肥胖症的药物治疗进展

肥胖症是指能量的摄入大于消耗,造成体内脂肪过度积聚而引发的疾病,肥胖症已成为一种发病率逐年增加的流行疾病,许多代谢性疾病均与肥胖密切相关。目前对于肥胖症的治疗主要有药物、手术和行为学治疗三方面,本文介绍肥胖的药物治疗。     

肥胖基因的研究进展

肥胖症是摄食和能耗平衡机制的失调,可引起多种疾病,如Ⅱ型糖尿病、高血压、高血脂和癌症等.肥胖基因的克隆为研究肥胖的机制提供了重要途径.肥胖基因编码消瘦激素,作用于下丘脑,控制代谢、能耗和生殖系统.实验表明,重组的消瘦激素具有使肥胖基因缺陷和神经肽Y缺陷小鼠代谢和体重正常化,恢复肥胖基因缺陷小鼠生育能力等活性.进一步研究肥胖基因作用机制,开发针对各种缺陷的药物,能使肥胖症的治疗成为可能.     

棕色和米色脂肪激活剂: 潜在的减肥靶标

全球性肥胖症及其代谢疾病已经严重影响人类健康。因此,对其进行治疗变得愈加重要。新近研究表明,激活棕色和米色脂肪可能成为对抗肥胖的有效途径。白色脂肪棕色化可使储存能量的白色脂肪转化为具有类似棕色脂肪产热特性的米色脂肪,来增加耗能,对抗肥胖。本文综述了棕色和米色脂肪激活剂及其作用机制的研究进展,并从纳米技术的角度展望了其在肥胖症治疗中的应用前景。     

Coelin通过调节脂肪生成和增加脂肪组织的能量消耗来改善代谢失调

正在发展中国家,肥胖症和相关的代谢性疾病正以惊人的速度上升。据世卫组织称,自1975年以来,肥胖症的流行率增加了两倍,超过19亿成人和3.4亿儿童和青少年属于超重或肥胖类别。关于肥胖症的治疗,其中一个备受关注的代谢紊乱的解决方案是找出有能力减少肥胖和增加胰岛素敏感性的天然分子。来自印度中央药物研究所的Gaikwad团队,近日利用CFPMA模型(使用已知抗脂肪生成化合物的共同特征药理模型)确定了新的抗血脂和抗脂肪生成的化合物——Coelogin(CLN),     

运动改善肥胖症瘦素抵抗及其机制研究进展

大部分肥胖患者体内出现瘦素抵抗,表现为血清瘦素水平异常升高,但机体对瘦素不敏感或无反应,使瘦素抑制食欲、增加能量消耗和降低血糖等功能不能有效发挥.减轻瘦素抵抗被认为是治疗肥胖及肥胖相关疾病的有效途径.运动减轻肥胖、改善糖脂代谢和增强胰岛素敏感性的作用与运动降低瘦素水平、改善瘦素抵抗密切相关.本文在概述瘦素实现生理功能的机制、肥胖症的中枢及外周瘦素抵抗的基础上,主要综述近年来运动减轻肥胖症瘦素抵抗机制的研究进展,包括减轻高瘦素血症、改善中枢和外周瘦素抵抗,以期为运动防治肥胖机制的研究提供新视角.     

肥胖症易感基因——FTO的研究进展

FTO（fat mass and obesity associated）是肥胖症易感基因,表达于人体各组织,且在下丘脑中高表达。它能编码核酸去甲基化酶,通过去甲基化作用影响其他相关基因表达。FTO的基因多态性与体重指数（BMI）及肥胖症密切相关。FTO能够影响能量摄入及能量消耗,并通过多种途径诱导人群中肥胖症及2型糖尿病等相关疾病的发生,而FTO失活的小鼠能够避免肥胖发生。主要综述了FTO基因多态性与肥胖等疾病易感性的相关性、FTO可能的作用机制和FTO对人群中能量平衡的影响。     

嗜粘蛋白阿克曼菌在糖尿病和肥胖中的作用

肠道微生物在平衡健康与疾病的过程中起着重要作用。嗜粘蛋白阿克曼菌(Akkermansia muciniphila)是肠道微生物中的一种,其在降解肠道粘蛋白方面的特性使其成为肠腔与宿主细胞黏膜界面的关键生物。嗜粘蛋白阿克曼菌与肥胖、糖尿病、心血管代谢疾病和低度炎症呈负相关。口服嗜粘蛋白阿克曼菌可改善小鼠代谢疾病的相关症状,嗜粘蛋白阿克曼菌有望成为治疗2型糖尿病和肥胖的候选药物。本综述通过总结现有关于嗜粘蛋白阿克曼菌在糖尿病和肥胖症中发挥作用的研究,指出嗜粘蛋白阿克曼菌调节宿主和肠道微生物群之间相互作用可能存在的机制,为嗜粘蛋白阿克曼菌的进一步研究和糖尿病的新药研发提供思路。     

