Cardiovascular Health Lecture 1.2 : Pathogenesis of obesity Flashcards

1
Q

What kind of condition is obesity?

A

A low grade inflammatory condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is obesity associated with (name 3)?

A

Many diseases such as diabetes, cardiovascular and renal diseases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What kind of agent is leptin?

A

It is a pro inflammatory cytokine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where is leptin produced?

A

In the GIT, placenta and mammary.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Can leptin cross the blood-brain barrier?

A

Yes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

By how many folds is leptin increased in obese people?

A

5 fold increase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the function of leptin?

A

Maintains hunger and satiety.
(decreases hunger, increases satiety).
Low leptin makes you hungry.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Given leptin’s function, why does are leptin levels so high in obese people?

A

One would think obese people have low leptin levels, but they are very high becasue they have leptin resistance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a possible cause of leptin resistance in obese people?

A

Impaired transport across the blood-brain barrier.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What happens to leptin levels after a heart failure or infarct?

A

They increase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the effect of leptin in obese people like vs a healthy person?

A

Diminished.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does leptin exert its effects?

A

Acts on immune cells, increasing inflammatory cytokine release.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does effect does leptin have in obese people?

A

Increases adrenaline and noradrenaline in the blood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens after renal deinnervation in obese subjects?

A

Hypertension reduction in obese dogs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is natriuresis, and what effect does leptin have on it? What effect does it have on blood pressure?

A

It is sodium excretion, and increased leptin increases it. No effect on blood pressure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What happens to NO levels in obese people? What does it do?

A

Increased. Vasodilator.

17
Q

What is TNF-alpha, what makes it, and what happens to its levels in obesity?

A

A pro inflammatory cytokine made by macrophage monocytes. Leptin acts on it. Increases in obesity.

18
Q

How does weight loss affect TNF-alpha levels?

A

Decreases levels.

19
Q

What are high levels of TNF-alpha correlated with?

A

Insulin resistance.

20
Q

What happens when one inhibits TNF-alpha in obese subjects?

A

Increases insulin sensitivity.

21
Q

What are TNF-alpha levels like in subjects with cardiovascular diseases? What is a consequence of this?

A

High. Contribues to atheroma development.

22
Q

What is adiponectin, and what is it made by?

A

Anti-inflammatory, made by adipocytes.

23
Q

What are adiponectin levels like in obese subjects?

A

Decreased levels.

24
Q

What effect does leptin have on adiponectin?

A

Leptin inhibits adiponectin release. Other pro-inflammatory agents also inhibit release.

25
Q

What does a deficiency of adiponectin cause?

A

Insulin resistance.

26
Q

What are low levels of adiponectin associated with?

A

Renal and cardiovascular diseases.

27
Q

What does an adiponectin knockout do?

A

Revascularises ischaemic limbs.

28
Q

What effect does adiponectin have on insulin resistance?

A

Inhibits it.

29
Q

Can maternal obesity alter foetal birth weight?

A

Yes.