Metabolic syndrome obesity and type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients: Males Meeting the criteria for metabolic syndrome (ATP-III criteria) No relevant (confounding) comorbidity or medication use;Feces donors post-RYGB: Males +- 1 year after gastric bypass with significant weight loss No relevant (confounding) comorbidity free of transmissible diseases upon screening;Feces donors pre-RYGB: Males Scheduled for gastric bypass (RYGB) No relevant (confounding) comorbidity free of transmissible diseases upon screening
Exclusion criteria
Exclusion criteria: Patients: relevant comorbidity additional medication use except when directly related to metabolic syndrome antibiotic use in the last 3 months;Feces donors (pre- and post-RYGB): relevant morbidity medication use PPI or antibiotic use in the last 3 months frequent patient contact
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in insulin sensitivity and de novo lipogenesis as measured by hyperinsulinemic euglycemic clamp with stable isotopes at 0 and 2 weeks and by measuring energy excretion, short chain fatty acids profile and bile acid concentration in 2x 24h collected feces. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary and further study parameters needed to answer the research question: Changes in adipose tissue inflammation by subcutaneous adipose tissue biopsy (to assess phosphorylation status of the insulin signalling cascade in relation to metabolic genes (perilipin3) and to evaluate dipose tissue inflammation (macrophage counts). Inflammatory markers in serum will also be measured. Tertiary end points: small and large intestinal microbiota in relation to intestinal transit time (segmental SITZMARKS) at 0 and 2 weeks. | — |
Countries
Netherlands