Control of Food Intake Flashcards
Where’s ghrelin secreted from?
stomach fundus
Role of gherlin?
increases hunger + stimulates gastric emptying
stimulates neuropeptide Y + AgRP neurons
Role of PYY?
signals satiety + inhibits gut motility
inhibits same AgRP neurons
What’s obestatin?
peptide derived from same prohormone as ghrelin + opposes effects of ghrelin
Role of amylin?
reduce food intake via medulla of brainstem by delaying gastric emptying
What are enterogastrones eg secretin, CCK (cholecystokinin), GIP (gastric inhibitory peptide)?
hormone secreted by ‘mucosa of the duodenum’ in lower GI tract in response to dietary lipids that inhibit the aboral motion of chyme
What’s relaxation of gastric reservoir (fundus) mediated by?
Reflexes :
- Receptive (mechanical stimulation of pharynx-mechanoreceptors, sight)
- Adaptive (vagal innervation NO/VIP, tension of stomach)
- Feedback (nutrients, CCK)
What are the reflexes (receptive, adaptive, feedback-relaxation) mediated by?
non-adrenergic, non-cholinergic (NANC) mechanisms (inhibition involving NO, VIP,) + reflex chains involving release of NA from sympathetic nerve fibres helping stomach to relax via constriction of blood flow
What’s pituitary adenylate cyclase (AC)-activating peptide (PACAP)?
secretin family of peptides that’s isolated from pituitary,
high levels in brain, but also found in myenteric + submucosal ganglia
Role of PACAP?
- Stimulate adenylate cyclase activity in anterior pituitary
- Mediates neuronal regulation of gastric acid secretion; intestinal motility
- Stimulates relaxation of colonic smooth muscle
- Stimulates pancreatic secretions
- Stimulates insulin + glucagon secretion
Implications of vagotomy?
- Impairs accommodation, gastric compliance, emptying
- Ccause for early satiety in 5% patients
- Nausea + bloating from gastric stasis in absence of a mechanical obstruction
- Disturbances of fundic + antral contractility (but cause can be non-motor factors)
What’s gastroparesis?
delayed gastric emptying
5% of patients who undergo vagotomy
Define Gastric compliance
accommodation + perception of distension
Role of vagotomy?
surgical correction for peptic ulcer disease or malignancy
Define hunger
discomfort caused by lack of food + desire to eat – a strong physiological craving/drive for food/sensation of emptiness in the stomach
Define satiety
state of being full after eating food (joyous moments – no longer need to continue eating)
Define aphagia
inability or refusal to swallow
Define hyperphagia/polyphagia
abnormal desire for food (extreme unsatisfied drive to eat)
Define appetite
psychological desire/drive to satisfy the body’s needs of food; a hunger-stimulated response
Role of satiety?
signals function to prolong the interval until hunger or the onset of next meal
What’s appetite influenced by?
social situations, food palatability, emotional, habitual, circadian factors
What’s BMI?
70% due to genes, how much we eat + its composition BMI: <18.5kg/m^2 = underweight >30kg/m^2 = overweight >35kg/m^2 = obese >40kg/m^2 = morbidly obese
How hypothalamus controls appetite + food intake?
base has several nuclei that regulate energy homeostasis → control appetite, size of helping, ingestive behaviour
What has executive control of food intake?
prefrontal cortex + limbic system
Role of prefrontal cortex?
Food-seeking
- Integration of sensory information from inside + outside body
- Receive emotional + cognitive info from limbic system
- Helps make choices by translating all homeostatic + environmental info into adaptive behavioural response
Role of limbic system?
Complex system of nerves + networks in brain : areas concerned with instinct + mood
- Control emotions, pleasure (fear, anger)
- Satiation of feeding behaviour associated with motor planning + execution
Role of cortico-limbic?
- mechanisms of reward under executive control of prefrontal cortex
- prefrontal cortex receives sensory, emotional, cognitive info from limbic system
- connected to cortical areas involved in motor planning + execution
Role of lateral hypothalamus (LH)?
hunger/thirst centre
Role of ventromedial nucleus (VMN)?
satiety centre
Role of dorsomedial nucleus (DMN)?
modulates energy intake (hunger centre)
release NPY into DMN to ↑ feeding
Role of paraventricular nucleus (PVN)?
modulates feeding behaviour
Parts of brain that control feeding behaviour?
Lateral hypothalamus (LH) Ventromedial nucleus (VMN) Dorsomedial nucleus (DMN) Paraventricular nucleus (PVN)
Role of arcuate nucleus?
Neurons produce orexigenic signals (NPY, opioids, dynorphin, β-endorphin, POMC, galanin, AA, GABA + glutamate)
Role of ventromedial nucleus + lateral hypothalamus?
restrain feeding if required; lesion of VMN to ↑appetite, with weight gain that tends to persist
Role of paraventricular nucleus + perifornical hypothalamus?
control feeding behaviour
NPY, opioids, GABA to ↑ feeding
leptin to↓ food intake
Role of GABA?
reduces feeding behaviour
Role of suprachiasmatic nucleus or nuclei (SCN)?
each side of hypothalamus tiny above optic chiasm
controls circadian rhythms
Role of medial amygdaloid nucleus (MeA)?
sub-region of amygdaloid complex
mediates food intake
Where’s human body clock located?
in suprachiasmatic nuclei
Role of ligands 5-HT (via 5-HT2C + 5-HT1A receptors)-regulates appetite and food intake
regulation of food intake + appetite
Role of orexigenic + anorexigenic NT?
in hypothalamus
- Orexigenic neurotransmitters: ↑appetite
- Anorexigenic neurotransmitters: ↓ appetite
Describe how serotonin agonist suppresses appetite
- appetite suppressing neurons make precursor pro-opiomelanocortin (POMC)
- POMC -> α-MSH
- serotonin 5HT2C agonist eg meta-chlorphenylpiperazine (mCPP)
- binds to 5HT2C receptors on POMC neurons
- activates POMC neurons
- release of α-melanocyte stimulating hormone (α-MSH)
- binds to melanocortin 4 receptors (MC4R)
- suppress appetite
Describe how orexogenic factors (NPY + AGRP) suppress appetite
- NYP + AGRP released in arcuate nucleus
- bind to receptor
- NPY bind to Y receptors
- carry signal transduction mechanisms via GPCR
- ↑appetite
- AGRP a competitive antagonist to MCR4
- natural agonist α-MSH bind to MCR4
- ↓appetite
What does appetite suppressing pathway release?
alpha-melanocyte stimulating hormone (alpha-MSH)
What does appetite suppressing pathway release?
α-melanocyte stimulating hormone (α-MSH)