Influence of Ala54Thr polymorphism of fatty acid-binding protein-2 on clinical results of biliopancreatic diversion.
OBJECTIVE
Bariatric surgery is the most effective long-term treatment for morbid obesity, reducing obesity-associated comorbidities. The purpose of the present study was to evaluate the fatty acid-binding protein-2 Ala54Thr polymorphism outcomes 1 y after biliopancreatic diversion in morbidly obese patients.


METHODS
A sample of 41 morbidly obese patients (body mass index >40 kg/m(2)) were operated upon from December 2004 to December 2006. Weight, fat mass, blood pressure, basal glucose, triacylglycerides, total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol were measured at the basal visit and at each visit. The frequency of patients with diabetes mellitus, hypertension, and hyperlipidemia was recorded at each visit.


RESULTS
Twenty-three patients (56.1%) had genotype Ala54/Ala54 (wild group) and 18 patients had genotype Ala54/Thr54 (15 patients, 36.5%) or Thr54/Thr54 (3 patients, 7.4%; mutant group). In the wild group, body mass index, weight, fat mass, systolic blood pressure, glucose, total cholesterol, low-density lipoprotein cholesterol, and triacylglycerol concentrations decreased. Diastolic blood pressure remained unchanged. In the mutant group, the same parameters improved, without statistical differences from the wild group. Initial excess weight percent loss at 1 y of follow-up was similar in both genotype groups (61.8% versus 61.9%, NS).


CONCLUSIONS
Polymorphism Ala54Thr of fatty acid-binding protein did not have an effect on weight loss or clinical outcomes after bariatric surgery.
de Luis
Daniel A
DA
Institute of Endocrinology and Nutrition, Medical School, University of Valladolid, Valladolid, Spain. dadluis@yahoo.es
Sagrado
Manuel González
MG
Izaola
Olatz
O
Terroba
Maria Concepcion
MC
Cuellar
Luis
L
Conde
Rosa
R
Martin
Tomas
T
D000273:Adipose Tissue / Q000378:metabolism; D000328:Adult; D015904:Biliopancreatic Diversion / Q000379:methods*; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure / Q000502:physiology; D015992:Body Mass Index; D002784:Cholesterol / Q000097:blood; D050556:Fatty Acid-Binding Proteins / Q000235:genetics*; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000097:blood / Q000235:genetics* / Q000601:surgery; D011110:Polymorphism, Genetic; D011446:Prospective Studies; D016896:Treatment Outcome; D015431:Weight Loss
D001786:Blood Glucose; C493404:FABP2 protein, human; D050556:Fatty Acid-Binding Proteins; D002784:Cholesterol