Obesity

The effect of weight-loss surgery in patients with obesity on adipose tissue mesenchymal stem cells versus circulating endothelial progenitor cells

Int J Obes (Lond)Published Mechanistic study

Authors' conclusion

Obesity impairs MSC mitochondrial function and increases the percent of circulating, but also potentially injurious EPCs. WLS largely reverses MSC mitochondrial injury and but not circulating EPC characteristics.

Study context

Population
Patients with obesity undergoing weight-loss surgery (WLS); abdominal adipose tissue MSCs and peripheral blood endothelial progenitor cells (EPCs)
Comparison
Patients with obesity before vs after weight-loss surgery (WLS), and vs healthy controls (HC)
  • Obesityn = 8
  • post-WLSn = 8
Outcome
AT-MSC mitochondrial function and circulating EPC number and surface markers
Follow-up
9-12 months after WLS
Methodological detailsbefore–after (pre- and 9–12 months post-WLS), healthy controls comparison
  • Before–after (pre- and 9–12 months post-WLS)
  • Healthy controls comparison

Main finding

As reported in the abstract

  • MSCs showed reduced membrane potential and matrix density at baseline vs HC; mitochondrial changes mostly improved after WLS
  • EPC fractions expressing VAP-1 or OCN-1 elevated in obesity; neither fell after WLS
  • Obesity pre-WLS vs HC: P > 0.05
  • Obesity pre-WLS vs HC: P < 0.05
  • Obesity pre-WLS vs HC: P < 0.05
  • Post-WLS vs Obesity pre-WLS: P > 0.05

Further findings

OutcomeP value
Basal BMIObesity pre-WLS vs HC · higher BMI in obesityP < 0.0001
Basal BMIObesity pre-WLS vs Post-WLS · higher BMI before WLSP < 0.001

Original publication

The effect of weight-loss surgery in patients with obesity on adipose tissue mesenchymal stem cells versus circulating endothelial progenitor cells. Int J Obes (Lond). Published 6 April 2026. doi:10.1038/s41366-026-02057-8

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