Control of appetite Flashcards

0
Q

Where in the nervous system is the centre for appetite control?

A

-Arcuate nucleus

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1
Q

By what two general means is appetite controlled?

A
  • Nervous system

- Hormones

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2
Q

What are the two groups of neurones within the arcuate nucleus?

A
  • Primary neurones

- Secondary neurones

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3
Q

What do the primary neurones do?

A

-Sense metabolite levels and respond to hormone levels

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4
Q

What do secondary neurones do to control appetite?

A

-Synthesise the input from the primary neurones and coordinate a response via the vagus nerve

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5
Q

What two sub-groups are there of primary neurones?

A
  • Excitatory

- Inhibitory

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6
Q

How do excitatory neurones control appetite?

A

-Release neurotransmitter and stimulate appetite via secondary neurones

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7
Q

How do inhibitory neurones control appetite?

A

-Release neurotransmitter POMC which is enzymatically cleaved producing a-melanocyte stimulating hormone which suppresses appetite via secondary neurones

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8
Q

What else does POMC produce when enzymatically cleaved, what effect does this have?

A
  • B-endorphin

- Part of the reward system, causes feelings of euphoria and tiredness

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9
Q

What two neurotransmitters do the excitatory neurones release?

A
  • Neuropeptide Y (NPY)

- Agouti-releated Peptide (AgRP)

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10
Q

What type of hormone is ghrelin?

A

-Peptide

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11
Q

Where is ghrelin released from?

A

-Walls of the empty stomach

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12
Q

How does ghrelin help control appetite?

A

-Activates excitatory neurones and stimulates appetite

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13
Q

What inhibits ghrelin production?

A

-Stretch of the stomach walls

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14
Q

What effect does PYY have on appetite?

A

-Suppresses it

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15
Q

Where is PYY released from?

A

-Walls of small intestine

16
Q

Where is leptin released from?

A

-Adipocytes of fat stores

17
Q

What do leptin levels correlate to?

A

-Adipose tissue

18
Q

How does leptin control appetite?

A
  • Stimulates inhibitory nerves
  • Inhibits excitatory nerves
  • Suppresses appetite
19
Q

What is leptin deficiency/insensitivity linked to?

A

-Obesity

20
Q

How does insulin control appetite?

A
  • Stimulates inhibitory nerves

- Suppresses appetite

21
Q

What effect does amylin have on appetite?

A
  • Suppresses appetite and slows gastric emptying

- Decreases glucagon secretion

22
Q

Where is amylin secreted from?

A

-B-cells in the islets of langerhans in the pancreas

23
Q

What is metabolic sydrome?

A
  • The pattern of symptoms of:
  • Insulin resistance
  • dyslipidaemia
  • glucose intolerance
  • hypertension
  • central obesity
24
Q

What comorbidities are associated with metabolic syndrome?

A
  • T2 diabetes

- Heart disease

25
Q

What is the origin of health theory?

A

-Association between disease and low birth weight/placenta weight

26
Q

What diseases are associated with origin of disease theory?

A
  • Coronary heart disease
  • T2 Diabetes
  • Hypertension
27
Q

What is foetal programming?

A

-Foetus adapts to conditions in utero which predisposes an individual to disease

28
Q

What is epigenetics?

A

-Inheritance of phenotype resulting from changes in a chromosome without changes in DNA sequences, eg methylation, change in histone structure