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Enhancing mood post-bariatric surgery: Associations of rosuvastatin with vitamin D, oxidative stress, and neurotransmitter-related outcomes in rats - 11/11/25

Doi : 10.1016/j.biopha.2025.118582 
Sally A. Fahim a, Muhammad Y. Al-Shorbagy b, c, Rabab H. Sayed b, d, ⁎ , Albeir Messiha e, Muhammed A. Saad b, c
a Department of Biochemistry, School of Pharmacy, Newgiza University (NGU), Newgiza, km 22 Cairo-Alexandria Desert Road, P.O. Box 12577, Giza, Egypt 
b Department of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo, Egypt 
c Department of Pharmaceutical Sciences, College of Pharmacy, Gulf Medical University, Ajman 4184, United Arab Emirates 
d Department of Clinical Pharmacy, School of Pharmacy, Newgiza University (NGU), Newgiza, km 22 Cairo-Alexandria Desert Road, P.O. Box 12577, Giza, Egypt 
e Virginia Hospital Center Department of Inpatient Pharmacy, Arlington, VA, United States 

⁎ Correspondence to: Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt, Faculty of Pharmacy, Cairo University Cairo 11562 Egypt

Abstract

Bariatric surgery is effective for severe obesity, yet post-surgical depression poses challenges to weight loss outcomes. Beyond lipid-lowering, statins reduce diabetes recurrence and cardiac risks. Statin use has been linked with higher vitamin D levels, which decline after surgery. Rosuvastatin shows neuroprotective associations and potential benefits in reducing depression. Therefore, the aim of our study is to investigate the role of rosuvastatin in post-bariatric surgery depression. Twenty-four male Wistar rats were divided into four groups: Sham, which underwent a sham operation and received normal saline for 4 months, Sham + Rosuvastatin (2 mg/kg, orally), Gastric Banding, and Gastric Banding + Rosuvastatin, which received rosuvastatin post-surgery for 4 months. Body weight, lipid profile, and depressive-like behavior were assessed. Hippocampal levels of brain-derived neurotrophic factor (BDNF), serotonin (5-HT), dopamine (DA), and noradrenaline (NA) were measured, along with antioxidant markers including catalase (CAT), superoxide dismutase (SOD), and malondialdehyde (MDA). Serum levels of 1,25-dihydroxyvitamin D and its transporter SR-B1 were analyzed, as well as gene expression levels of the vitamin D catabolic enzyme CYP24A1 and activating enzyme CYP27B1 were also examined. Rosuvastatin treatment was associated with improvements in depressive-like behavior, reductions in oxidative stress, and normalization of neurotransmitter levels. Rosuvastatin treatment was associated with higher levels of vitamin D, CYP27B1, and SR-B1, along with lower levels of CYP24A1. The findings represent a preliminary study suggesting that rosuvastatin may be a potential therapeutic option for post-gastric banding–associated depressive-like behavior.

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Graphical Abstract




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Highlights

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Rosuvastatin shows advantageous effects beyond its lipid-lowering functions.
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Rosuvastatin is associated with lower depression post-surgery.
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Rosuvastatin reduced oxidative stress and restored levels of neurotransmitters.
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Rosuvastatin is linked to higher vitamin D levels.
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Rosuvastatin modulates vitamin D-related enzymes.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Bariatric Surgery, Depression, Rat, Rosuvastatin, SR-B1, Vitamin D


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© 2025  The Authors. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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