Cardiometabolic & kidney

Extracellular vesicle signature is associated with cardio-metabolic improvement after bariatric surgery

Eur J Prev CardiolPublished Prospective cohort study

Authors' conclusion

Non-conventionally measured vaso-inflammatory-metabolic signatures, and in particular EV profiling, are associated with CV-metabolic outcome after BS

Study context

Population
Patients with severe obesity undergoing bariatric surgery
Participants
111 patients
Outcome
Association of vaso-inflammatory-metabolic markers and EV profiling with CV-metabolic outcome after BS
Follow-up
1 year (T12) and 3 years (T36) post-BS

Main finding

As reported in the abstract

1 year (T12) and 3 years (T36) post-BS
  • Baseline traditional cardiovascular (CV) risk factors unable to discriminate patients by post-surgical CV-metabolic outcome
  • Discrimination achieved combining post-BS decrease in serum amyloid associated protein, IL-6, TNF-α and insulin, increase in GLP-1, ghrelin, PYY and bile acids, and changes in extracellular vesicles (EV) profiling
  • Baseline signature of reduced EV surface antigens and single EV markers (endothelium, platelets, inflammatory cells) discriminated patients by post-surgical CV-metabolic outcome

Observational data: associations, not effects.

Further findings

Body weight · T36

Cumulative reduction
30 Kg and 32.8% BMI
Median body weight (BW) decreased from 111 to 77 Kg
All traditional CV risk factors improved after bariatric surgery (BS)

Original publication

Extracellular vesicle signature is associated with cardio-metabolic improvement after bariatric surgery. Eur J Prev Cardiol. Published 5 September 2025. doi:10.1093/eurjpc/zwaf561

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