Changes in Whole Blood Gene Expression in Obese Subjects with Type 2 Diabetes Following Bariatric Surgery: a Pilot Study
2011

Changes in Blood Gene Expression After Bariatric Surgery in Obese Diabetics

Sample size: 11 publication 10 minutes Evidence: moderate

Author Information

Author(s): Berisha Stela Z., Serre David, Schauer Philip, Kashyap Sangeeta R., Smith Jonathan D.

Primary Institution: Cleveland Clinic

Hypothesis

Bariatric surgery will alter whole blood gene expression profiles in obese subjects with type 2 diabetes.

Conclusion

Bariatric surgery significantly changes gene expression in whole blood, which may serve as biomarkers for type 2 diabetes susceptibility and treatment response.

Supporting Evidence

  • Bariatric surgery led to significant reductions in body mass index and fasting plasma glucose.
  • 204 transcripts were significantly altered after surgery, indicating changes in gene expression.
  • Changes in gene expression were correlated with improvements in diabetes-related clinical traits.

Takeaway

This study looked at how surgery to help people lose weight affects genes in their blood. It found that many genes change after the surgery, which might help doctors understand diabetes better.

Methodology

Whole blood samples were collected from 11 obese subjects with type 2 diabetes before and after bariatric surgery, and gene expression was analyzed using microarrays.

Potential Biases

Potential biases due to the small sample size and lack of randomization.

Limitations

The small sample size limited the ability to analyze differences between types of surgery and increased the false discovery rate.

Participant Demographics

11 obese subjects with type 2 diabetes (5 females, 6 males; average age 50.5 years).

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1371/journal.pone.0016729

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