Adipokines Flashcards
what adipokine is released in response to caloric restriction
adiponectin
is adiponectin pro inflammatory or anti-inflammatory
anti-inflammatory
adiponectin effects on insulin
enhances insulin sensitivity
stimulates insulin secretion
adiponectin effects on fats
regulates fatty acid oxidation
stimulates lipid catabolism
adiponectin effects on glucose
decreases hepatic glucose production
adiponectin effects on adipocytes
decreases adipocyte differentiation
increases energy expenditure in adipocyte
adiponectin effects on fibrogenesis
decreases fibrogenesis
anti-atherogenic properties of adiponectin
decrease adhesion molecules in endothelium
suppress pro inflammatory cytokines
increase NO synthase
suppress lipid accumulation in endothelium
adiponectin effects on liver
decrease fibrogenesis in liver
lower levels of adiponectin correlate with
higher BMI, increased cardiovascular risks, increased insulin resistance
What adipokine is released in response to excess nutrient states
leptin
where are the receptors located which leptin acts on
hypothalamus
effects of leptin after it interacts w receptors
suppresses appetite
decreased food intake
increased energy expenditure
low circulating levels of leptin can exert what type of effect
insulin-sensitizing
is leptin pro-inflammatory or anti-inflammatory
pro inflammatory
leptin effects on fibrogenesis
increased fibrogenesis
leptin deficiency leads to
obesity
excess circulating leptin leads to
leptin resistance –> obesity –> insulin resistance
high leptin can lead to cardiovascular function. How?
Increases SNS activity
Imbalance of NO synthesis
Stimulates platelet aggregation, inflammation, and endothelial dysfunction in vascular smooth muscle
high levels of leptin are associated with
renal disease
NAFLD
effects of resistin
fibrosis
inflammation
insulin resistance
lipogenesis stimulation
CAD
ghrelin is a peptide hormone released primarily by
gastric mucosa
ghrelin release is induced by
hypoglycemia
low body weight
empty stomach
high glucagon levels
what tissues does ghrelin act on
hypothalamus
pituitary
pancrease
peripheral adipose tissue
ghrelin actions on hypothalamus/pituitary
stimulate appetite
stimulates GH release
ghrelin actions on GI
increase motility and gastric secretions to prepare for food
ghrelin actions on pancreas
decreases insulin release to assist with glucose homeostasis
ghrelin actions on adipose tissue
reduces glucose uptake
inhibits secretion of adiponectin
increases secretion of inflammatory cytokines
ghrelin actions on liver
induces glucose production
what type of drug is liraglutide
GLP-1 agonist
liraglutide effects on gastric emptying
delays gastric emptying –> decreases ghrelin release
liraglutide effects on leptin
increases leptin –> suppresses appetite
liraglutide effects on adiponectin
increased caloric expenditure
increased insulin sensitivity
liraglutide effects on resistin
lower inflammation levels