Obesity And Diabetes Flashcards

1
Q

Which hormones are released from adipocytes that can alter the metabolism of other organs

A

Adiponectin
Leptin
Resistin
AP2

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2
Q

At the cellular level why is insulin signalling often reduced in obesity

A

Serine is phosphorylated when insulin attaches to receptor instead of tyrosine, blocking the tyrosine cascade

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3
Q

How does adiponectin improve insulin sensitivity

A

Increases fat oxidation
Causes phosphorylation of AMPK

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4
Q

Which appetite hormone increases food intake

A

Grehlin

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5
Q

Which hormone is released from adipose tissue and can impact appetite, physical activity and insulin sensitivity

A

Leptin

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6
Q

What increases in the cell of an obese person is

A

Fatty acyl CoA
Diacylglycerol
Ceramides

This changes phosphorylation state of proteins

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7
Q

What is the effect of obese people not being able to use LPL as effectively

A

LGL breaks down TG so it can be taken up by surrounding tissue

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8
Q

How does insulin resistance impact TG and FFAs

A

Decrease TG clearance and increase FFA release

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9
Q

What do TAG-rich VLDLs do

A

Unload TAG onto HDLs and LDLs

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10
Q

What are TAG-rich HDLs catabolised by

A

Catabolised by the kidney leading to fewer HDLs

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11
Q

What are adipokines

A

Proteins produced by adipose tissue

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12
Q

Which adipocytokines have a role in insulin resistance

A

Fat over-supply (DAG)
TNF-a
Resistin
Leptin
IL-6

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13
Q

Which adipocytokine has a role in insulin sensitivity

A

Adiponectin

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14
Q

How does adiponectin impact fat oxidation in muscle

A

Increases fat oxidation

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15
Q

What is grehlin

A

Increases appetite
Produced by stomach

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16
Q

What is Leptin

A

Insulin desensitiser
Switches off drive to eat
Produced in adipose tissue

17
Q

What hormones decrease appetite

A

Peptide YY
Glucagon-like peptide-1
Cholecystokinin
Pancreatic polypeptide
Oxyntomodulin

18
Q

What is type 1 diabetes

A

Insulin dependent
Occurs during childhood / young adulthood
Pancreatic beta cells are destroyed
Requires daily injections of insulin

19
Q

What is type 2 diabetes

A

Non-insulin dependent
Occurs gradually during adulthood
Metabolic abnormalities
Obesity

20
Q

What is metabolically different in obese people

A

Beta cells less responsive to increased glucose
Increased insulin resistance in target cells (adipocytokines)
Increased fat availability -> increased glucose oxidation (glucose-fatty acid cycle)

21
Q

What methods measure insulin sensitivity

A

Hyperinsulinaemic euglycaemic clamp
Oral glucose tolerance test