Liraglutide as a Potentially Useful Agent for Regulating Appetite in Diabetic Patients with Hypothalamic Hyperphagia and Obesity

被引:27
作者
Ando, Takao [1 ]
Haraguchi, Ai [1 ]
Matsunaga, Tomoe [1 ]
Natsuda, Shoko [1 ]
Yamasaki, Hironori [1 ]
Usa, Toshiro [1 ]
Kawakami, Atsushi [1 ]
机构
[1] Nagasaki Univ, Grad Sch Biomed Sci, Dept Endocrinol & Metab, Nagasaki, Japan
关键词
GLP-1; hypothalamus; hyperphagia; obesity; satiety; GLUCAGON-LIKE PEPTIDE-1; BODY-WEIGHT; FOOD-INTAKE; GLP-1; BRAIN; RECEPTOR; SATIETY; ANALOG; ADULT;
D O I
10.2169/internalmedicine.53.1646
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Hypothalamic hyperphagia and obesity are characterized by a lack of satiety and an abnormally high appetite that is difficult to control. We herein report the cases of two patients with hypothalamic hyperphagia and obesity with MRI-detectable hypothalamic lesions. These patients suffered from diabetes mellitus associated with an abnormal eating behavior and weight gain. Liraglutide was successfully used to treat their diabetes mellitus and suppress their abnormal appetites. Glucagon-like peptide-1 analogues, including liraglutide, are promising treatment options in patients with hypothalamic hyperphagia and obesity, as these agents enhance the hypothalamic input of the satiety signal, which is lacking in such patients.
引用
收藏
页码:1791 / 1795
页数:5
相关论文
共 30 条
[1]
The inhibitory effects of peripheral administration of peptide YY3-36 and glucagon-like peptide-1 on food intake are attenuated by ablation of the vagal-brainstem-hypothalamic pathway [J].
Abbott, CR ;
Monteiro, M ;
Small, CJ ;
Sajedi, A ;
Smith, KL ;
Parkinson, JRC ;
Ghatei, MA ;
Bloom, SR .
BRAIN RESEARCH, 2005, 1044 (01) :127-131
[2]
The expression of GLP-1 receptor mRNA and protein allows the effect of GLP-1 on glucose metabolism in the human hypothalamus and brainstem [J].
Alvarez, E ;
Martínez, MD ;
Roncero, I ;
Chowen, JA ;
García-Cuartero, B ;
Gispert, JD ;
Sanz, C ;
Vázquez, P ;
Maldonado, A ;
de Cáceres, J ;
Desco, M ;
Pozo, MA ;
Blázquez, E .
JOURNAL OF NEUROCHEMISTRY, 2005, 92 (04) :798-806
[3]
Hypothalamic obesity in children [J].
Bereket, A. ;
Kiess, W. ;
Lustig, R. H. ;
Muller, H. L. ;
Goldstone, A. P. ;
Weiss, R. ;
Yavuz, Y. ;
Hochberg, Z. .
OBESITY REVIEWS, 2012, 13 (09) :780-798
[4]
THE DORSOMEDIAL HYPOTHALAMIC NUCLEUS REVISITED - 1986 UPDATE [J].
BERNARDIS, LL ;
BELLINGER, LL .
BRAIN RESEARCH REVIEWS, 1987, 12 (03) :321-381
[5]
Effects of Exenatide on Measures of β-Cell Function After 3 Years in Metformin-Treated Patients With Type 2 Diabetes [J].
Bunck, Mathijs C. ;
Corner, Anja ;
Ellasson, Bjorn ;
Heine, Robert J. ;
Shaginian, Rimma M. ;
Taskinen, Marja-Riitta ;
Smith, Ulf ;
Yki-Jarvinen, Hannele ;
Diamant, Michaela .
DIABETES CARE, 2011, 34 (09) :2041-2047
[6]
CALVO JC, 1995, J NEUROCHEM, V64, P299
[7]
Coculescu M, 1985, Physiologie, V22, P269
[8]
Peripheral versus central effects of glucagon-like peptide-1 receptor agonists on satiety and body weight loss in Zucker obese rats [J].
de Fonseca, FR ;
Navarro, M ;
Alvarez, E ;
Roncero, I ;
Chowen, JA ;
Maestre, O ;
Gómez, R ;
Muñoz, RM ;
Eng, J ;
Blázquez, E .
METABOLISM-CLINICAL AND EXPERIMENTAL, 2000, 49 (06) :709-717
[9]
DISTRIBUTION OF GLP-1 BINDING-SITES IN THE RAT-BRAIN - EVIDENCE THAT EXENDIN-4 IS A LIGAND OF BRAIN GLP-1 BINDING-SITES [J].
GOKE, R ;
LARSEN, PJ ;
MIKKELSEN, JD ;
SHEIKH, SP .
EUROPEAN JOURNAL OF NEUROSCIENCE, 1995, 7 (11) :2294-2300
[10]
GROSS PM, 1992, PROG BRAIN RES, V91, P219