Cell Reports Medicine (Apr 2021)

IGFBP-2 partly mediates the early metabolic improvements caused by bariatric surgery

  • Justine Faramia,
  • Zheng Hao,
  • Michael B. Mumphrey,
  • R. Leigh Townsend,
  • Stéphanie Miard,
  • Anne-Marie Carreau,
  • Mélanie Nadeau,
  • Frédérique Frisch,
  • Elena-Dana Baraboi,
  • Thomas Grenier-Larouche,
  • Christophe Noll,
  • Meng Li,
  • Laurent Biertho,
  • Simon Marceau,
  • Frédéric-Simon Hould,
  • Stéfane Lebel,
  • Christopher D. Morrison,
  • Heike Münzberg,
  • Denis Richard,
  • André C. Carpentier,
  • André Tchernof,
  • Hans-Rudolf Berthoud,
  • Frédéric Picard

Journal volume & issue
Vol. 2, no. 4
p. 100248

Abstract

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Summary: Insulin-like growth factor-binding protein (IGFBP)-2 is a circulating biomarker of cardiometabolic health. Here, we report that circulating IGFBP-2 concentrations robustly increase after different bariatric procedures in humans, reaching higher levels after biliopancreatic diversion with duodenal switch (BPD-DS) than after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). This increase is closely associated with insulin sensitization. In mice and rats, BPD-DS and RYGB operations also increase circulating IGFBP-2 levels, which are not affected by SG or caloric restriction. In mice, Igfbp2 deficiency significantly impairs surgery-induced loss in adiposity and early improvement in insulin sensitivity but does not affect long-term enhancement in glucose homeostasis. This study demonstrates that the modulation of circulating IGFBP-2 may play a role in the early improvement of insulin sensitivity and loss of adiposity brought about by bariatric surgery.

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