Physio: Feeding Regulation Flashcards

1
Q
Define:
Hunger
Appetite
Satiety
Hyperphagia
Aphagia
A

Hunger – carving for food, activated during energy deficits (maybe jones carves and eats pumpkins?)

Appetite – desire for food, often a particular type

Satiety – successful quest for food, would turn off hunger

Hyperphagia – vigorous eating

Aphagia – reversal to eat (maybe jones reverses her raincoats and then eats?)

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2
Q

Hypothalamic nucleus involved in satiety.

A

Ventromedial

-lesions increase eating (same with paraventricular nucleus lesions)

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3
Q

Hypothalamic nucleus involved in feeding.

A

Lateral

-lesions lead to satiety (same with dorsal medial nucleus lesions)

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4
Q

Hypothalamic nucleus that controls GI hormones

A

Arcuate Nucleus

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5
Q

Name 5 GI hormones that decrease feeding.

A
  1. CCK
  2. Glucagon-Like Protein 1 (GLP-1)
  3. Insulin
  4. Peptide Tyrosine-Tyrosine (PYY)
  5. Leptin (from adipocytes)
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6
Q

Name 2 GI hormones that increases feeding.

A

Ghrelin

Somatostatin

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7
Q

Receptor that is activated in neurons to suppress eating.

A

MCR-4

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8
Q

Neurons that antagonize the MCR-4 receptor to increase feeding. (orexigenic)

A

AGRP/NYP

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9
Q

Neurons that activate the MCR-4 receptor to decrease feeding. (anorexigenic)

A

POMC/CART

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10
Q

Protein used to measure the body’s insulin production.

A

C-peptide

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11
Q

Name 3 incretins that stimulate insulin release.

A
  1. CCK
  2. GLP-1
  3. GIP
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12
Q

Main stimulator of insulin release.

A

Increased plasma glucose

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13
Q

Describe the mechanism of insulin release in response to glucose.

A
  1. Glucose enters beta cells thru GLUT-2
  2. Glucose metabolized to ATP
  3. ATP closes potassium channels and depolarizes the cell
  4. Calcium channels open signaling the ER to produce insulin and send it in vesicles to be released into the blood.
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14
Q

How do amino acids stimulate insulin release?

A

Glucogenic AA are converted to pyruvate, which is converted to ATP thru the citric acid cycle and electron transport chain. The ATP follows the same pattern as the glucose mechanism.

Ketogenic AA are converted to Acetyl CoA and then converted to ATP in the CAC and ETC.

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15
Q

How do CCK and ACh (parasympathetics) stimulate inslulin release?

A

They increase IP3 which leads to calcium influx in the beta cells.

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16
Q

Enzyme that breaks down chylomicrons and releases dietary fatty acids so they can be stored in adipose tissue.

A

Lipoprotein Lipase (LPL)

17
Q

Enzyme that liberates stored fatty acids from adipose tissue so they can be sent to the liver for fatty acid oxidation.

A

Hormone Sensitive Lipase (HSL)

  • inhibited by insulin
  • stimulated by low blood glucose
18
Q

Why is it important for the body to release glucagon after a protein-rich meal?

A

AA from the meal will stimulate insulin release. High protein meals do not contain much glucose so the insulin would cause severe hypoglycemia. The glucagon is stimulated by insulin to maintain blood sugar.