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However, the specific mechanisms remain largely unknown. The present study was designed to determine the alterations of myocardial glucose uptake (<jats:styled-content style=\"fixed-case\">MGU<\/jats:styled-content>) after <jats:styled-content style=\"fixed-case\">DJB<\/jats:styled-content> and their effects on <jats:styled-content style=\"fixed-case\">DCM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Duodenal\u2010jejunal bypass and sham surgeries were carried out in diabetic rats induced by a high\u2010fat diet and a low dose of streptozotocin, with chow\u2010diet fed rats as controls. Bodyweight, food intake, glucose homeostasis and lipid profiles were measured at indicated time\u2010points. Cardiac function was evaluated by transthoracic echocardiography and hemodynamic measurement. Cardiac remodeling was assessed by a series of morphometric analyses along with transmission electron microscopy. Positron\u2010emission tomography with fluorine\u201018 labeled fluorodeoxyglucose was carried out to evaluate the <jats:styled-content style=\"fixed-case\">MGU <\/jats:styled-content><jats:italic>in vivo<\/jats:italic>. Furthermore, myocardial glucose transporters (<jats:styled-content style=\"fixed-case\">GLUT; GLUT<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">GLUT<\/jats:styled-content>4), myocardial insulin signaling and <jats:styled-content style=\"fixed-case\">GLUT<\/jats:styled-content>\u20104 translocation\u2010related proteins were investigated to elucidate the underlying mechanisms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">DJB<\/jats:styled-content> group showed restored systolic and diastolic cardiac function, along with significant remission in cardiac hypertrophy, cardiac fibrosis, lipid deposit and ultrastructural disorder independent of weight loss compared with the sham group. Furthermore, the <jats:styled-content style=\"fixed-case\">DJB<\/jats:styled-content> group showed upregulated myocardial insulin signaling, hyperphosphorylation of <jats:styled-content style=\"fixed-case\">AKT<\/jats:styled-content> substrate of 160 <jats:styled-content style=\"fixed-case\">kD<\/jats:styled-content>a (<jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>160) and <jats:styled-content style=\"fixed-case\">TBC<\/jats:styled-content>1D1, along with preserved <jats:styled-content style=\"fixed-case\">soluble N\u2010ethylmaleimide\u2010sensitive factor attachment protein receptor<\/jats:styled-content> proteins, facilitating the <jats:styled-content style=\"fixed-case\">GLUT<\/jats:styled-content>\u20104 translocation to the myocardial cell surface and restoration of <jats:styled-content style=\"fixed-case\">MGU<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present findings provide evidence that restoration of <jats:styled-content style=\"fixed-case\">MGU<\/jats:styled-content> is implicated in the alleviation of <jats:styled-content style=\"fixed-case\">DCM<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">DJB<\/jats:styled-content> through facilitating <jats:styled-content style=\"fixed-case\">GLUT<\/jats:styled-content>\u20104 translocation, suggesting a potential choice for treatment of human <jats:styled-content style=\"fixed-case\">DCM<\/jats:styled-content> if properly implemented.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.12948","type":"journal-article","created":{"date-parts":[[2018,10,6]],"date-time":"2018-10-06T09:53:43Z","timestamp":1538819623000},"page":"626-638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Restoration of myocardial glucose uptake with facilitated myocardial glucose transporter 4 translocation contributes to alleviation of diabetic cardiomyopathy in rats after duodenal\u2010jejunal bypass"],"prefix":"10.1111","volume":"10","author":[{"given":"Xin","family":"Huang","sequence":"first","affiliation":[{"name":"Department of General Surgery Qilu Hospital of Shandong University Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qilu Hospital of Shandong University Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yugang","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qilu Hospital of Shandong University Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qilu Hospital of Shandong University Jinan 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