Effect of surgically induced weight loss on biomarkers of endothelial dysfunction: a systematic review and meta-analysis
Abstract
Background This meta-analysis was performed to assess the effects of bariatric surgery (BS) on the selected markers of endothelial dysfunction, including monocyte chemoattractant protein-1 (MCP-1), intercellular adhesion molecule 1 (ICAM-1), vascular cell adhesion molecule 1 (VCAM-1), and E-selectin.Methods PubMed, Scopus, and Google scholar were systematically searched to identify related studies published from inception to November 2019 to find eligible studies.Results A total of 29 different studies were included. BS reduced the concentrations of MCP-1 (weighted mean difference (WMD) = - 58.91; 95%CI (confidence interval), - 77.10 to - 40.72; P = ˂ 0.001), ICAM-1 (WMD = - 36.58; 95%CI, - 49.65 to - 23.52; P = ˂ 0.001), and E-selectin (WMD = - 11.22; 95%CI, - 14.43 to - 8.01; P < 0.001), but had no significant effect on VCAM-1.Conclusion Bariatric surgery reduces circulating concentration of MCP-1, ICAM-1, and E-selectin, but not VCAM-1.
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Several reviews of bariatric surgery found that E-selectin and sICAM-1 decreased after surgery, although this was not always consistent for sICAM-1.
“Several reviews of bariatric surgery found that E-selectin and sICAM-1 decreased after surgery, 15,39 although this was not always consistent for sICAM-1. 40”
From Comprehensive Long-Term Changes in Cardiovascular Risk Biomarkers With Tirzepatide (2026) · cites this paper as [39]
Endothelial markers such as sICAM-1 and E-selectin declined comparably across both modalities, suggesting shared vascular benefits.
“Endothelial markers such as sICAM-1 and Eselectin declined comparably across both modalities, suggesting shared vascular benefits. 39”
From Comprehensive Long-Term Changes in Cardiovascular Risk Biomarkers With Tirzepatide (2026) · cites this paper as [39]
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References 55 · Cited by 12
- Authors
- Seyyedi, J., & Alizadeh, S.
- Affiliations
- Tehran University of Medical Sciences (IR)
- Corresponding author
- Alizadeh, Shahab
- Venue
- Obesity Surgery
- Published
- 2020-06-01
- Volume
- 30
- Issue
- 9
- Pages
- 3549-3560
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W3030971901
- Cited by
- 12
- References
- 55
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- bariatric surgery
- MeSH terms
- Endothelium, Vascular, Humans, Obesity, Morbid, Biomarkers, Weight Loss, Intercellular Adhesion Molecule-1, Vascular Cell Adhesion Molecule-1, E-Selectin
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