Adipokines Flashcards

1
Q

what adipokine is released in response to caloric restriction

A

adiponectin

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2
Q

is adiponectin pro inflammatory or anti-inflammatory

A

anti-inflammatory

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3
Q

adiponectin effects on insulin

A

enhances insulin sensitivity
stimulates insulin secretion

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4
Q

adiponectin effects on fats

A

regulates fatty acid oxidation
stimulates lipid catabolism

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5
Q

adiponectin effects on glucose

A

decreases hepatic glucose production

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6
Q

adiponectin effects on adipocytes

A

decreases adipocyte differentiation
increases energy expenditure in adipocyte

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7
Q

adiponectin effects on fibrogenesis

A

decreases fibrogenesis

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8
Q

anti-atherogenic properties of adiponectin

A

decrease adhesion molecules in endothelium
suppress pro inflammatory cytokines
increase NO synthase
suppress lipid accumulation in endothelium

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9
Q

adiponectin effects on liver

A

decrease fibrogenesis in liver

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10
Q

lower levels of adiponectin correlate with

A

higher BMI, increased cardiovascular risks, increased insulin resistance

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11
Q

What adipokine is released in response to excess nutrient states

A

leptin

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12
Q

where are the receptors located which leptin acts on

A

hypothalamus

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13
Q

effects of leptin after it interacts w receptors

A

suppresses appetite
decreased food intake
increased energy expenditure

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14
Q

low circulating levels of leptin can exert what type of effect

A

insulin-sensitizing

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15
Q

is leptin pro-inflammatory or anti-inflammatory

A

pro inflammatory

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16
Q

leptin effects on fibrogenesis

A

increased fibrogenesis

17
Q

leptin deficiency leads to

A

obesity

18
Q

excess circulating leptin leads to

A

leptin resistance –> obesity –> insulin resistance

19
Q

high leptin can lead to cardiovascular function. How?

A

Increases SNS activity
Imbalance of NO synthesis
Stimulates platelet aggregation, inflammation, and endothelial dysfunction in vascular smooth muscle

20
Q

high levels of leptin are associated with

A

renal disease
NAFLD

21
Q

effects of resistin

A

fibrosis
inflammation
insulin resistance
lipogenesis stimulation
CAD

22
Q

ghrelin is a peptide hormone released primarily by

A

gastric mucosa

23
Q

ghrelin release is induced by

A

hypoglycemia
low body weight
empty stomach
high glucagon levels

24
Q

what tissues does ghrelin act on

A

hypothalamus
pituitary
pancrease
peripheral adipose tissue

25
Q

ghrelin actions on hypothalamus/pituitary

A

stimulate appetite
stimulates GH release

26
Q

ghrelin actions on GI

A

increase motility and gastric secretions to prepare for food

27
Q

ghrelin actions on pancreas

A

decreases insulin release to assist with glucose homeostasis

28
Q

ghrelin actions on adipose tissue

A

reduces glucose uptake
inhibits secretion of adiponectin
increases secretion of inflammatory cytokines

29
Q

ghrelin actions on liver

A

induces glucose production

30
Q

what type of drug is liraglutide

A

GLP-1 agonist

31
Q

liraglutide effects on gastric emptying

A

delays gastric emptying –> decreases ghrelin release

32
Q

liraglutide effects on leptin

A

increases leptin –> suppresses appetite

33
Q

liraglutide effects on adiponectin

A

increased caloric expenditure
increased insulin sensitivity

34
Q

liraglutide effects on resistin

A

lower inflammation levels