Dirnberger Amanda S, Aguirre-Rodriguez Elen Yanina, Aguirre-Rodriguez Elias Carlos, Degraft Hanson John O, Sun Yanping, Delima Dave, Bykov Benjamin F, da Silva Aneirson Francisco, Kraljević Marko, Marins Fernando Augusto Silva, Emiliano Ana Bf
Department of Visceral Surgery, Clarunis, University Digestive Health Care Center Basel, St. Claraspital and University Hospital Basel, Basel, Switzerland.
School of Engineering and Sciences - UNESP - São Paulo State University, São Paulo, Brazil.
NPJ Metab Health Dis. 2025 Aug 1;3(1):32. doi: 10.1038/s44324-025-00065-2.
Although diversity in clinical trials is important to test the efficacy of a treatment, weight loss trials rarely account for age and sex. To highlight this deficiency, we set out to test whether age and sex affect WAT mobilization after weight loss surgery or intermittent fasting, in an obese mouse model. Here we show that male sex, youth, and WAT transcriptomic plasticity are characteristics associated with improved weight loss outcomes. Conversely, aging impairs WAT mobilization and transcriptomic plasticity. Greater surgical weight loss is associated with changes in the expression of genes relevant to the IL17 inflammatory signaling pathway, angiotensin converting enzyme 2 (ACE2) signaling, lipolysis, carbohydrate metabolism and adipocyte differentiation. In conclusion, female sex and older age appear to hinder molecular processes necessary for the reversal of WAT expansion. Future studies should examine the relevance of these findings to human obesity therapeutics.
尽管临床试验中的多样性对于测试治疗效果很重要,但减肥试验很少考虑年龄和性别因素。为了突出这一不足,我们着手在肥胖小鼠模型中测试年龄和性别是否会影响减肥手术或间歇性禁食后白色脂肪组织(WAT)的动员。我们在此表明,雄性、年轻以及WAT转录组可塑性是与改善减肥效果相关的特征。相反,衰老会损害WAT的动员和转录组可塑性。更大程度的手术减肥与白细胞介素17(IL17)炎症信号通路、血管紧张素转换酶2(ACE2)信号传导、脂肪分解、碳水化合物代谢以及脂肪细胞分化相关基因表达的变化有关。总之,女性和老年似乎会阻碍WAT扩张逆转所需的分子过程。未来的研究应检验这些发现与人类肥胖治疗的相关性。