Obesity

Exploring Organ‐Specific Extracellular Vesicles in Metabolic Improvements Following Bariatric Surgery in Youth With Obesity

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

Following VSG, significant changes occur in the liver-enriched mRNA cargo of sEVs. Liver-derived sEVs appear to influence adipose metabolism, whereas adipose-derived sEVs are linked with liver function, suggesting dynamic intertissue cross talk that shapes systemic metabolic outcomes.

Study context

Population
Youth with obesity undergoing vertical sleeve gastrectomy (VSG)
Comparison
Pre VSG vs 3-6 months post VSG
Outcome
Role of organ-specific small extracellular vesicles (sEVs) in metabolic improvements post VSG
Follow-up
3-6 months post VSG
Methodological detailspre-post, sEV RNA sequenced for bioinformatics analyses
  • Pre-post
  • sEV RNA sequenced for bioinformatics analyses

Main finding

As reported in the abstract

Organ-enriched mRNA cargo in sEVs · post VSG
  • Significant reduction of liver-enriched mRNA cargo in small extracellular vesicles (sEVs) post VSG
  • No such reduction of adipose-enriched mRNA cargo
  • Liver-enriched mRNA cargo correlated with BMI, leptin and resistin 6 months post VSG
  • Delta values (post minus pre): adipose-enriched mRNA cargo correlated with markers of liver damage; liver-derived mRNA cargo correlated with branched-chain amino acids

Original publication

Exploring Organ‐Specific Extracellular Vesicles in Metabolic Improvements Following Bariatric Surgery in Youth With Obesity. Obesity (Silver Spring). Published 10 September 2025. doi:10.1002/oby.70027

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