Obesity

In-depth analysis of metabolic hormones and inflammatory markers following Roux-en-Y gastric bypass in humans and rodents: similarities and differences

Diabetes Res Clin PractPublished Mechanistic study

Authors' conclusion

Preoperative GLP-1 levels in humans correlate with weight loss after RYGB and could potentially be predictive. The investigated rat model shows largely comparable patterns of incretins and adipokines. Given its physiological similarity, this model is suitable for testing pharmacological agents that mimic anorexigenic hormones, potentially guiding novel treatments for severe obesity.

Study context

Population
Humans from the WAS trial (fasting plasma at baseline and 12 months) and male Wistar rats with diet-induced obesity (7 weeks after surgery)
Participants
20 / 17 / 12 / 12
Comparison
RYGB vs controls and RYGB vs sham surgery
  • RYGB (humans)n = 20
  • Controlsn = 17reference
  • RYGB (rats)n = 12
  • Sham surgeryn = 12reference
Outcome
Fasting peptide hormones and cytokines after RYGB, humans vs rats
Follow-up
12 months (humans); seven weeks after surgery (rats)
Methodological detailssecondary analysis of samples from the randomized controlled WAS trial, rat model of diet-induced obesity with sham surgery control, 18 peptide hormones and 21 amino acids measured by magnetic multiplex assays, ELISA and LC-MS/MS
  • Secondary analysis of samples from the randomized controlled WAS trial
  • Rat model of diet-induced obesity with sham surgery control
  • 18 peptide hormones and 21 amino acids measured by magnetic multiplex assays, ELISA and LC-MS/MS

Main finding

As reported in the abstract

12 months (humans); seven weeks after surgery (rats)
GLP-1 and PYY3-36 significantly lower in humans after RYGB
both p < 0.001
Fasting insulin lower after RYGB in humans
p < 0.001
Fasting insulin lower after RYGB in rats
p < 0.01
Leptin significantly lower after RYGB in humans
p < 0.001
Leptin significantly lower after RYGB in rats
p < 0.05
IL-6 and MCP-1 significantly lower in humans after RYGB
p < 0.01, p < 0.05

Further findings

Correlation of pre-RYGB GLP-1 with weight change after 12 months (humans)

Positive correlation, Pearson's r
0.733
P
P < 0.05

Correlation of leucine with GLP-1 12 months after RYGB

Humans: positive correlation, Pearson's r
0.588
Humans: P
P < 0.05
Rats: no correlation

Original publication

In-depth analysis of metabolic hormones and inflammatory markers following Roux-en-Y gastric bypass in humans and rodents: similarities and differences. Diabetes Res Clin Pract. Published 24 September 2025. doi:10.1016/j.diabres.2025.112923

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