A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer

Obesity is a global epidemic that has affected the lives of over 14% of adults worldwide and over a third of Americans. Obesity is associated with the increased risk of thirteen obesity-associated cancers and poor cancer outcomes. Bariatric surgery is the most effective method of sustained weight lo...

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Main Authors: Arvind V. Ramesh, Sydney C. Joseph, Margaret S. Bohm, Emily W. Grey, Joel H. Elasy, Brianne M. Hibl, Oluwatosin T. Asunloye, Ki-Suk Kim, Teri D. Doss, Joseph F. Pierre, Katherine L. Cook, Liza Makowski, Laura M. Sipe
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Microbiomes
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Online Access:https://www.frontiersin.org/articles/10.3389/frmbi.2025.1432817/full
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author Arvind V. Ramesh
Sydney C. Joseph
Margaret S. Bohm
Emily W. Grey
Joel H. Elasy
Brianne M. Hibl
Oluwatosin T. Asunloye
Ki-Suk Kim
Teri D. Doss
Joseph F. Pierre
Katherine L. Cook
Liza Makowski
Liza Makowski
Liza Makowski
Laura M. Sipe
author_facet Arvind V. Ramesh
Sydney C. Joseph
Margaret S. Bohm
Emily W. Grey
Joel H. Elasy
Brianne M. Hibl
Oluwatosin T. Asunloye
Ki-Suk Kim
Teri D. Doss
Joseph F. Pierre
Katherine L. Cook
Liza Makowski
Liza Makowski
Liza Makowski
Laura M. Sipe
author_sort Arvind V. Ramesh
collection DOAJ
description Obesity is a global epidemic that has affected the lives of over 14% of adults worldwide and over a third of Americans. Obesity is associated with the increased risk of thirteen obesity-associated cancers and poor cancer outcomes. Bariatric surgery is the most effective method of sustained weight loss and has been steadily increasing in clinical use over the past 4 decades. Importantly, bariatric surgery is established to decrease cancer risk. Vertical sleeve gastrectomy (VSG) is currently the most common bariatric surgery procedure. To evaluate underlying mechanisms of bariatric associated cancer protection, we developed a robust pre-clinical model of bariatric surgery-induced weight loss in mice. Using multiple strains, we established detailed procedures, defined best practices, and noted specific controls to include to examine mediators critical to cancer onset. This VSG protocol includes stringent pre- and post-operational measures to reduce stress-associated weight loss in obese mice to achieve rigorous and reproducible bariatric surgery-associated weight loss. In addition, we describe collection of fecal and intestinal samples as well as Peyer’s patches as important mediators of bariatric surgery’s impact on cancer risk. In conclusion, as obesity and weight loss approaches including bariatric surgery are increasingly examined in cancer risk and outcomes including immunotherapy, the establishment of robust pre-clinical interventions will allow the field to address critical underlying mechanisms mediating the benefits of weight loss and cancer.
