[PDF][PDF] Gastric bypass surgery recruits a gut PPAR-α-striatal D1R pathway to reduce fat appetite in obese rats

MK Hankir, F Seyfried, CA Hintschich, TA Diep… - Cell metabolism, 2017 - cell.com
MK Hankir, F Seyfried, CA Hintschich, TA Diep, K Kleberg, M Kranz, W Deuther-Conrad…
Cell metabolism, 2017cell.com
Bariatric surgery remains the single most effective long-term treatment modality for morbid
obesity, achieved mainly by lowering caloric intake through as yet ill-defined mechanisms.
Here we show in rats that Roux-en-Y gastric bypass (RYGB)-like rerouting of ingested fat
mobilizes lower small intestine production of the fat-satiety molecule oleoylethanolamide
(OEA). This was associated with vagus nerve-driven increases in dorsal striatal dopamine
release. We also demonstrate that RYGB upregulates striatal dopamine 1 receptor (D1R) …
Summary
Bariatric surgery remains the single most effective long-term treatment modality for morbid obesity, achieved mainly by lowering caloric intake through as yet ill-defined mechanisms. Here we show in rats that Roux-en-Y gastric bypass (RYGB)-like rerouting of ingested fat mobilizes lower small intestine production of the fat-satiety molecule oleoylethanolamide (OEA). This was associated with vagus nerve-driven increases in dorsal striatal dopamine release. We also demonstrate that RYGB upregulates striatal dopamine 1 receptor (D1R) expression specifically under high-fat diet feeding conditions. Mechanistically, interfering with local OEA, vagal, and dorsal striatal D1R signaling negated the beneficial effects of RYGB on fat intake and preferences. These findings delineate a molecular/systems pathway through which bariatric surgery improves feeding behavior and may aid in the development of novel weight loss strategies that similarly modify brain reward circuits compromised in obesity.
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