Evidence map›Paper›PMID 34888742›Full record

ArticleObesity surgery2022

Bariatric Surgery Leads to a Reduction in Antibodies to Apolipoprotein A-1: a Prospective Cohort Study.

Safwaan Adam, Jan H Ho, Yifen Liu, Tarza Siahmansur, Zohaib Iqbal, Sabrina Pagano, Shazli Azmi, Shaishav S Dhage, Rachelle Donn, Basil J Ammori and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 4 countries.

Safwaan AdamFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Jan H HoFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Yifen LiuFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Tarza SiahmansurFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Zohaib IqbalFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Sabrina PaganoDivision of Laboratory Medicine, Diagnostic Department, Geneva University Hospital, 1205, Geneva, Switzerland.
Shazli AzmiFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Shaishav S DhageFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Rachelle DonnFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Basil J AmmoriFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Akheel A SyedFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Paul N DurringtonFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Rayaz A MalikFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
Nicolas VuilleumierDivision of Laboratory Medicine, Diagnostic Department, Geneva University Hospital, 1205, Geneva, Switzerland.
Handrean SoranFaculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK. handrean.soran@mft.nhs.uk.ORCID 0000-0003-1714-5014
University of Manchester · GBSalford Royal NHS Foundation Trust · GBUniversity of Geneva · CH

Funding

Wellcome Trust
6 · The paper itself

Abstract

purposeAutoantibodies against apolipoprotein A-1 have been associated with cardiovascular disease, poorer CV outcomes and all-cause mortality in obese individuals. The impact of bariatric surgery (BS) on the presence of circulating anti-apoA-1 IgG antibodies is unknown. This study aimed to determine the effect of bariatric surgery on auto-antibodies titres against Apolipoprotein A-1 (anti-apoA-1 IgG), looking for changes associated with lipid parameters, insulin resistance, inflammatory profile and percentage of excess body mass index loss (%EBMIL). MATERIALS AND

methodsWe assessed 55 patients (40 women) before, 6 and 12 months post-operatively. Baseline and post-operative clinical history and measurements of body mass index (BMI), serum cholesterol, triglycerides, high- and low-density lipoprotein cholesterol (HDL-C and LDL-C), apoA-1, highly sensitive C-reactive protein (hsCRP), fasting glucose (FG), glycated haemoglobin (HbA1c) and HOMA-IR were taken at each point. Human anti-apoA-1 IgG were measured by ELISA.

resultsThe mean age of participants was 50 years. BS significantly improved BMI, %EBMIL triglycerides, HDL-C, apoA-1, hsCRP, HBA1c, FG and HOMA-IR. Baseline anti-apoA-1 IgG seropositivity was 25% and was associated with lower apoA-1 and higher hsCRP levels. One year after BS, anti-apoA-1 IgG seropositivity decreased to 15% (p = 0.007) and median anti-apoA-1 IgG values decreased from 0.70 (0.56-0.84) to 0.47 (0.37-0.61) AU (p < 0.001). Post-operative anti-apoA-1 IgG levels were significantly associated with a decreased post-surgical %EBMIL at 1 year.

conclusionBariatric surgery results in significant reduction in anti-apoA-1 IgG levels, which may adversely influence weight loss. The exact mechanisms underpinning these results are elusive and require further study before defining any clinical recommendations.

Indexed as

Bariatric SurgeryObesity, MorbidApolipoprotein A-ICholesterolCholesterol, HDLC-Reactive ProteinFemaleGlycated HemoglobinHumansImmunoglobulin GMaleMiddle AgedProspective StudiesTriglyceridesApolipoprotein A-ICholesterolCholesterol, HDLC-Reactive ProteinGlycated HemoglobinImmunoglobulin GTriglyceridesAnti-apolipoprotein A-1 autoantibodiesBariatric surgeryCardiovascular diseaseHigh-density lipoproteinObesityWeight loss

Identifiers

PMID34888742
PMCPMC8794910
OpenAlexW4200293573

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.