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MPB 333 The Molecular Endocrinology of Obesity and Diabetes Satiety and Hunger. Meal Patterning in Rodents. Behavioral Satiety Sequence in Rodents. Terminology Hunger Food Seeking Behavior Meal Initiation Meal Meal termination Satiety Satiate Nausea Inter-meal Interval Reward. Reward Pathways.
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MPB 333 The Molecular Endocrinology of Obesity and DiabetesSatiety and Hunger
TerminologyHungerFood Seeking BehaviorMeal InitiationMealMeal terminationSatietySatiateNauseaInter-meal IntervalReward
Satiety Signals • Gastric distension • Gut peptides, hormones, and factors • Ileal brake mechanism
Satiety Signals • Most come from the GI tract. • Secreted in response to food ingestion, create a sensation of fullness or satiety. • Reduce meal size without causing malaise. • Act within the time frame of a single meal • Interact with other controllers of meal size.
Satiety Signals • Reduce meal size comparably • In lean animals and • In genetically obese animals • In diet-induced obese animals • Blocking their action leads to increased meal size. • But…body weight not effected after repeated • injections.
Assays for Proving Satiety • Behavioral Satiety Sequence • Aversive Conditioning
30-Minute Food Intake DOSE The effects of CCK and stomach stretch are integrated in vagal afferent fibers Forebrain Hindbrain Stretch CCK Vagus Nodose Ganglion
Cholecystokinin (CCK) - A well-characterized satiety factor acting on the NTS • Released from I cells in the duodenum in response to nutrients particularly fat and protein • Enters the blood, acts on gut motility, gallbladder contraction, and gastric and pancreatic enzyme secretion • Diffuses locally to activate CCK-A receptors present on the vagal snsory nerves • Reduces food intake in the short-term
PYY: a Gut Peptide Released in Response to Short Chain Fatty Acids Ilial Infusion 50mM SCFA Cherbut et al., Short-chain fatty acids modify motility through nerves and polypeptide YY release. Am. J. Physiol. 275, G1415-G1422, 1998
PYY3-36 inhibits feeding under carefully controlled conditions
PYY3-36 Inhibits Food Intake in Vagotomized Mice Control: Vagotomy blocks inhibition of food intake by CCK
Other Satiety Factors Amylin Preproglucagon-derived peptides PYY Apo A-IV Bombesin
Meal Initiation1.Glucostatic Theory2. Gastric Pressure Receptors3. Ghrelin
Ghrelin: a meal initiation factor acting at the GHS-R From: Cummings, D.E. et al. Diabetes 50, 1714-1719, 2001
Ghrelin Increases Hunger and Food Intake in HumansWren, et al. JCEM. 86(12):5992-5, 2001.
Ghrelin Levels Rise With Weight LossCumming, et al. NEJM. 2002 346:1623-30.
Ghrelin Acts on Vagal and Hypothalamic Neurons to Stimulate Food Intake
Ghrelin Acts on Vagal and Hypothalamic Neurons to Stimulate Food Intake
Leptin Tonically Regulates a Multitude of Circuits Involved in Acute Intake and ExpenditureBehavioralEndocrineAutonomic
Synergy by CCK and Leptin to Inhibit Food IntakeMatson and Ritter. AJP. 45:R1038-45, 1999. 40 a 30 48-hour chow Intake (g) 20 b 10 0 Saline CCK Leptin CCK + Leptin
Leptin Regulates the Responsiveness of Vagal Afferent Nerves to CCK
MC4-R impacts autonomic, endocrine, and behavioral effector pathways to balance energy intake and expenditure so as to maintain energy homeostasis. The melanocortin system is an ideal neuroanatomical substrate for the integration of long-term and short-term energy needs – a second pathway for tonic effects of leptin on satiety