Obesity Mechanisms Flashcards

(7 cards)

1
Q

MC3R and obesity

A
  • in the brain
  • inactive = increased fat mass = decreased lean body mass
  • loss of function mutation = delay in puberty onset
  • plus decreased adult height, decreased lean mass, decreased IGF1 levels
  • but no effect on BMI
  • homozygous mutants = much delayed puberty (approx 20yo)
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2
Q

Nutrient sensing

A

MC3R involved in:
- regulation of growth
- accrual of lean mass
- timing of sexual maturation

MC4R involved in:
- appetite regulation
- energy storage

brain responds to and translates circulating peripheral cues

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3
Q

Feeding circuitry

A
  • innervation from ARC to PVN, DMH and LH is delayed and decreased in ob/ob mice
  • leptin reverses in developing mice, but not adult ob/ob
  • leptin promotes neural outgrowth from ARC
  • synapse number and activity onto POMC and NPY also altered in ob/ob
  • leptin reverses and modulates synaptic plasticity
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4
Q

Monogenic vs polygenic obesity

A
  • GWAS = some genes affect where you store fat whilst others affect BMI/actual fat levels
  • linear correlation between number of BMI risk alleles and mean BMI

Bassoon = protein with role in exocytosis of neurotransmitters
- binds piccolo
- protein truncating variants associated with increased severe obesity risk
- very rare so don’t know when onset occurs (adult-onset)
- is it at puberty? in freshers’ week when you have choice over food? mid-life?

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5
Q

TrkB

A
  • expressed in brain
  • signalling implicated in axonal sprouting, dendritic growth, synapses and LTP
  • central BDNF infusion in mice = decreased food intake and increased weight loss
  • BDNF KO mice = obese
  • TrkB hypomorph = severe obesity and increased linear growth
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6
Q

Risk versus predictability

A
  • difference between population risk scores and individual predictability
  • genes predict but you can still choose how to use them!
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7
Q

DESSERT

A
  • once have had a big meal
  • brain switches to crave high calorie foods
  • to fit more calories in the small space left in stomach
  • high sugar and fat food more desirable (i.e. DESSERT!)
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