Publications by authors named "Vionnet N"

Article Synopsis
  • Postbariatric hypoglycemia (PBH) is a common condition affecting quality of life in patients after Roux-en-Y gastric bypass surgery, with a 32% incidence rate found in a study of 222 patients.
  • Younger age at surgery and experiencing early dumping syndrome are significant predictors of PBH, while higher glucose levels at 2 hours during an oral glucose tolerance test (OGTT) indicate a lower risk.
  • The study found no correlation between PBH and weight changes after surgery, highlighting the complexity of its impact on patients' health outcomes.
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Adipose tissue plasticity is orchestrated by molecularly and functionally diverse cells within the stromal vascular fraction (SVF). Although several mouse and human adipose SVF cellular subpopulations have by now been identified, we still lack an understanding of the cellular and functional variability of adipose stem and progenitor cell (ASPC) populations across human fat depots. To address this, we performed single-cell and bulk RNA sequencing (RNA-seq) analyses of >30 SVF/Lin- samples across four human adipose depots, revealing two ubiquitous human ASPC (hASPC) subpopulations with distinct proliferative and adipogenic properties but also depot- and BMI-dependent proportions.

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Article Synopsis
  • Conflicting evidence exists on how preoperative psychological evaluations affect weight outcomes in bariatric surgery, specifically Roux-en-Y gastric bypass (RYGB).
  • This study examined the role of psychiatric profiles, including anxiety and depression, on preoperative BMI and both short-term (1 year) and long-term (5 years) weight loss in patients who underwent RYGB.
  • Findings revealed that high preoperative anxiety levels were linked to faster weight regain over time, suggesting the need for ongoing psychiatric support and customized management strategies to minimize weight regain post-surgery.
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Purpose: Roux-en-Y gastric bypass (RYGB) involves alterations of the gastrointestinal tract resulting in altered absorption. Patients with obesity have a higher prevalence of depression, and antidepressants are often prescribed. Alterations caused by RYGB could modify drug bioavailability and cause potential subtherapeutic plasma concentrations, increasing the risk of depressive relapse.

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Objective: This study investigated the effectiveness of liraglutide 3.0 mg daily in combination with a standardized multidisciplinary intervention on body weight and body composition changes in a real-life setting.

Methods: A prospective, observational cohort study design was used.

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The identification of molecular biomarkers that can be used to quantitatively link dietary intake to phenotypic traits in humans is a key theme in modern nutritional research. Although dairy products (with and without fermentation) represent a major food group, the identification of markers of their intake lags behind that of other food groups. Here, we report the results from an analysis of the metabolites in postprandial serum and urine samples from a randomized crossover study with 14 healthy men who ingested acidified milk, yogurt, and a non-dairy meal.

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Article Synopsis
  • * In a study involving overfeeding of adults, participants received either grape polyphenol extract or a placebo, with blood samples analyzed to observe metabolic changes.
  • * The results showed that grape polyphenol supplementation helped counteract metabolic markers related to weight gain, indicating a protective effect against negative impacts of overfeeding.
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Introduction: Lipedema is a poorly known condition. Diagnosis is based almost exclusively on clinical criteria, which may be subjective and not always reliable. This study aimed to investigate regional body composition (BC) by dual-energy X-ray absorptiometry (DXA) in patients with lipedema and healthy controls and to determine cut-off values of fat mass (FM) indices to provide an additional tool for the diagnosis and staging of this condition.

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At the present time, no viable treatment exists for cognitive and olfactory deficits in Down syndrome (DS). We show in a DS model (Ts65Dn mice) that these progressive nonreproductive neurological symptoms closely parallel a postpubertal decrease in hypothalamic as well as extrahypothalamic expression of a master molecule that controls reproduction-gonadotropin-releasing hormone (GnRH)-and appear related to an imbalance in a microRNA-gene network known to regulate GnRH neuron maturation together with altered hippocampal synaptic transmission. Epigenetic, cellular, chemogenetic, and pharmacological interventions that restore physiological GnRH levels abolish olfactory and cognitive defects in Ts65Dn mice, whereas pulsatile GnRH therapy improves cognition and brain connectivity in adult DS patients.

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Article Synopsis
  • Two double-blind trials involving 42 men and 19 women assessed the impact of 2 g/day of grape polyphenol extract during a 31-day period of high calorie-high fructose overfeeding.
  • While body weight and fat mass increased in both men and women, grape polyphenol supplementation did not prevent changes in insulin sensitivity or fat accumulation, particularly in the liver for men.
  • Interestingly, the intake of polyphenols was linked to a decrease in fat cell size in women's femoral fat, indicating some localized effects despite overall metabolic alterations remaining unchanged.
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Objective: Bariatric surgery (BS) induces loss of body fat mass (FM) with an inexorable loss of lean mass (LM). Menopause leads to deleterious changes in body composition (BC) related to estrogen deficiency including LM loss and increase in total and visceral adipose tissue (VAT). This study aims to describe the long-term weight evolution of post-menopausal women after Roux-en-Y gastric bypass (RYGB) and to compare the BC between BS patients vs post-menopausal non-operated women.

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Scope: Combining different "omics" data types in a single, integrated analysis may better characterize the effects of diet on human health.

Methods And Results: The performance of two data integration tools, similarity network fusion tool (SNFtool) and Data Integration Analysis for Biomarker discovery using Latent variable approaches for "Omics" (DIABLO; MixOmics), in discriminating responses to diet and metabolic phenotypes is investigated by combining transcriptomics and metabolomics datasets from three human intervention studies: a postprandial crossover study testing dairy foods (n = 7; study 1), a postprandial challenge study comparing obese and non-obese subjects (n = 13; study 2); and an 8-week parallel intervention study that assessed three diets with variable lipid content on fasting parameters (n = 39; study 3). In study 1, combining datasets using SNF or DIABLO significantly improve sample classification.

