The FAT score, a fibrosis score of adipose tissue: predicting weight-loss outcome after gastric bypass
P Bel Lassen, F Charlotte, Y Liu… - The Journal of …, 2017 - academic.oup.com
P Bel Lassen, F Charlotte, Y Liu, P Bedossa, G Le Naour, J Tordjman, C Poitou, JL Bouillot…
The Journal of Clinical Endocrinology & Metabolism, 2017•academic.oup.comContext: Bariatric surgery (BS) induces major and sustainable weight loss in many patients.
Factors predicting poor weight-loss response (PR) need to be identified to improve patient
care. Quantification of subcutaneous adipose tissue (scAT) fibrosis is negatively associated
with post-BS weight loss, but whether it could constitute a predictor applicable in clinical
routine remains to be demonstrated. Objective: To create a semiquantitative score
evaluating scAT fibrosis and test its predictive value on weight-loss response after Roux-en …
Factors predicting poor weight-loss response (PR) need to be identified to improve patient
care. Quantification of subcutaneous adipose tissue (scAT) fibrosis is negatively associated
with post-BS weight loss, but whether it could constitute a predictor applicable in clinical
routine remains to be demonstrated. Objective: To create a semiquantitative score
evaluating scAT fibrosis and test its predictive value on weight-loss response after Roux-en …
Context
Bariatric surgery (BS) induces major and sustainable weight loss in many patients. Factors predicting poor weight-loss response (PR) need to be identified to improve patient care. Quantification of subcutaneous adipose tissue (scAT) fibrosis is negatively associated with post-BS weight loss, but whether it could constitute a predictor applicable in clinical routine remains to be demonstrated.
Objective
To create a semiquantitative score evaluating scAT fibrosis and test its predictive value on weight-loss response after Roux-en-Y gastric bypass (RYGB).
Methods
We created a fibrosis score of adipose tissue (FAT score) integrating perilobular and pericellular fibrosis. Using this score, we characterized 183 perioperative scAT biopsy specimens from severely obese patients who underwent RYGB (n = 85 from a training cohort; n = 98 from a confirmation cohort). PR to RYGB was defined as <28% of total weight loss at 1 year (lowest tertile). The link between FAT score and PR was tested in univariate and multivariate models.
Results
FAT score was directly associated with increasing scAT fibrosis measured by a standard quantification method (P for trend <0.001). FAT score interobserver agreement was good (κ = 0.76). FAT score ≥2 was significantly associated with PR. The association remained significant after adjustment for age, diabetes status, hypertension, percent fat mass, and interleukin-6 level (adjusted odds ratio, 3.6; 95% confidence interval, 1.8 to 7.2; P = 0.003).
Conclusion
The FAT score is a new, simple, semiquantitative evaluation of human scAT fibrosis that may help identify patients with a potential limited weight-loss response to RYGB.
Oxford University Press