Characterizing the Intestinal Hormonal Secretion in Non-obese, Obese and Non-obese Patients After Bariatric Surgery
Study Details
Study Description
Brief Summary
The enteroendocrine system is composed from different cells along the different parts of the gastrointestinal tract, secreting diverse hormones and bariatric surgery alters intestinal hormone secretion, affecting glycemic control and weight. The aim of the study is to characterize the composition and secretory profile of enteroendocrine cells in the obese, non-obese and non-obese post bariatric surgery.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Obesity and Diabetes Mellitus (DM) impose a significant burden of morbidity on many individuals around the world. In recent years, the enteroendocrine cells system with its diverse hormones (Glucagon, GLP-1, GIP and others) was increasingly recognized as a key player in obesity and DM homeostasis.
Bariatric surgery induces weight loss as well as an improvement in glycemic control often leading to diabetes reversal and occasionally to postprandial hypoglycemic events. The aim of the study is to characterize the composition and secretory profile of enteroendocrine cells in the obese, non-obese and non-obese post bariatric surgery.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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non-obese non-obese |
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obese obese |
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previously obese previously obese |
Outcome Measures
Primary Outcome Measures
- Characterization the composition of enteroendocrine cells in the obese, non-obese and non-obese post-bariatric surgery. [3 years]
The number of somatostatin, proglucagon and serotonin positive cells in the terminal ileum and Colon by immunohistochemistry.
Secondary Outcome Measures
- Characterization the secretory profile of enteroendocrine cells in the obese, non-obese and non-obese post-bariatric surgery. [4 YEARS.]
Total hormonal content of somatostatin, proglucagon and serotonin will be quantified using mRNA level qunatitation
Other Outcome Measures
- Characterization the secretory profile of enteroendocrine cells in the obese, non-obese and non-obese post-bariatric surgery. [4 years]
Total hormonal content of somatostatin, proglucagon and serotonin will be quantified using ELISA.
- Characterization the location of enteroendocrine cells in the obese, non-obese and non-obese post-bariatric surgery. [4 years.]
The location of somatostatin, proglucagon and serotonin will be quantified using ELISA.
Eligibility Criteria
Criteria
Inclusion Criteria:
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18 years
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BMI>= 35 or BMI<=25 or 6-12 months after RYGB surgery
Exclusion Criteria:
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Known HIV infection
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Any NSAID'S usage in the last 3 months
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Known Celiac disease
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Concomitant disease with potential small bowel or colonic involvement (Tb, sarcoidosis, IBD, microscopic colitis etc')
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Pregnancy
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Participation in another clinical trial
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Any use of medications known to modulate glucagon levels such as GLP1 analogs, DPP4 inhibitors and/or SGLT2 inhibitors.
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Insulin-treated patients.
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Declined to sign an informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Sheba Medical Center | Tel HaShomer | Israel | 52621 |
Sponsors and Collaborators
- Dr. Ofir Harnoy MD
- Hadassah Medical Organization
Investigators
- Study Director: Amir Tirosh, MD, PhD, Sheba Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 3830-17-SMC