10 Regulation of Food Intake Flashcards

1
Q

What are the distinct populations within the arcuate nucleus

A

POMC/CART (anorexigenic)

Neuropeptide Y/AgRP (orexigenic)

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2
Q

What stimulates the POMC and inhibits NPY-AGRP pathway? What is the result?

A

Leptin; decreased food intake

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3
Q

POMC neurons suppress appetite with _________

A

α melanocyte stimulating hormone (α-MSH)

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4
Q

What does ghrelin activate

A

AGRP-NPY neurons to stimulate food intake

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5
Q

Orexigenic effects are mediated through __ receptors of ____

A

Y1; NPY

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6
Q

AGRP and NPY _______________ and ___________, causing weight gain

A

Stimulate food intake; decrease energy expenditure

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7
Q

Mutations in what gene have been seen to cause obesity

A

α MSH receptor = MC4R and MC3R

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8
Q

What is the vagus n role in satiety and feeding

A

It coordinates the physiology of eating

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9
Q

What does ghrelin do?

A
  • stimulates appetite through NPY secreting neurons

- increases GH secretion

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10
Q

What produces leptin

A

Fat cells

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11
Q

What does leptin do

A

Suppresses ghrelin

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12
Q

Stimulation of leptin receptors initiates what

A
  • decreased production of NPY and AGRP
  • activation of POMC neurons causing a release of αMSH
  • increased production of corticotropin-releasing hormone (decreases food intake)
  • increased sympathetic activity (increases metabolic rate and energy expenditure)
  • decreased insulin secretion
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13
Q

Insulin can bind to the ________ where it helps to control food intake

A

Hypothalamus

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14
Q

What does CCK do

A
  • gallbladder contraction
  • gut motility
  • gastric emptying
  • decrease acid
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15
Q

What does PPY do

A

Peptide that increases while feeding causing decreased apetite

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16
Q

What does oxyntomodulin do

A

Produced from proglucagon gene and released during meals

Reduces motility and secretion

17
Q

What does GLP1 do

A

Released from L cells of SI

Potent inducer of glucose dependent insulin release

18
Q

What are the options for bariatric surgery

A

Gastric band
Gastric bypass
Duodenal switch (sleeve + SI bypass)
Sleeve gastrectomy

19
Q

After RYGB surgery what are suppressed in obese patients

A

PYY and GLP1