Fat as Endocrine Organ Flashcards

1
Q

Leptin– secreted from?

A

white adipose tissue (subcutaneous)

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2
Q

Leptin – effects on body

1) hypothalamus
2) muscle
3) liver
4) pancreas

A

1) increase satiety, and decrease NPY release (hunger suppresant)
2) increase glucose uptake and metabolism
3) increase glucose production (gluconeogensis, glycogenolysis)
4) increase insulin

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3
Q

What suppresses Leptin?

A

Androgens

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4
Q

Short form Leptin

A

peripheral action

stimulates growth

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5
Q

Long form

A

central action
suppresses NPY (satiety, hunger suppressant)
regulates reproduction! (enhances puberty onset, fertility)

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6
Q

Leptin induces expression of what in the arcuate nucleus?

A

alpha-MSH
CART

these suppress hunger/food intake

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7
Q

Leptin represses suppression of what from arcuate nucleus?

A

NPY and AgRP

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8
Q

High levels of Leptin can cause what?

A

Hypertension

Osteoarthritis

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9
Q

High levels of Leptin decrease your risk of what?

A

Alzheimers/demensia

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10
Q

Leptin & seizures

A

anti-convulsant

suppresses glutamate induced excitatory events mediated by AMPA-R

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11
Q

Adiponectin– where does it come from?

A

white & brown adipose tissue

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12
Q

Adiponectin– main role?

A

decreases insulin resistance// insulin sensitizer!

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13
Q

TZD and Adiponetctin

A

TZD is a dmII treatment

it activates PPARgama (ligand for FFAs). This induces transcription factors:

1) increases adiponectin, decreases TNF-alpha & Leptin
2) decreases lipolysis and FFAs

overall effect?
IMPROVES SENSITIVITY TO INSULIN

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14
Q

TNF-alpha and adiponectin

A

decreases adiponectin (it is a proinflammtory cytokine)

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15
Q

AdipoR1

A

binds globular adiponectin in SKELETAL muscles

stimulates B-ox in muscle

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16
Q

AdipoR2

A

binds full-length adiponectin in Liver

decreases glucose output

17
Q

TNF-alpha

produced from where?

A

subcutaneous adipose tissue

18
Q

TNF-alpha

main role? So what does it do exactly?

A

increases insulin resistance in liver!

aka starved/between meals
increases lipolysis
interferes with insulin tyrosine receptor
decrease adiponectin

19
Q

IL-6

A

produced in visceral adipocytes

increases insulin resistance in liver
decreases adiponectin