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Gut hormones as peripheral anti obesity targets
Caroline J Small1, Stephen R Bloom
1Department of Metabolic Medicine, Division of Investigative Science, Imperial College London, Hammersmith Campus, Du Cane Road, London, W12 ONN, UK.
Summary
Gut hormones like Peptide YY (PYY) and glucagon-like peptide 1 (GLP-1) show therapeutic potential for obesity by reducing food intake. Ghrelin, conversely, increases appetite and contributes to obesity.
Area of Science:
- Endocrinology
- Gastroenterology
- Pharmacology
Background:
- Gastrointestinal (GI) peptides regulate GI function and influence eating behavior, presenting potential anti-obesity targets.
- Obesity is a major global health concern with accelerating prevalence and significant mortality.
- Naturally occurring gut hormones and their receptor interactions are key to understanding and potentially treating obesity.
Purpose of the Study:
- To explore the therapeutic potential of gut hormones and their G-protein coupled receptors (GPCRs) for obesity treatment.
- To review the mechanisms by which specific gut hormones influence food intake and appetite.
- To assess the efficacy of exogenous gut hormone administration in modulating eating behavior.
Main Methods:
- Review of existing literature on gut hormone function and their roles in appetite regulation.
- Analysis of studies involving peripheral and central administration of gut hormones in animal models and humans.
- Examination of the specific GPCRs (e.g., NPY Y2, GLP-1 receptor, GHS-R) mediating hormone actions.
Main Results:
- Peripheral administration of Peptide YY (PYY 3-36) significantly inhibits food intake in mice, rats, and humans, including obese individuals.
- Glucagon-like peptide 1 (GLP-1) and oxyntomodulin decrease food intake via peripheral or central administration, acting through the GLP-1 receptor.
- Ghrelin administration increases food intake and appetite, with chronic administration leading to obesity, acting via the growth hormone secretagogue receptor (GHS-R).
Conclusions:
- Gut hormones like PYY, GLP-1, and oxyntomodulin represent promising therapeutic targets for obesity management.
- Understanding the signaling pathways of gut hormones through their respective GPCRs is crucial for developing effective anti-obesity strategies.
- Exogenous administration of certain gut hormones offers a potential long-term therapeutic approach for weight control.