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spelling doaj-art-34a01de0b8b94f9e99aa8c740e7cc7f02025-07-15T13:24:22ZengFrontiers Media S.A.Frontiers in Microbiomes2813-43382025-07-01410.3389/frmbi.2025.14328171432817A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancerArvind V. Ramesh0Sydney C. Joseph1Margaret S. Bohm2Emily W. Grey3Joel H. Elasy4Brianne M. Hibl5Oluwatosin T. Asunloye6Ki-Suk Kim7Teri D. Doss8Joseph F. Pierre9Katherine L. Cook10Liza Makowski11Liza Makowski12Liza Makowski13Laura M. Sipe14Division of Hematology and Oncology, Department of Medicine, College of Medicine, University of Tennessee Health Science Center (UTHSC), Memphis, TN, United StatesDivision of Hematology and Oncology, Department of Medicine, College of Medicine, University of Tennessee Health Science Center (UTHSC), Memphis, TN, United StatesDepartment of Microbiology, Immunology, and Biochemistry, College of Medicine, UTHSC, Memphis, TN, United StatesDivision of Hematology and Oncology, Department of Medicine, College of Medicine, University of Tennessee Health Science Center (UTHSC), Memphis, TN, United StatesDivision of Hematology and Oncology, Department of Medicine, College of Medicine, University of Tennessee Health Science Center (UTHSC), Memphis, TN, United StatesOffice of Comparative Medicine, University of Utah, Salt Lake City, UT, United StatesDepartment of Physiology, College of Medicine, UTHSC, Memphis, TN, United StatesDepartment of Physiology, College of Medicine, UTHSC, Memphis, TN, United StatesDepartment of Molecular Physiology and Biophysics, Vanderbilt Mouse Metabolic Phenotyping Center, Vanderbilt University, Nashville, TN, United StatesDepartment of Nutritional Sciences, College of Agriculture and Life Science, The University of Wisconsin-Madison, Madison, WI, United StatesDepartment of Nutritional Sciences, College of Agriculture and Life Science, The University of Wisconsin-Madison, Madison, WI, United StatesDivision of Hematology and Oncology, Department of Medicine, College of Medicine, University of Tennessee Health Science Center (UTHSC), Memphis, TN, United StatesDepartment of Microbiology, Immunology, and Biochemistry, College of Medicine, UTHSC, Memphis, TN, United StatesUTHSC Center for Cancer Research, College of Medicine, UTHSC, Memphis, TN, United StatesDepartment of Biology, University of Mary Washington, Fredericksburg, VA, United StatesObesity is a global epidemic that has affected the lives of over 14% of adults worldwide and over a third of Americans. Obesity is associated with the increased risk of thirteen obesity-associated cancers and poor cancer outcomes. Bariatric surgery is the most effective method of sustained weight loss and has been steadily increasing in clinical use over the past 4 decades. Importantly, bariatric surgery is established to decrease cancer risk. Vertical sleeve gastrectomy (VSG) is currently the most common bariatric surgery procedure. To evaluate underlying mechanisms of bariatric associated cancer protection, we developed a robust pre-clinical model of bariatric surgery-induced weight loss in mice. Using multiple strains, we established detailed procedures, defined best practices, and noted specific controls to include to examine mediators critical to cancer onset. This VSG protocol includes stringent pre- and post-operational measures to reduce stress-associated weight loss in obese mice to achieve rigorous and reproducible bariatric surgery-associated weight loss. In addition, we describe collection of fecal and intestinal samples as well as Peyer’s patches as important mediators of bariatric surgery’s impact on cancer risk. In conclusion, as obesity and weight loss approaches including bariatric surgery are increasingly examined in cancer risk and outcomes including immunotherapy, the establishment of robust pre-clinical interventions will allow the field to address critical underlying mechanisms mediating the benefits of weight loss and cancer.https://www.frontiersin.org/articles/10.3389/frmbi.2025.1432817/fullobesitybreast cancerPeyer’s patchanti-tumor immunitymicrobiota
spellingShingle Arvind V. Ramesh
Sydney C. Joseph
Margaret S. Bohm
Emily W. Grey
Joel H. Elasy
Brianne M. Hibl
Oluwatosin T. Asunloye
Ki-Suk Kim
Teri D. Doss
Joseph F. Pierre
Katherine L. Cook
Liza Makowski
Liza Makowski
Liza Makowski
Laura M. Sipe
A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
Frontiers in Microbiomes
obesity
breast cancer
Peyer’s patch
anti-tumor immunity
microbiota
title A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
title_full A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
title_fullStr A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
title_full_unstemmed A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
title_short A standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
title_sort standardized method for vertical sleeve gastrectomy bariatric surgery investigations in cancer
topic obesity
breast cancer
Peyer’s patch
anti-tumor immunity
microbiota
url https://www.frontiersin.org/articles/10.3389/frmbi.2025.1432817/full
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