Impaired Iron-Copper Metabolic Axis in Human Intestinal Mucosa After Roux-en-Y Gastric Bypass: A Prospective Transcriptomic Study Using Double-Balloon Enteroscopy - Summary - MDSpire

Impaired Iron-Copper Metabolic Axis in Human Intestinal Mucosa After Roux-en-Y Gastric Bypass: A Prospective Transcriptomic Study Using Double-Balloon Enteroscopy

  • By

  • Camila Shimizu

  • Dan Linetzky Waitzberg

  • Raquel Susana Torrinhas

  • Steven B. Heymsfield

  • Mariana Doce Passadore

  • Priscila Sala

  • May 9, 2026

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Objective:

To evaluate longitudinal changes in the expression of key genes involved in the copper-iron metabolic axis following Roux-en-Y gastric bypass (RYGB).

Key Findings:
  • RYGB resulted in significant weight loss and BMI reduction in all participants.
  • Microarray analysis indicated early transcriptional shifts in genes related to iron and copper metabolism post-RYGB.
Interpretation:

The study highlights the impact of RYGB on the intestinal mucosa's gene expression related to iron and copper metabolism, suggesting a need for proactive nutritional management in post-bariatric patients.

Limitations:
  • Small sample size of 20 participants may limit generalizability.
  • Study focused only on women, which may not represent male responses.
Conclusion:

Understanding the molecular adaptations in iron and copper metabolism post-RYGB is crucial for improving nutritional outcomes in bariatric patients.

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