Relocation of active acetylcholinesterase to liposome–gel conjugate

Genes and networks expressed in perioperative omental adipose tissue are correlated with weight loss from Roux-en-Y gastric bypass

CONTEXT

Gastric bypass surgery is the most commonly performed bariatric surgical procedure in the United States. Variable weight loss following this relatively standardized intervention has been reported. To date, a method for reliable profiling of patients who will successfully sustain weight loss for the long term has not been established. In addition, the mechanisms of action in accomplishing major weight loss as well as the explanation for the variable weight loss have not been established.

OBJECTIVE

To examine whether gene expression in perioperative omental adipose is associated with gastric bypass-induced weight loss.

DESIGN

Cross-sectional study of gene expression in perisurgical omental adipose tissues taken/available at the time of operation and total excess weight loss (EWL).

SUBJECTS

Fifteen overweight individuals who underwent Roux-en-Y gastric bypass (RYGB) surgery at the University of California Davis Medical Center (BMI: 40.6-72.8 kg/m(2)).

MEASUREMENTS

Body weight before and following weight stabilization 18-42 months after surgery. Perioperative omental adipose RNA isolated from 15 subjects was hybridized to Affymetrix HG-U133A chips for 22,283 transcript expression measurements.

RESULTS

Downstream analysis identified a set of genes whose expression was significantly correlated with RYGB-induced weight loss. The significant individual genes include acyl-coenzyme A oxidase 1 (ACOX1), phosphodiesterase 3A cGMP-inhibited (PDE3A) and protein kinase, AMP-activated, beta 1 non-catalytic subunit (PRKAB1). Specifically, ACOX1 plays a role in fatty acid metabolism. PDE3A is involved in purine metabolism and hormone-stimulated lipolysis. PRKAB1 is involved in adipocytokine signaling pathway. Gene network analysis revealed that pathways for glycerolipid metabolism, breast cancer and apoptosis were significantly correlated with long-term weight loss.

CONCLUSION

This study demonstrates that RNA expression profiles from perioperative adipose tissue are associated with weight loss outcome following RYGB surgery. Our data suggest that EWL could be predicted from preoperative samples, which would allow for informed decisions about whether or not to proceed to surgery.

Flexible macromolecules attached to lipid bilayers: impact on fluidity, curvature, permeability and stability of the membranes

This review summarizes recent investigations on the association of macromolecules on lipid bilayers. Hydrophilic and flexible polymers can form soft coronae tenuously adsorbed or anchored on the lipid membrane. Other synthetic macromolecules are embedded in the apolar region of the membrane. Recent experimental and theoretical works focus on the perturbation of lipid properties achieved depending on the nature and strength of binding. Of importance to biomimicry, to tethered model membranes, and drug carriers, the effects achievable include modulation of the lateral diffusivity of lipids, shape distortions, lateral segregations, formation of well-defined nanopores and ultimately the stimuli responsive disruption of the membrane.