Key result
Bariatric surgery shifts the obese pro-inflammatory state to an anti-inflammatory profile via ~23 altered genes.
Why the study?
The study was conducted to explore potential biomarkers and molecular mechanisms regarding the multiple benefits observed after bariatric surgery.
What are the key differentially expressed genes and molecular pathways in subcutaneous adipose tissue after bariatric surgery?
What are the key differentially expressed genes and molecular pathways in subcutaneous adipose tissue after bariatric surgery?
Bariatric surgery induces a shift from a pro-inflammatory to an anti-inflammatory state in adipose tissue, improving adipocyte metabolic function.
May inform bariatric surgery mechanisms in adipocytes; hypothesis-generating and requires human validation before clinical inference.
We explored potential biomarkers and molecular mechanisms regarding multiple benefits after bariatric surgery. Differentially expressed genes (DEGs) for subcutaneous adipose tissue (AT) after bariatric surgery were identified by analyzing two expression profiles from the GEO. Subsequently, enrichment analysis, GSEA, PPI network, and gene-microRNAs and gene-TFs networks were interrogated to identify hub genes and associated pathways. Co-expressed DEGs included one that was up-regulated and 22 that were down-regulated genes. The enrichment analyses indicated that down-regulated DEGs were significantly involved in inflammatory responses. GSEA provided comprehensive evidence that most genes enriched in pro-inflammation pathways, while gene-sets after surgery enriched in metabolism. We identified nine hub genes in the PPI network, most of which were validated as highly expressed and hypomethylated in obesity by Attie Lab Diabetes and DiseaseMeth databases, respectively. DGIdb was also applied to predict potential therapeutic agents that might reverse abnormally high hub gene expression. Bariatric surgery induces a significant shift from an obese pro-inflammatory state to an anti-inflammatory state, with improvement in adipocyte metabolic function - representing key mechanisms whereby AT function improves after bariatric surgery. Our study deepens a mechanistic understanding of the benefits of bariatric surgery and provides potential biomarkers or treatment targets for further research.
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Liu et al. (2020) studied Obesity. Bariatric surgery vs. Pre-surgery (obese state) was evaluated on Differentially expressed genes (DEGs) and enriched pathways. Bariatric surgery induces a significant shift from an obese pro-inflammatory state to an anti-inflammatory state, characterized by 1 up-regulated and 22 down-regulated differentially expressed genes.
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