Application of fourier transform infrared vibrational spectroscopy in identifying early biochemical changes in lipid profiles of individuals undergoing Roux-en-y gastric bypass.

IF 1.6 3区 医学 Q2 SURGERY
Amanda Motta de Bortoli, Márcia Helena Cassago Nascimento, Blanca Elena Guerrero Daboin, Beatriz Bobbio de Brito, Luiza Recla Pessotti, Paulo Roberto Filgueiras, Andressa Bolsoni Lopes, Valerio Garrone Barauna, Fabiano Kenji Haraguchi
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Abstract

Background: Fourier transform infrared spectroscopy (FTIR) is an analytical technique increasingly applied in biological analysis. This study investigates the application of FTIR to identify early biochemical changes, particularly in lipid profiles, in individuals undergoing Roux-en-Y gastric bypass (RYGB).

Methods: An observational study involving patients from a university hospital's Bariatric and Metabolic Surgery Program, with evaluations performed before (T0) and two months after (T1) RYGB. Biochemical parameters, anthropometric data, and body composition were assessed. FTIR spectra were pre-processed and analyzed using Principal Component Analysis and Partial Least Squares Discriminant Analysis. The normality of the data was evaluated using the Kolmogorov-Smirnov test, followed by paired T-tests or Wilcoxon tests as appropriate. Spearman correlation analysis of spectral information with biochemical parameters was also performed. A significance level of p < 0.05 was set for all tests. The university hospital's Research Ethics Committee approved the study (protocol CAAE 59075722.7.0000.5071).

Results: The study evaluated 29 individuals (86.2% female) with a mean age of 41.2 ± 7.8 years. Significant differences were observed in anthropometric parameters and body composition (p < 0.001). Additionally, early improvements in the lipid profile were noted, with significant decreases in triglycerides, total cholesterol, and LDL cholesterol (p < 0.05) just two months post-surgery. FTIR identified correlations between biochemical parameters and specific spectral regions at T0 and T1. Notably, serum triglycerides showed a significant correlation with the lipid-specific spectral region (1796-1685 cm- 1) at both time points (p < 0.05).

Conclusion: FTIR can effectively monitor biochemical changes in RYGB surgery patients. The spectral range associated with lipid functional groups (1796 -1675 cm⁻¹) showed a significant relationship with serum triglyceride levels before and after RYGB. Additionally, various biochemical parameters exhibited strong correlations with other spectral regions, implying that the serum spectral profile can indicate biochemical variations at different post-surgery stages.

Trial registration: Brazilian Registry of Clinical Trials (Rebec), September 5, 2022, protocol RBR-26chs2g.

傅里叶变换红外振动光谱在Roux-en-y胃旁路手术患者早期脂质生化变化中的应用。
背景:傅里叶变换红外光谱(FTIR)是一种越来越多地应用于生物分析的分析技术。本研究探讨了FTIR在Roux-en-Y胃旁路手术(RYGB)患者中识别早期生化变化的应用,特别是在脂质谱方面。方法:一项观察性研究,涉及来自某大学医院减肥和代谢手术项目的患者,在RYGB术前和术后两个月进行评估。评估生化参数、人体测量数据和身体成分。利用主成分分析和偏最小二乘判别分析对FTIR光谱进行预处理和分析。使用Kolmogorov-Smirnov检验评估数据的正态性,随后使用配对t检验或酌情使用Wilcoxon检验。光谱信息与生化参数进行Spearman相关分析。结果:29例患者(86.2%为女性),平均年龄41.2±7.8岁。结论:FTIR可有效监测RYGB手术患者的生化变化。与脂质官能团相关的光谱范围(1796 -1675 cm)与RYGB前后的血清甘油三酯水平有显著关系。此外,各种生化参数与其他光谱区域表现出很强的相关性,这意味着血清光谱特征可以反映术后不同阶段的生化变化。试验注册:巴西临床试验登记处(Rebec), 2022年9月5日,方案RBR-26chs2g。
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来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
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