Obesity 2 Flashcards

(36 cards)

1
Q

What is NPY?

A

a 36aa peptide that stimulates food intake and reduces energy expenditure

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2
Q

What do high a-MSH levels do?

A

inhibit food intake

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3
Q

When is POMC gene expression increased?

A

when food intake

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4
Q

What does activation of MC3 and MC4 do?

A

suppresses food intake with agonists

enhances food intake with antagonists

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5
Q

What is the phenotype of the Ay mouse?

A
yellow
obese
hyperglycemic
insulin resistant
leptin resistant
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6
Q

What does the Ay gene encode?

A

AGOUTI - the natural antagonist of the MC receptors - (1 for hair colour, 4 for obesity)

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7
Q

What is agouti related protein?

A

co-expressed with NPY in ARC neurons and are antagonists to MC3 and MC4
causes long lasting increased food intake

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8
Q

What does the fa gene do?

A

results in leptin insensitivity

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9
Q

What is the mutation in the fa gene?

A

Q269P

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10
Q

What is the fat mutation?

A

mutation in CPE which is responsible for cleavage of POMC and thus a-MSH

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11
Q

What does the fat mutation cause?

A

massive obesity

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12
Q

What is the tubby mutation?

A

produces truncated protein modelling adult onset obesity

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13
Q

What are the obesity genes in humans?

A
rarely Ob
occassionaly db
Loss of function POMC mutations
No CPE but PC1 
Mutations in MC4
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14
Q

where does Leptin therapy work?

A

only in those who have no leptin

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15
Q

where does Leptin therapy work?

A

only in those who have no leptin

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16
Q

What are the two main theories in leptin resistance?

A

defective transport into the brain

altered signal transduction following binding to receptor

17
Q

What is significant about the PTP-1B knockout mouse?

A

resistant to diet induced obesity and diabetes

18
Q

What is PTP-1B?

A

an enzyme which curtails leptin and insulin signalling

19
Q

What does the IRS-2 KO mouse display?

A

neuronal resistance to leptin and insulin

20
Q

What is SOCS3?

A

a suppressor of cytokine signalling

21
Q

What does SOC3 do?

A

inhibits JAK-STAT signalling, binds to Ob-Rb and prevents leptin signalling

22
Q

What is associated with induction of SOCS3 in the hypothalamus?

A

leptin resistance

23
Q

How does SOCS3 negatively regulate insulin signalling?

A

reduced IRS-mediated signalling

24
Q

What else is considered to be contributors to hypothalamic resistance?

A

SHP2
Hyperleptinemia
ER stress
Inflammation

25
What are some previous drugs for treatment of obesity?
Noradrenergics - CV side effects, appetite suppressants | Serotonergics - appetite suppressants on 5-HT system
26
What was the problem with Sibutramine?
strokes and cardiovascular side effects
27
How did Orlistat work?
inhibited pancreatic lipase by decreased triglyceride absorption reduces efficiency of fat absorption in sm. intestine
28
What is the problem with orlistat?
need supplements, can cause cramping and diarrhoea
29
What is signifcant about CB1 KO mice?
have decreased appetite and are lean
30
What is the issue with Rimonabant?
caused sever depression and anxiety and increased risk of suicide
31
What is Larcaserin?
5HT2c receptor agonist
32
What is Qsymia?
combination therapy - topiramate with phentermine - dosage reduced for approval
33
What is Contrave?
combination of opioid antagonist and dopamine uptake inhibiter - CV issues
34
What is Contrave?
combination of opioid antagonist and dopamine uptake inhibiter - CV issues
35
What is the most effective obesity treatment?
Bariatric Surgery
36
Why is Bariatric surgery so effective?
high level of resolution of T2DM | may affect peptide secretions