Gezgin et al., J Obes Weight Loss Ther 2016, 6:1
DOI: 10.4172/2165-7904.1000294
Volume 6 • Issue 1 • 1000294
J Obes Weight Loss Ther
ISSN: 2165-7904 JOWT, an open access journal
Open Access Research Article
Sleeve Gastrectomy Ameliorates Mrna Expression of Matrix
Metalloprotease I, III, V, IL-1a and IL-6 Genes in Substantia Nigra Tissues
of Obese Rats
Inan Gezgin*, Cem Ozic, Can Hakan Yıldırım, Kemal Kilic, Yusuf Ehi and Miktat Kaya
Department of Neurosurgery, Private Park Hospital, Adıyaman, Turkey
Abstract
Aim: To reveal metalloproteinase (MMP)-1, MMP-3, MMP-5, interleukin (IL)-1a and IL-6 gene expressions in
substantia nigra region of brain in rats which undergone sleeve gastrectomy (SG) surgery.
Methods: Rats were allocated into three groups in random, which were normal rats (Group I) (n=14), obese rats
(Group II) (n=14), and obese rats subjected to SG (Group III) (n=14). MMP-1, MMP-3, MMP-5, IL-1a and IL-6 gene
expressions were determined by polymerase chain reaction (PCR) and Real-time polymerase chain reaction (RT-
qPCR).
Results: When normal (Group I), and obese (Group II) rats were compared, a decrease in expressions of MMP-
3 and IL-6 genes was observed in Group II. When obese rats (Group II) and obese rats subjected to SG (Group III)
were compared, increases in the expressions of MMP-3 and IL-6 genes were observed in Group III. This phenomenon
demonstrates that SG decreases obesity and consequently increases expressions of MMP-3 and IL-6 genes.
Conclusion: These data show alterations of MMP-3 and IL-6 genes in the substantia nigra tissue of obese rats,
consistent with the possibility that these changes may contribute to disease molecular background.
*Corresponding author: Inan Gezgin, Department of Neurosurgery, Private Park
Hospital, Adıyaman, Turkey, Tel: 416 7255066; Fax: 7256502; E-mail: drigezgin1978@
hotmail.com
Received December 05, 2015; Accepted January 12, 2016; Published January
15, 2016
Citation: Gezgin I, Ozic C, Yıldırım CH, Kilic K, Ehi Y, et al. (2016) Sleeve
Gastrectomy Ameliorates Mrna Expression of Matrix Metalloprotease I, III, V, IL-1a
and IL-6 Genes in Substantia Nigra Tissues of Obese Rats. J Obes Weight Loss
Ther 6: 294. doi:10.4172/2165-7904.1000294
Copyright: © 2016 Gezgin I, et al. This is an open-access article distributed under
the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and
source are credited.
Keywords: Obesity; Sleeve gastrectomy; Substantia nigra; Gene
expressions
Introduction
Obesity and its comorbidities have become an important community
health problem worldwide [1]. Recent literature revealed that adipocytes
not only store fat, but are also an endocrine organ which releases a variety
of mediators [2]. Tese mediators may manipulate, circulating lipid levels,
blood pressure, and insulin resistance [2]. Common co-morbidities related
with obesity, such as hypertension, hyperlipidemia, and insulin resistance
are associated with increased cardiovascular and renal disease, resulting in
increased morbidity and mortality [1,2]. A growing body of evidence about
the function of adipocytes reveals that they play a key role in infammatory
processes [2]. Sleeve gastrectomy (SG) is a restrictive procedure that not
only results in lasting weight loss but also improves insulin sensitivity and
glucose tolerance before any signifcant weight loss has arised [3]. However,
it is unclear whether SG has afects in the central nervous system.
Metalloproteinases (MMPs) are a group of Zn
2+
-endopeptidases which
are classifed by their ability to absorb elements of the extracellular matrix
[4]. MMPs are produced mainly by neurons, microglia and astrocytes [5].
Terefore, excessive expression of MMPs may result in neuronal damage.
Accumulating evidence indicates that MMPs are participated in a variety
of diseases such as bacterial meningitis, stroke, multiple sclerosis, and
neurodegenerative diseases [6].
Regardless of the increasing data that MMPs take part in the pathology
of obesity, available data on the tissular and cellular expression of the
proteins is less detailed [7-9]. Here we aimed to reveal the changes in
MMP-1, MMP-3, MMP-5, interleukin (IL)-1a and IL-6 gene expressions,
as determined by polymerase chain reaction (PCR) and Real-time
polymerase chain reaction (RT-qPCR) in substantia nigra region of brain
in rats which undergone SG surgery.
Materials and Methods
Experimental design
All animal studies were carried out with the approval of the
Institutional Animal Care and Use Committee. Animals were housed
at constant temperature (20-22
o
C) and humidity (50-60%) with a 12-h
light and 12-h dark cycle. Tey were allowed free access to water and
standard rat chow. Rats were allocated into three groups in random,
which were normal rats (Group I) (n=14), obese rats (Group II) (n=14),
and obese rats subjected to SG (Group III) (n=14). Obese rats were fed
with a high-fat diet containing 40% additional fat to the diet. One of the
limitations of this study is the short follow up of 8 weeks.
Surgical (sleeve gastrectomy) procedure
Afer overnight fasting, rats in the sleeve group were anesthetized
with an intraperitoneal injection of 300 mg/kg chloral hydrate and
placed in a supine position on a surgical board with the extremities
immobilized. A sinister epigastric incision was used for the operation.
Te length was about 1.5-2 cm in total. Te incision was kept open with
a blade retractor and dissociates gastric omentum to disclose gastric
cardium. Te gastric cavity was closed with vascular clamps, and
then gastric cavity and hemostating were cut of with a cauterizer. A
gastric tube was created with 8-0 unabsorbable suture from the distal
antrum (1.5-2 mm from the pylorus) to the Hiss angle. Te fundus
was completely removed (70-80% of total stomach). Afer the gastric
tube was rebuilt, the peritoneal cavity was cleaned with saline, and then
closed with 6-0 silk suture.
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ISSN: 2165-7904
Journal of
Obesity & Weight Loss Therapy