Sugar, Sex And Satiety Flashcards

(43 cards)

1
Q

Above what BMI is a person considered obese?

A

30

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2
Q

What do orexigenic signals do

A

Lowers energy expenditure
Lowers satiety
Increases food intake
Increases lipogenesis

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3
Q

Describe neuropeptide Y.

A

Orexigenic signal released into the paraventricular nucleus of the hypothalamus

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4
Q

Describe agouti-related peptide

A

Orexigenic signal released into the paraventricular nucleus of the hypothalamus

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5
Q

Describe 5HT (satiety)

A

Anorexigenic peptide released into the paraventricular nucleus of the hypothalamus

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6
Q

Where is leptin produced?

A

Adipose tissue

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7
Q

Where are leptin receptors found?

A

Satiety centre of the hypothalamus

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8
Q

Is leptin orexigenic or anorexigenic?

A

Anorexigenic

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9
Q

What do ob/ob mice lack?

A

Leptin genes

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10
Q

What do db/db mice lack?

A

Genes for leptin receptors

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11
Q

Which drug inhibits energy uptake?

A

Phentermine

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12
Q

What drug inhibits fat absorption?

A

Orlistat

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13
Q

What drug enhances energy expenditure?

A

Orlistat

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14
Q

What are the strategies employed to treat obesity?

A

Inhibit energy uptake
Inhibit fat absorption
Enhance energy expenditure
Fat mobilisation stimulation

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15
Q

How does insulin affect leptin activity?

A

Stimulates insulin release, therefore increases leptin activity

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16
Q

How do glucocorticoids affect leptin activity?

A

Glucocorticoids antagonise leptin and insulin, decreasing leptin activity

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17
Q

Where is insulin synthesised and released from?

A

Beta cells in the islet of langherans of the pancreas

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18
Q

What signals the release of insulin?

A

An increase in glucose conc.
Rate of change of glucose conc.
Arg, Leu, ketones, gastrin; secretin

19
Q

Describe phase one insulin release.

A

Glucose enters beta cell via GLUT2 transporter.
Glucose is converted to ATP
ATP blocks the K channel reducing the efflux of K
the cell depolarises causing an influx of Ca
Ca causes exocytosis of insulin granules

20
Q

What effects does insulin have on the liver?

A

Increases glycogenogenesis
Reduces glycogenolysis
Increases glycolysis
Reduces glucoenogenesis

21
Q

What effect does insulin have on muscle?

A

Increases amino acid uptake and synthesis
Increases glucose uptake
Increases glycolysis
Increases glycogenogenesis

22
Q

What effect does glucose have on adipose tissue?

A

Increased lipogenesis
Reduced lipolysis
Increases triglyceride formation

23
Q

How does the insulin receptor initiate intracellular signalling?

A

Insulin binds to extracellular alpha subunit

Binding causes the beta subunits to cross-autophosphorylate

24
Q

Name three signalling pathways engaged through insulin receptor activation.

A

IRS-1: link between receptor and other signalling proteins

PLC: catalyses the activation of serine/threonine phosphatase

GLUT4: recruites GLUT4 transporters to the membrane to increase glucose uptake

25
What pathologies does uncontrolled glycaemia produce?
Neuropathy Coma Nephropathy Myocardial infarction
26
What is the pathophysiology of IDDM?
Autoimmune response of HLA antigens attacking beta cells | 0-10% cell function
27
What is the pathophysiology of NIDDM?
Reduced insulin levels | Target tissues are resistant to insulin
28
What is the pharmacokinetic strategy with insulin injections?
Increase ligand concentration to increase receptor activation
29
How do sulphonylureas work?
Block K channels of beta cells Beta cells depolarise Voltage sensitive ion channels open Calcium entry into cell stimulates insulin release
30
How do biguanides work?
Inhibit fatty acid break down Inhibit glucose uptake from gut Inhibit gluconeogenesis and glycogenolysis in the liver Increase tissue sensitivity to insulin
31
How do thiazolenediones work?
Activate PPAR- gamma receptors | Sensetise peripheral tissues to insulin
32
What does GnRH liberate from the anterior pituitary?
FSH and LH
33
What are the principal activities of FSH?
Stimulates follicle development Stimulates oestrogen production in follicle Increases receptor expression in follicle Stimulates Sertoli cells to nourish sperm
34
What are the principal activities of LH?
Stimulates androgen synthesis in follicle Stimulates follicle development and rupture Involved in the conversion of the ruptured follicle to the corpus luteum Stimulates testosterone production
35
What is the gonadotropin released by the zygote and placenta?
LGC
36
What two steroids are the principal female sex hormones?
Oestrogen and progesterone
37
What is COC?
Ethinyloestradiol and norgestrel Pill taken for 21 days 7 drug free days
38
What is POP?
Levonorgestrel | Taken continuously
39
What is the standard HRT?
Ethinyloestradiol and norgestrel
40
What is the post-hysterectomy HRT?
Ratoxifene
41
Drugs used to treat infertility.
Clomiphene
42
Drugs used to treat endometriosis
Danazol
43
How is the BMI calculated?
Weight/(height) squared