MCP Lecture 9 Flashcards

1
Q

How do you measure BMI?

A

kg/m2

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

What is obesity a risk factor for?

A
  • psychological stress
  • obstructive sleep apnea
  • joint diseases, gallbladder disease, reproductive disorders
  • 20% cancer death
  • cardiovascular disease
  • type II diabetes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What factors effect obesity?

A
  • genetics (polygenic)
  • environment (diet, exercise)
  • gut microflora
  • number of adipocytes established early in life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does the fat-to-brain signaling system work?

A
  • leptin hormone-like signal released from adipocytes
  • goes to hypothalamic leptin receptors
  • hypothalamic centers influence energy intake and energy expenditure through effector molecules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the ob gene encode for?

A

the protein/hormone leptin
behave as if starved (decreased body temp, energy expenditure, immune function, infertility, increased feeding)
if leptin is given, mouse becomes less obese effects reversible

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

What does the db gene encode for?

A

leptin receptor

give extra leptin, continues to become more obese

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

What are orexigenic effectors? What neurons release them?

A

substances that stimulate food intake

AgRP neurons

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

What are anorexigenic effectors? What neurons release them?

A

substances that promote lower food intake

POMC neurons

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

What are long term, short term, and medium term signals that influence appetite and energy expenditure through neuronal activities in the brain?

A

long term: leptin
short term: cholecyskinin
medium term: PYY

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

What happens to leptin levels in obese people?

A

leptin levels extremely high - develop leptin resistance so leptin has limited role in body weight control

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

What are the five main components of energy expenditure?

A
  1. resting energy expenditure (or basal metabolic rate)
  2. energy expended in digesting, metabolizing, storing food
  3. volitional exercise: mechanical and thermic
  4. nonexercise activity thermogenesis (typing, walking)
  5. adaptive (faculative) thermogenesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are forms of adaptive (facultative) thermogenesis?

A
  • shivering (skeletal muscle) bc cold

- nonshivering - brown fat tissue - uncoupling proteins

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

What are the three types of adipocytes?

A
  1. white fat cells - fat storage and body insulation
  2. brown fat cells - heat production - uncoupling protein
  3. beige fat cells - white adipose tissue that has been partially converted
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the uncoupling protein and how does it work?

A

UCP1 - mitochondria
allows proton leak pathways without being coupled with ATP synthesis
-adaptive thermogenesis because energy is released as heat

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

What are proteins with similar function to UCP1 to increase uncoupling? Examples?

A
membrane proteins (adenine nucleotide translocase ANT in skeletal muscle)
protonophores (poke hole in membrane - 2,4-dinitro-pheno DNP)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is UCP1 activated?

A
  1. by fatty acids
    in response to cold and overfeeding - sympathetic neurons release catecholamines to activate the receptores, increasing lipolysis and releases FA activating UCP1
  2. nuclear receptors such as PPARgamma and retinoic acid receptor
17
Q

What is MC4R?

A

melanocortin 4 receptor

involved in appetite regulation

18
Q

What does a mutation in KSR2 cause? Why?

A

severe early-onset obesity

KSR2 activates AMPK which increases FA and glucose oxidation and decreases energy storage

19
Q

What does dinitrophenol do?

A

anti-obesity drug that increases energy expenditure

also thyroid hormone

20
Q

What does phentermines do?

A

anti-obesity drug that reduces feeding by controlling activity of neural circuit

21
Q

What does orlistat do?

A

interferes with fat absorption

22
Q

What does locarserin do?

A

promotes satiety by activating serotonin receptors in the brain

23
Q

What does qysmia do?

A

combination of phentermine and topiramate (anti-epileptic

drug)