Evidence map›Paper›PMID 36008102›Full record

ArticleGut2023

Human gut microbiota after bariatric surgery alters intestinal morphology and glucose absorption in mice independently of obesity.

Fernando F Anhê, Soumaya Zlitni, Song-Yang Zhang, Béatrice So-Yun Choi, Cassandra Y Chen, Kevin P Foley, Nicole G Barra, Michael G Surette, Laurent Biertho, Denis Richard and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Transforming Treatment: The Impact of Bariatric Surgery on Oral Drug Absorption.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  8. Gut Microbiota and Metabolic Health: From Dysbiosis to Therapeutics.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  9. Abdominal Pain After Bariatric Surgery and the Role of the Gut: A Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Weight Loss-Associated Remodeling of Adipose Tissue Immunometabolism.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

14 authors at 5 institutions in 2 countries.

Fernando F AnhêDepartment of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-1543-4154
Soumaya ZlitniDepartment of Genetics and Medicine, Stanford University, Stanford, California, USA.
Song-Yang ZhangToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Béatrice So-Yun ChoiQuebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada.ORCID 0000-0001-8160-9448
Cassandra Y ChenDepartment of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada.
Kevin P FoleyDepartment of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada.
Nicole G BarraDepartment of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada.
Michael G SuretteDepartment of Medicine, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada.
Laurent BierthoQuebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada.
Denis RichardQuebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada.
André TchernofQuebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada.ORCID 0000-0002-2587-1000
Tony K T LamToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0003-2908-3324
Andre MaretteQuebec Heart and Lung Institute Research Centre, Laval University, Quebec, Quebec, Canada.ORCID 0000-0003-3950-5973
Jonathan SchertzerDepartment of Biochemistry and Biomedical Sciences, Farncombe Family Digestive Health Research Institute, and Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Ontario, Canada schertze@mcmaster.ca.ORCID 0000-0002-1547-5856
McMaster University · CAUniversité Laval · CAUniversity Health Network · CAHamilton Health Sciences · CAStanford University · US

Funding

CIHR MRT-168045CIHR TB2-138776
6 · The paper itself

Abstract

objectiveBariatric surgery is an effective treatment for type 2 diabetes (T2D) that changes gut microbial composition. We determined whether the gut microbiota in humans after restrictive or malabsorptive bariatric surgery was sufficient to lower blood glucose.

designWomen with obesity and T2D had biliopancreatic diversion with duodenal switch (BPD-DS) or laparoscopic sleeve gastrectomy (LSG). Faecal samples from the same patient before and after each surgery were used to colonise rodents, and determinants of blood glucose control were assessed.

resultsGlucose tolerance was improved in germ-free mice orally colonised for 7 weeks with human microbiota after either BPD-DS or LSG, whereas food intake, fat mass, insulin resistance, secretion and clearance were unchanged. Mice colonised with microbiota post-BPD-DS had lower villus height/width and crypt depth in the distal jejunum and lower intestinal glucose absorption. Inhibition of sodium-glucose cotransporter (Sglt)1 abrogated microbiota-transmissible improvements in blood glucose control in mice. In specific pathogen-free (SPF) rats, intrajejunal colonisation for 4 weeks with microbiota post-BPD-DS was sufficient to improve blood glucose control, which was negated after intrajejunal Sglt-1 inhibition. Higher

conclusionExposure of rodents to human gut microbiota after restrictive or malabsorptive bariatric surgery improves glycaemic control. The gut microbiota after bariatric surgery is a standalone factor that alters upper gut intestinal morphology and lowers Sglt1-mediated intestinal glucose absorption, which improves blood glucose control independently from changes in obesity, insulin or insulin resistance.

Indexed as

Bariatric SurgeryDiabetes Mellitus, Type 2Gastrointestinal MicrobiomeInsulin ResistanceObesity, MorbidAnimalsFemaleGastrectomyGlucoseHumansMiceObesityRatsGlucosediabetes mellitusglucose metabolismintestinal absorptionintestinal microbiologyobesity surgery

Identifiers

PMID36008102
PMCPMC9933168
OpenAlexW4293240314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.