (NO: BMI 24.2±2.3 kg/m2); patients with obesity (O: BMI 49.8±11.9); and patients classified as super obese (SO: BMI 62.6±2.8). NO patients underwent omental & subcutaneous fat biopsies during clinically indicated abdominal surgeries; O were biopsied during bariatric surgery, and SO during both a sleeve gastrectomy and at another bariatric operation 16±2 months later, after losing 113±13 lbs. Adipocyte sizes & [3H]-LCFA uptake kinetics were determined in all biopsies.ResultsVmax for facilitated LCFA uptake by omental adipocytes increased exponentially from 5.1±0.95 to 21.3±3.20 to 68.7±9.45 pmol/sec/50,000 cells in NO, O, and SO patients, respectively, correlating with BMI (r = 0.99, p < 0.001). Subcutaneous results were virtually identical. By the 2nd operation, the mean BMI (SO patients) fell significantly (p<0.01) to 44.4±2.4 kg/m2, similar to the O group. However, Vmax (40.6±11.5) in this weight-reduced group remained ~2X that predicted from the BMI:Vmax regression among NO, O, & SO patients.ConclusionsFacilitated adipocyte LCFA uptake remains significantly up-regulated ≥1 year after bariatric surgery, possibly contributing to weight re-gain.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have