Evidence map›Paper›PMID 40000393›Full record

ArticleDiabetes, obesity & metabolism2025

Quantitative proteomics identifies plasma protein alterations that associate with metabolic and thrombotic profile changes after bariatric surgery.

Hasnain Ahmed, Marco F Fernandes, Kazim Abbas, Silvia A Synowsky, Sally L Shirran, Ramzi A Ajjan, Alan J Stewart

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Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

7 authors.

Hasnain AhmedSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, UK.
Marco F FernandesSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, UK.ORCID 0000-0002-4768-0934
Kazim AbbasRenal Transplant Unit, Royal Liverpool University Hospital, Prescot Street, Liverpool, Merseyside, UK.
Silvia A SynowskyBiomedical Sciences Research Complex and School of Biology, University of St Andrews, North Haugh, St Andrews, Fife, UK.
Sally L ShirranBiomedical Sciences Research Complex and School of Biology, University of St Andrews, North Haugh, St Andrews, Fife, UK.
Ramzi A AjjanLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Clarendon Way, Leeds, Yorkshire, UK.ORCID 0000-0002-1636-3725
Alan J StewartSchool of Medicine, University of St Andrews, North Haugh, St Andrews, Fife, UK.ORCID 0000-0003-4580-1840

Funding

Tenovus Scotland T19-05
6 · The paper itself

Abstract

objectiveRoux-en-Y gastric bypass (RYGB) surgery has been shown to lead to favourable health outcomes in obese patients. However, the molecular changes that occur and how they relate to clinical measures are poorly understood. Here, we characterise the proteomic alterations that occur in plasma of RYGB patients before and 9 months after surgery using quantitative proteomics.

methodsPlasma proteomics was performed by sequential window acquisition of all theoretical fragment ion spectra mass spectrometry (SWATH-MS) to identify and quantify differentially abundant proteins. Relationships between significantly altered proteins and clinical markers were examined. A gene set enrichment analysis was also conducted to identify altered pathways.

resultsFrom the proteomic analysis, 27 proteins increased, and 43 proteins decreased in abundance 9 months after surgery, providing insights into the physiological changes that accompany weight loss. Proteins including sex hormone binding globulin (SHBG), inter-alpha-trypsin inhibitor heavy chain 3 (ITIH3) and apolipoprotein D (APOD), which increased in abundance post-surgery, highlight improvements in lipid regulation, insulin sensitivity and inflammation. Proteins involved in coagulation, including α2-macroglobulin, kallikrein-B1, prothrombin, and factor (FX, FXI and FXII), exhibited reduced levels, aligning with a decrease in thrombotic potential.

conclusionsThese findings provide a mechanistic understanding of how bariatric surgery leads to systemic changes in metabolic and haemostatic pathways, thus favourably modulating the risk of developing cardiovascular disease.

Indexed as

Blood ProteinsGastric BypassObesity, MorbidThrombosisAdultBariatric SurgeryBiomarkersBlood CoagulationFemaleHumansMaleMiddle AgedProteomicsWeight LossBiomarkersBlood Proteinscardiovascular diseasemass spectrometryRoux‐en‐Y gastric bypassSWATH‐MS

Identifiers

PMID40000393
PMCPMC11965011

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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.