Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG

Guanyang Chen,1,* Zhehong Li,2,* Qing Sang,1,* Liang Wang,2 Qiqige Wuyun,2 Zheng Wang,2 Weijian Chen,2 Chengyuan Yu,1 Dongbo Lian,2 Nengwei Zhang2 1Department of General Surgery, Peking University Ninth School of Clinical Medicine, Beijing, People’s Republic of China; 2Depart...

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Main Authors: Chen G, Li Z, Sang Q, Wang L, Wuyun Q, Wang Z, Chen W, Yu C, Lian D, Zhang N
Format: Article
Language:English
Published: Dove Medical Press 2023-05-01
Series:Diabetes, Metabolic Syndrome and Obesity
Subjects:
Online Access:https://www.dovepress.com/establishment-of-a-nomogram-based-on-inflammatory-response-related-met-peer-reviewed-fulltext-article-DMSO
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author Chen G
Li Z
Sang Q
Wang L
Wuyun Q
Wang Z
Chen W
Yu C
Lian D
Zhang N
author_facet Chen G
Li Z
Sang Q
Wang L
Wuyun Q
Wang Z
Chen W
Yu C
Lian D
Zhang N
author_sort Chen G
collection DOAJ
description Guanyang Chen,1,&ast; Zhehong Li,2,&ast; Qing Sang,1,&ast; Liang Wang,2 Qiqige Wuyun,2 Zheng Wang,2 Weijian Chen,2 Chengyuan Yu,1 Dongbo Lian,2 Nengwei Zhang2 1Department of General Surgery, Peking University Ninth School of Clinical Medicine, Beijing, People’s Republic of China; 2Department of General Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Dongbo Lian; Nengwei Zhang, Email liandongbo2478@bjsjth.cn; znw@bjsjth.cnBackground: Laparoscopic sleeve gastrectomy (LSG) is considered as an effective bariatric and metabolic surgery for patients with severe obesity. Chronic low-grade inflammation of adipose tissue is associated with obesity and obesity-related complications.Objective: This study intends to establish a nomogram based on inflammatory response-related methylation sites in intraoperative visceral adipose tissue (VAT) to predict excess weight loss (EWL)% at one-year after LSG.Methods: Based on EWL% at one-year after LSG, patients were divided into two groups: the satisfied group (group-A, EWL%≥ 50%) and the unsatisfied group (group-B, EWL%< 50%). Next, we defined genes corresponding to the methylation sites in the 850 K methylation microarray as methylation-related genes (MRGs). We then took the intersection of MRGs and inflammatory response-related genes. After that, inflammatory response-related methylation sites were identified based on overlapping genes. Moreover, difference analysis was carried out to obtain inflammatory response-related differentially methylated sites (IRRDMSs) between group-A and group-B. LASSO analysis was used to identify the hub methylation sites. Finally, we developed a nomogram based on the hub methylation sites.Results: There were 26 patients in the study, with 13 in group-A and 13 in group-B. After data filtering and difference analysis, 200 IRRDMSs were identified (143 hypermethylated sites and 57 hypomethylated sites). Then, we identified three hub methylation sites (cg03610073, cg03208951, and cg18746357) by LASSO analysis and built a predictive nomogram (Area under the curve=0.953).Conclusion: The predictive nomogram based on three inflammatory-related methylation sites (cg03610073, cg03208951, and cg18746357) in intraoperative visceral adipose tissue can predict one-year EWL% after LSG effectively.Keywords: DNA methylation, excess weight loss, laparoscopic sleeve gastrectomy, inflammation, nomogram
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spelling doaj.art-4733e013d9e34cb380339aae7f9351dc2023-05-09T18:57:55ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072023-05-01Volume 161335134583573Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSGChen GLi ZSang QWang LWuyun QWang ZChen WYu CLian DZhang NGuanyang Chen,1,&ast; Zhehong Li,2,&ast; Qing Sang,1,&ast; Liang Wang,2 Qiqige Wuyun,2 Zheng Wang,2 Weijian Chen,2 Chengyuan Yu,1 Dongbo Lian,2 Nengwei Zhang2 1Department of General Surgery, Peking University Ninth School of Clinical Medicine, Beijing, People’s Republic of China; 2Department of General Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Dongbo Lian; Nengwei Zhang, Email liandongbo2478@bjsjth.cn; znw@bjsjth.cnBackground: Laparoscopic sleeve gastrectomy (LSG) is considered as an effective bariatric and metabolic surgery for patients with severe obesity. Chronic low-grade inflammation of adipose tissue is associated with obesity and obesity-related complications.Objective: This study intends to establish a nomogram based on inflammatory response-related methylation sites in intraoperative visceral adipose tissue (VAT) to predict excess weight loss (EWL)% at one-year after LSG.Methods: Based on EWL% at one-year after LSG, patients were divided into two groups: the satisfied group (group-A, EWL%≥ 50%) and the unsatisfied group (group-B, EWL%< 50%). Next, we defined genes corresponding to the methylation sites in the 850 K methylation microarray as methylation-related genes (MRGs). We then took the intersection of MRGs and inflammatory response-related genes. After that, inflammatory response-related methylation sites were identified based on overlapping genes. Moreover, difference analysis was carried out to obtain inflammatory response-related differentially methylated sites (IRRDMSs) between group-A and group-B. LASSO analysis was used to identify the hub methylation sites. Finally, we developed a nomogram based on the hub methylation sites.Results: There were 26 patients in the study, with 13 in group-A and 13 in group-B. After data filtering and difference analysis, 200 IRRDMSs were identified (143 hypermethylated sites and 57 hypomethylated sites). Then, we identified three hub methylation sites (cg03610073, cg03208951, and cg18746357) by LASSO analysis and built a predictive nomogram (Area under the curve=0.953).Conclusion: The predictive nomogram based on three inflammatory-related methylation sites (cg03610073, cg03208951, and cg18746357) in intraoperative visceral adipose tissue can predict one-year EWL% after LSG effectively.Keywords: DNA methylation, excess weight loss, laparoscopic sleeve gastrectomy, inflammation, nomogramhttps://www.dovepress.com/establishment-of-a-nomogram-based-on-inflammatory-response-related-met-peer-reviewed-fulltext-article-DMSOdna methylationexcess weight losslaparoscopic sleeve gastrectomyinflammationnomogram.
spellingShingle Chen G
Li Z
Sang Q
Wang L
Wuyun Q
Wang Z
Chen W
Yu C
Lian D
Zhang N
Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG
Diabetes, Metabolic Syndrome and Obesity
dna methylation
excess weight loss
laparoscopic sleeve gastrectomy
inflammation
nomogram.
title Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG
title_full Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG
title_fullStr Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG
title_full_unstemmed Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG
title_short Establishment of a Nomogram Based on Inflammatory Response-Related Methylation Sites in Intraoperative Visceral Adipose Tissue to Predict EWL% at One Year After LSG
title_sort establishment of a nomogram based on inflammatory response related methylation sites in intraoperative visceral adipose tissue to predict ewl at one year after lsg
topic dna methylation
excess weight loss
laparoscopic sleeve gastrectomy
inflammation
nomogram.
url https://www.dovepress.com/establishment-of-a-nomogram-based-on-inflammatory-response-related-met-peer-reviewed-fulltext-article-DMSO
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