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Ghrelin and obestatin The gut-brain relationship Authors: Mureșan Patricia Kiss Szabolcs L’Hoste Loïck Coordinator: Julia Szakacs MD What are you more afraid of? Photo source: http://www.debatingeurope.eu/ and http://www.zocalopublicsquare.org/ Contents • Introduction • Ghrelin • Obestatin • Discussion • Ghrelin • Obestatin • Future resolutions INTRODUCTION • 1.9 billions of adults overweight • 600 million obeses • Increase the risk for several diseases • Gut peptides: very active research field for their implications in metabolism and apetite • Relation gut-brain also includes: mood, stress and reward GHRELIN • 28 AA, Kojima et al (1999) • From preproghrelin peptide (stomach) • GPR39 • • GH secretion and release ++ Effects: • • • • OREXIGENIC Food intake and body weight CNS Elevated levels before meals “hormone of hunger” A.Labarthe; O. Fiquet, R. Hassouna, P. Zizzari, L. Lanfumey et al, Ghrelin-derived peptides: a link between appetite/reward, GH axis, and psychiatric disorders ? Frontiers in Endocrinology 5 (2014) 1-19. BIOLOGICAL EFFECTS • Food consumption FOOD Gh OREXIGENIC Photo source: http://clipartzebraz.com/files/1/21599_judo-clipart.html and http://www.diabetesobesity.org.uk/hypothalamic-nuclei.html • CNS effects • • • • • • Memory Learning Motivation Anxiolytic Regulates mood Alcohol and drug consumption (enhanced; blocked by GHSR1 antogonist) • NEUROPROTECTIVE Photo source: http://www.dreamstime.com/ ANTAGONIST HORMONES LEPTIN ENDO CANNABI NOIDS CCK Orexigenic effects of GHRELIN PYY OBESTATIN OBESTATIN • 23 AA, Zhang et al (2005) • From preproghrelin peptide Bachem pioneering partner for peptides: Ghrelin, leptin and obestatin Obestatin related disorders Disorder Obesity Anorexia nervosa Obestatin Negatively correlated with BMI, Insulin resistance Index, plasma leptin / Depends on subtype Anxiety and stress ? A.Labarthe et al, Ghrelin-derived peptides: a link between appetite/reward, GH axis, and psychiatric disorders ? Frontiers in Endocrinology 5 (2014) Discussion about ghrelin • Controversy: Anxiolytic or Anxiogenic K.P. Skibicka, S.L. Dickson, Enteroendocrine hormones – central effects on behavior, Current Opinion in Pharmacology. 13 (2013) Discussion about ghrelin • Important role in evolution (survival) • Diseases related to ghrelin • Anorexia • Restrictive • Binge-purging • Treatments: • Cachexia • Obesity Photo source: https://www.pinterest.com/ Discussion about obestatin • Ultradian rhythmicity • cplasma alters with nutritional status of the body • Suggested signaling pathway: GHSR CNS effects Mood Memory retention Anxiety Obestatin influences the CNS ? Motivation Reward CONCLUSION • Obestatin: lack of knowledge ++ • Ghrelin: • Agonist: – anorexia • Antagonist: – Obesity – Addiction • Medication circuit vs Discovery of Ghrelin Further research needed • Ghrelin • Mechanisms of ghrelin • to modulate synapses (memory) • To sensibilize to drugs and alcohol addictions • Efficiency of the neuroprotection on diseases: • Neurodegeneration • Strokes • Obestatin • To find the receptor of obestatin • To improve the present knowledge Z.B. Andrews, The extra-hypothalamic actions of ghrelin on neuronal function, Trends in Neurosciences (2011) THANK YOU FOR YOUR ATTENTION Photo source: https://secure.bengordoncenter.org/category/eating-disorders/page/2/