Laboratory of Experimental Neurology, Universidade Federal de São Paulo (UNIFESP), São Paulo - SP, Brasil.
Nutr Neurosci. 2011 Sep;14(5):181-5. doi: 10.1179/1476830511Y.0000000009.
Bariatric surgery has been the most effective therapeutic intervention for morbidly obese patients. However, recent evidence has shown that this procedure may cause serious neurological complications such as Wernicke encephalopathy, depression, and memory impairment. With this in mind, we conducted an experimental study to investigate whether weight-reduction surgery would promote morphological changes in the hippocampal formation, a brain region linked to cognitive and emotional processes. To do so, the present study evaluated the hippocampal expression of parvalbumin interneurons in rats submitted to a gastric restrictive procedure (experimental phytobezoar). Our results demonstrated that rats with gastric-reduced capacity presented a significant increase in the expression of the parvalbumin interneurons in the hippocampal CA1 and CA3 subfields. These data are the first experimental evidence that restrictive bariatric surgery may alter hippocampal cytoarchitecture.
减重手术是治疗病态肥胖患者最有效的治疗干预手段。然而,最近的证据表明,该手术可能会导致严重的神经系统并发症,如韦尼克脑病、抑郁和记忆力减退。有鉴于此,我们进行了一项实验研究,以调查减重手术是否会促进与认知和情感过程相关的海马结构的形态变化。为此,本研究评估了接受胃限制性手术(实验性植物性胃石)的大鼠海马中的钙结合蛋白(parvalbumin)中间神经元的表达。我们的结果表明,胃容量减少的大鼠在海马 CA1 和 CA3 区的 parvalbumin 中间神经元表达显著增加。这些数据首次提供了实验证据,表明限制性减重手术可能会改变海马的细胞结构。