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The characterization of volatile compounds in biological fluids offers a distinct approach to study the metabolic imprint of foods on the human metabolome, particularly to identify novel biomarkers of food intake (BFIs) that are not captured by classic metabolomics. Using a combination of dynamic headspace vacuum transfer In Trap extraction and gas chromatography coupled with mass spectrometry, we measured volatile compounds (the "volatilome") in plasma and urine samples from a randomized controlled crossover intervention study in which 11 healthy subjects ingested milk, cheese, or a soy-based drink. More than 2000 volatile compounds were detected in plasma, while 1260 compounds were detected in urine samples.

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Article Synopsis
  • Biomarkers of Food Intake (BFIs) are being researched as a reliable way to assess dietary consumption, particularly concerning milk and cheese, which traditional dietary tools struggle with due to misreporting.
  • An untargeted LC-MS metabolomics study involved healthy adults consuming milk, cheese, or a soy drink, where their blood and urine samples were analyzed to identify metabolites that correlated with the consumed food.
  • The study found specific oligosaccharides in serum linked to milk intake, revealing significant variability among individuals, suggesting further research is needed to understand the health implications of these findings.
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Trimethylamine--oxide (TMAO) can be produced by the gut microbiota from dietary substrates and is associated with cardiovascular disease. While dairy products contain TMAO precursors, the effect of fermented dairy on TMAO metabolism remains unclear. We used plasma and urine samples collected for two randomised cross-over studies to evaluate the effects of fermented dairy consumption on TMAO metabolism.

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Purpose: Roux en Y gastric bypass surgery (RYGB) is an effective therapy for patients with severe obesity. It induces both significant weight loss and rapid improvements of metabolic complications. This study was undertaken to better define the direct role of weight loss in the metabolic improvements.

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Background: Lactase is an enzyme that hydrolyzes lactose into glucose and galactose in the small intestine, where they are absorbed. Hypolactasia is a common condition, primarily caused by genetic programming, that leads to lactose maldigestion and, in certain cases, lactose intolerance. Galactitol and galactonate are 2 products of hepatic galactose metabolism that are candidate markers for the intake of lactose-containing foods.

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Background: Fermentation is a widely used method of natural food preservation that has consequences on the nutritional value of the transformed food. Fermented dairy products are increasingly investigated in view of their ability to exert health benefits beyond their nutritional qualities.

Objective: To explore the mechanisms underpinning the health benefits of fermented dairy intake, the present study followed the effects of milk fermentation, from changes in the product metabolome to consequences on the human serum metabolome after its ingestion.

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The identification and validation of food intake biomarkers (FIBs) in human biofluids is a key objective for the evaluation of dietary intake. We report here the analysis of the GC-MS and 1H-NMR metabolomes of serum samples from a randomized cross-over study in 11 healthy volunteers having consumed isocaloric amounts of milk, cheese, and a soy drink as non-dairy alternative. Serum was collected at baseline, postprandially up to 6 h, and 24 h after consumption.

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The metabolic health benefits of fermented milks have already been investigated using clinical biomarkers but the development of transcriptomic analytics in blood offers an alternative approach that may help to sensitively characterise such effects. We aimed to assess the effects of probiotic yoghurt intake, compared to non-fermented, acidified milk intake, on clinical biomarkers and gene expression in peripheral blood. To this end, a randomised, crossover study was conducted in fourteen healthy, young men to test the two dairy products.

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The absence of a dedicated transport for disaccharides in the intestine implicates that the metabolic use of dietary lactose relies on its prior hydrolysis at the intestinal brush border. Consequently, lactose in blood or urine has mostly been associated with specific cases in which the gastrointestinal barrier is damaged. On the other hand, lactose appears in the blood of lactating women and has been detected in the blood and urine of healthy men, indicating that the presence of lactose in the circulation of healthy subjects is not incompatible with normal physiology.

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Article Synopsis
  • - The study aimed to identify food intake biomarkers (FIBs) specific to milk and cheese by analyzing urine samples from participants after consumption.
  • - Eleven healthy volunteers consumed milk, cheese, or a soy-based drink in a controlled setting, and their urine was collected and analyzed for distinct metabolites over 24 hours.
  • - Results showed unique biomarkers for milk (lactose, galactose) and cheese (3-phenyllactic acid), as well as potential markers for soy, which could inform future research on dietary assessments.
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Probiotic yogurt and milk supplemented with probiotics have been investigated for their role in 'low-grade' inflammation but evidence for their efficacy is inconclusive. This study explores the impact of probiotic yogurt on metabolic and inflammatory biomarkers, with a parallel study of gut microbiota dynamics. The randomised cross-over study was conducted in fourteen healthy, young men to test probiotic yogurt compared with milk acidified with 2 % d-(+)-glucono-δ-lactone during a 2-week intervention (400 g/d).

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Context: Obesity is associated with neuroendocrine reproductive alterations and decreased fertility.

Objective: The objective of the study was to gain insight into the neuroendocrine mechanisms implicated in these alterations.

Design: The effects on pulsatile LH secretion of 28 days of a hypercaloric diet were studied in lean and regularly cycling female volunteers.

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Bariatric surgery has become the treatment of choice for severe obesity. The significant weight loss induced by these procedures is accompanied by spectacular improvements in the metabolic comorbidities that participate in morbidity and mortality of obesity. However, several questions remain open regarding the identification of patients that will benefit the most from the intervention or the long-term outcomes in terms of weight and co-morbidities.

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