Evidence map›Paper›PMID 33848266›Full record

ArticleJCI insight2021

Preoperative brain μ-opioid receptor availability predicts weight development following bariatric surgery in women.

Henry K Karlsson, Lauri Tuominen, Semi Helin, Paulina Salminen, Pirjo Nuutila, Lauri Nummenmaa

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Early Impact of Bariatric Surgery on Brain Functionality.Journal of metabolic and bariatric surgery · 2025
    Review
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Henry K KarlssonTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Lauri TuominenTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Semi HelinTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Paulina SalminenDivision of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
Pirjo NuutilaTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Lauri NummenmaaTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
University of Turku · FIUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bariatric surgery is the most effective method for weight loss in morbid obesity. There is significant individual variability in the weight loss outcomes, yet factors leading to postoperative weight loss or weight regain remain elusive. Alterations in the μ-opioid receptor (MOR) and dopamine D2 receptor (D2R) systems are associated with obesity and appetite control, and the magnitude of initial brain receptor system perturbation may predict long-term surgical weight loss outcomes. We tested this hypothesis by studying 19 morbidly obese women (mean BMI 40) scheduled to undergo bariatric surgery. We measured their preoperative MOR and D2R availabilities using positron emission tomography with [11C]carfentanil and [11C]raclopride, respectively, and then assessed their weight development association with regional MOR and D2R availabilities at 24-month follow-up. MOR availability in the amygdala consistently predicted weight development throughout the follow-up period, but no associations were found for D2R. This is the first study to our knowledge to demonstrate that neuroreceptor markers prior to bariatric surgery are associated with postoperative weight development. Postoperative weight regain may derive from dysfunction in the opioid system, and weight loss outcomes after bariatric surgery may be partially predicted based on preoperative brain receptor availability, opening up new potential for treatment possibilities.

Indexed as

BrainObesity, MorbidReceptors, Opioid, muAdultBariatric SurgeryFemaleHumansMiddle AgedNeuroimagingPositron-Emission TomographyPreoperative PeriodReceptors, Dopamine D2Weight GainWeight LossDRD2 protein, humanReceptors, Dopamine D2Receptors, Opioid, muEndocrinologyNeuroimagingNeuroscienceObesity

Identifiers

PMID33848266
PMCPMC8262287
OpenAlexW3156746544

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.