Evidence map›Paper›PMID 40931417›Full record

ArticleObesity (Silver Spring, Md.)2025

Exploring Organ-Specific Extracellular Vesicles in Metabolic Improvements Following Bariatric Surgery in Youth With Obesity.

Ahlee Kim, Tsuyoshi Okura, Kwangmin Choi, Rupinder Gill, Vishnupriya J Borra, Kazutoshi Murakami, Andrew Poulos, Xiang Zhang, Todd Jenkins, Amy Sanghavi Shah and 2 more

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

12 authors.

Ahlee KimDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-2620-5501
Tsuyoshi OkuraDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Kwangmin ChoiDivision of Experimental Hematology and Cancer Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Rupinder GillDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Vishnupriya J BorraDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Kazutoshi MurakamiDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-6042-8960
Andrew PoulosDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Xiang ZhangGenomics, Epigenomics and Sequencing Core, Department of Environmental and Public Health Sciences, University of Cincinnati, Cincinnati, Ohio, USA.
Todd JenkinsDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Amy Sanghavi ShahDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Michael HelmrathDivision of General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Takahisa NakamuraDivision of Diabetes and Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0003-4922-4569

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI LEE ARMISTEAD DENSON · 2007 to 2026
$24.4M
Role of extracellular vesicles in the regulation of immunometabolism in obesityR01DK123181 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI NAKAMURA, TAKAHISA · 2020 to 2023
$2.7M
RNA silencing machinery in extracellular vesicle-mediated immunometabolic regulationR01DK134646 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Takahisa Nakamura · 2024 to 2026
$1.8M
Cincinnati Children's Hospital Medical Center (Academic and Research Committee (ARC)Japan Society for the Promotion of Science 19KK0402NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK123181NIDDK NIH HHS R01DK123181NIDDK NIH HHS R01 DK134646NIDDK NIH HHS R01DK134646
6 · The paper itself

Abstract

objectiveVertical sleeve gastrectomy (VSG) promotes significant metabolic improvements, though the underlying molecular mechanisms are not fully understood. Emerging evidence suggests that small extracellular vesicles (sEVs) contribute to metabolic improvements post VSG, such as improved fatty liver disease or adipose tissue function; however, it is unclear how different organ-specific sEVs interact with various metabolic parameters. The objective of this study is to establish the role of organ-specific sEVs in the metabolic improvements post VSG.

methodsDemographic and anthropometric data, metabolic parameters, and sEV samples were collected pre VSG and 3-6 months post VSG in youth with obesity. sEV RNA was sequenced for bioinformatics analyses.

resultsA significant reduction of the liver-enriched mRNA cargo in sEVs was observed post VSG, whereas adipose-enriched mRNA cargo showed no such reduction. Liver-enriched mRNA cargo correlated with BMI, leptin, and resistin 6 months post VSG. Analysis of delta values (post minus pre surgery) revealed that adipose-enriched mRNA cargo correlated with markers of liver damage, whereas liver-derived mRNA cargo correlated with branched-chain amino acids.

conclusionsFollowing VSG, significant changes occur in the liver-enriched mRNA cargo of sEVs. Liver-derived sEVs appear to influence adipose metabolism, whereas adipose-derived sEVs are linked with liver function, suggesting dynamic intertissue cross talk that shapes systemic metabolic outcomes.

Indexed as

Bariatric SurgeryExtracellular VesiclesPediatric ObesityAdipose TissueAdolescentBody Mass IndexChildFemaleGastrectomyHumansLeptinLiverMaleResistinRNA, MessengerLeptinResistinRNA, Messengerbody mass index (BMI)branched‐chain amino acids (BCAA)leptinmetabolic improvementssmall extracellular vesicles (sEVs)vertical sleeve gastrectomy (VSG)

Identifiers

PMID40931417
PMCPMC12559774

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.