Obesity

Exploring the link between inflammation and brain function after metabolic‐bariatric surgery: A year‐long fMRI study

Diabetes Obes MetabPublished Mechanistic study

Authors' conclusion

Our study is the first to identify brain regions significantly linked to inflammation after MBS. Importantly, many of the discovered areas were previously shown to be involved in the pathogenesis of obesity or are targets of contemporary medical treatments. Consequently, our findings offer valuable insights for future obesity research, especially in the context of potential therapeutic opportunities.

Study context

Population
Patients undergoing laparoscopic sleeve gastrectomy, examined 1 week before and 3 and 12 months after surgery
Participants
36 patients
Outcome
Association of perioperative IL-6/IL-10 ratio with ALFF and functional connectivity across 375 brain regions
Follow-up
1 week before, and 3 and 12 months after surgery
Methodological detailslongitudinal, fMRI, 3 time points
  • Longitudinal
  • fMRI
  • 3 time points

Main finding

As reported in the abstract

Brain regions linked with IL-6/IL-10 ratio
  • IL-6/IL-10 ratio increased early postoperatively, then decreased below preoperative levels at 1 year
  • Amplitude of low-frequency fluctuation (ALFF) in 4 subcortical structures decreased with rising and increased with declining IL-6/IL-10 ratio
  • 16 cortical regions showed the opposite ALFF trend
  • Functional connectivity between left insula and bilateral medial prefrontal cortex increased with rising and decreased with declining ratio

Original publication

Exploring the link between inflammation and brain function after metabolic‐bariatric surgery: A year‐long fMRI study. Diabetes Obes Metab. Published 16 January 2025. doi:10.1111/dom.16181

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