Ontology highlight
ABSTRACT: Objective
It has been previously reported that early after Roux-en-Y-gastric bypass, dopamine (DA) type 2 and 3 receptor (D2/3R) binding potential (BPND ) was decreased from preoperative levels. The current study aimed to determine whether calorie restriction without weight loss modifies D2/3R BPND and whether such changes are explained by neuroendocrine regulation.Methods
Fifteen females with obesity (BMI?=?39?±?6 kg/m2 ) were studied before and after ?10 days of a very-low-calorie-diet (VLCD). Outcome measures included fasting insulin, leptin, acyl ghrelin, and glucose, and insulin sensitivity and disposition index were estimated using the oral-minimal model (OMM) method. Participants underwent positron emission tomography scanning with the displaceable radioligand [18 F]fallypride to estimate available regional D2/3R levels. Regions of interest included the caudate, putamen, ventral striatum, hypothalamus, and substantia nigra (SN).Results
With the VLCD, weight decreased slightly (-3 kg). Insulin, glucose, and leptin decreased significantly, but there was no change in acyl ghrelin or measures from OMM. SN D2/3R BPND decreased significantly, with trends toward decreased levels in the remaining regions. The decrease in leptin concentration strongly predicted the change in D2/3R BPND in all regions (all P???0.004).Conclusions
In obesity, reductions in regional D2/3R availability after VLCD are suggestive of increased endogenous DA competing with the radioligand. Changes in regional D2/3R availability were associated with decreases in leptin concentrations that occurred before clinically significant weight loss.
SUBMITTER: Dunn JP
PROVIDER: S-EPMC5718041 | biostudies-literature | 2017 Nov
REPOSITORIES: biostudies-literature
Dunn Julia P JP Abumrad Naji N NN Kessler Robert M RM Patterson Bruce W BW Li Rui R Marks-Shulman Pamela P Tamboli Robyn A RA
Obesity (Silver Spring, Md.) 20170925 11
<h4>Objective</h4>It has been previously reported that early after Roux-en-Y-gastric bypass, dopamine (DA) type 2 and 3 receptor (D2/3R) binding potential (BP<sub>ND</sub> ) was decreased from preoperative levels. The current study aimed to determine whether calorie restriction without weight loss modifies D2/3R BP<sub>ND</sub> and whether such changes are explained by neuroendocrine regulation.<h4>Methods</h4>Fifteen females with obesity (BMI = 39 ± 6 kg/m<sup>2</sup> ) were studied before and ...[more]