Effect of somatostatin infusion on peptide YY secretion : studies in the acute and recovery phase of anorexia nervosa and in obesity
Articolo
Data di Pubblicazione:
2011
Citazione:
Effect of somatostatin infusion on peptide YY secretion : studies in the acute and recovery phase of anorexia nervosa and in obesity / A.E. Rigamonti, S.G. Cella, S.M. Bonomo, G. Mancia, G. Grassi, M. Perotti, F. Agosti, A. Sartorio, E.E. Müller, A.I. Pincelli. - In: EUROPEAN JOURNAL OF ENDOCRINOLOGY. - ISSN 0804-4643. - 165:3(2011 Sep), pp. 421-427.
Abstract:
Objective: Changes in many gastrointestinal peptides, including the anorexigenic peptide YY (PYY), which is produced by L cells, occur in both anorexia nervosa (AN) and obesity (OB). High PYY Levels are present in AN, whereas in morbid OB fasting and postprandial PYY secretion is blunted. Somatostatin (somatotropin release-inhibiting factor (SRIF)) reportedly inhibits plasma PYY concentrations in animals and healthy humans, but the effect of a SRIF infusion on spontaneous PYY secretion in AN and OB is unknown. Methods: A total of 18 young women, seven with acute AN (A-AN), four with AN in the recovery phase (R-AN), and seven with morbid OB, were studied. All subjects underwent an infusion of SRIF (9 μg/kg i.v./h, over 60 min), with blood samples drawn before and at different time intervals after SRIF administration. Plasma PYY levels were measured at each time point. Results: SRIF significantly inhibited plasma PYY concentrations in R-AN and OB, without affecting PYY titers in A-AN. In OB, the inhibitory effect of SRIF also persisted at 90 min. Withdrawal of SRIF infusion in R-AN resulted in a prompt restoration of basal plasma PYY levels, whereas termination of SRIF infusion in OB was followed by a slower increase of PYY titers toward baseline levels. After infusion, PYY Δ area under the curve (ΔAUC) in R-AN was significantly higher than those in A-AN and OB patients. A significant difference in PYY ΔAUC between A-AN and OB was present. Conclusions: These results suggest the existence of a hypo- and hyper-sensitivity of L cells to the inhibitory effect of SRIF in A-AN and OB respectively.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Adolescent; Anorexia nervosa; Body Mass Index
Elenco autori:
A.E. Rigamonti, S.G. Cella, S.M. Bonomo, G. Mancia, G. Grassi, M. Perotti, F. Agosti, A. Sartorio, E.E. Müller, A.I. Pincelli
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