Regulation of Food Intake Flashcards

1
Q

What are the functions of ghrelin? (5)

A
  • increases appetite
  • increases gastric motility
  • increases gastric acid secretion
  • increases adipogenesis
  • both increases/decreases insulin secretion

INITIATES THE FEEDING RESPONSE!

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2
Q

Where is ghrelin secreted from? (4)

A

The endocrine cells into the stomach, hypothalamus, large and small intestines

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3
Q

What does ghrelin stimulate?

A

Neurons that release neuropeptide Y (NPY)

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4
Q

What are the functions of insulin? (2)

A
  • decreases appetite

- increases metabolism

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5
Q

Where does insulin bind in the brain?

A

To receptors in POMC and NPY systems

  • inhibits NPY path
  • stimulates POMC path
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6
Q

Where is CCK released from?

A

I cells in duodenum

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7
Q

What does CCK do? (2)

A
  • acts on vagal→NTS→ hypothalamus circuit to decrease ghrelin
  • decreases gastric emptying

Overall ELICITS SATIETY!

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8
Q

Where is PYY released from?

A

L cells of ileum and colon

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9
Q

What does PYY do? (2)

A

Binds to Y2R in hypothalamus, thus:

  • inhibiting NPY neurons
  • releasing inhibition of POMC
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10
Q

Where is leptin secreted from?

A

adipose tissue, endocrine cells of stomach

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11
Q

What does leptin do? (4)

A
  • decreases appetite
  • increases metabolism
  • decreases ghrelin release
  • stimulates POMC path, inhibits NPY path

OVERALL SUPPRESSES APPETITE

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12
Q

What is obesity in humans associated with, in regards to leptin?

A

High leptin levels, failure to respond to endogenous leptin

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13
Q

What does glucagon-like peptide-1 (GLP-1) do? (3)

A
  • reduces food intake
  • suppresses glucagon secretion
  • delays gastric emptying
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14
Q

What do L cells secrete? (3)

A

PYY, GLP-1, oxyntomodulin

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15
Q

What does oxyntomodulin do?

A

It has an anorectic effect

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16
Q

What does pancreatic peptide do?

A

decreases food intake directly through Y4R in brainstem and hypothalamus

17
Q

What does glucagon do? (2)

A
  • reduces food intake

- increases blood glucose levels and insulin secretion

18
Q

What does amylin do?

A
  • Inhibits NPY release (anorectic effect)
19
Q

Where is amylin stored/released?

A

Stored w/ insulin, released w/it too

20
Q

How does the gut-brain axis change in patients with anorexia nervosa?

A
  • Baseline and pulsatile secretion of leptin reduced (associated w/ reduced fat mass)
  • increased levels of PYY
21
Q

What is the function of the lateral hypothalamic area? (LHA)

A

the hunger center

- releases orexigenic peptides (MCH, orexins A and B)

22
Q

What is the function of the ventromedial hypothalamic nucleus? (VMN)

A

the satiety center

23
Q

What is the function of the dorsomedial hypothalamic nucleus?

A

important for food-entrained circadian rhythms

24
Q

What happens in the arcuate nucleus? (general)

A

Most of the integration signaling regarding food intake/energy expenditure