脂联素的研究进展及与多种疾病的关系

超重和肥胖对心血管疾病,糖尿病及其它疾病的发生发展及预后有着重要的意义。脂联素是脂肪细胞介导的分泌蛋白,在体内和体外的大量实验中,都被证实具有多种功能:抗炎、改善胰岛素抵抗、抗动脉粥样硬化、降血糖、降血脂、抗氧化等。作为生物标记物,脂联素在临床研究中受到广泛关注。根据最新的研究结果,本文简要的介绍了脂联素的主要结构特征,作用机制,参与胰岛μ细胞的功能和存活、胰岛素抵抗的作用,以及与多种疾病之间的关系。作为唯一一个在肥胖患者体内水平下调的脂肪因子,脂联素对肥胖症、糖尿病、心血管疾病、肾脏疾病的保护作用及其分子机制的研究具有深远的意义,为相关疾病的预防和治疗提供新的思路。同时相关研究也为药物治疗提供可靠的下游靶点。     

褐色脂肪组织代谢与肥胖

肥胖是由于机体能量储存与消耗的失衡而产生的.褐色脂肪组织通过产热的形式,能够将体内过多的能量释放出来,以减少能量积累,避免造成肥胖.现从褐色脂肪组织的结构、分布、功能以及调控机制等方面,对褐色脂肪组织与肥胖症的关系作一综述,旨在为防治肥胖症及相关疾病寻找理论基础和实验依据.     

来源于中药和功能性食品的脂肪酸合酶抑制剂（英文）

肥胖症及其相关疾病已成为迫切需要解决的公共卫生问题。脂肪酸合酶（fatty acid synthase,FAS）是一种多功能复合酶,对长链脂肪酸的生物合成发挥至关重要的作用,是治疗肥胖、2型糖尿病、癌症、炎症和心血管疾病等的潜在靶点。在过去的30年里,FAS抑制剂的研究受到越来越多的关注。在中国,传统中药和功能性食品广泛被应用于慢性疾病的预防和治疗,其中有多种天然产物对FAS的活性表现出很强的抑制作用。本文综述了来源于中药和功能性食品中的FAS抑制剂结构和活性特点,为天然来源的FAS抑制剂治疗肥胖症和相关疾病提供了依据。     

How do potentials derived from structural databases relate to “true” potentials?

Knowledge-based potentials are used widely in protein folding and inverse folding algorithms. Two kinds of derivation methods are used. (1) The interactions in a database of known protein structures are assumed to obey a Boltzmann distribution. (2) The stability of the native folds relative to a manifold of misfolded structures is optimized. Here, a set of previously derived contact and secondary structure propensity potentials, taken as the "true" potentials, are employed to construct an artificial protein structural database from protein fragments. Then, new sets of potentials are derived to see how they are related to the true potentials. Using the Boltzmann distribution method, when the stability of the structures in the database lies within a certain range, both contact potentials and secondary structure propensities can be derived separately with remarkable accuracy. In general, the optimization method was found to be less accurate due to errors in the "excess energy" contribution. When the excess energy terms are kept as a constraint, the true potentials are recovered exactly.     

THE MAINTENANCE OF GYNODIOECY AND ANDRODIOECY IN A METAPOPULATION

Males and females are at a selective disadvantage relative to hermaphrodites (cosexuals) in species with a colonizing habit, as only cosexuals are able to establish new colonies on their own. The implications of this disadvantage are assessed by means of a computer model of metapopulation dynamics, in which individual colonies are established through different rates of immigration and suffer different rates of local extinction. Results are given for simulations of an island model, a stepping-stone model, and for a partial analysis of the island model with simplifying assumptions. It is shown that: (1) unisexual frequencies in a metapopulation can be reasonably approximated by a linear function of the logarithm of the ratio of the immigration rate to the colony extinction rate; (2) metapopulation dynamics favor the maintenance of females (gynodioecy) over males (androdioecy) with cosexuals when they would otherwise be equally likely in a panmictic situation; (3) the way in which extinction and immigration rates affect unisexual frequencies at metapopulation equilibrium interacts with whether sterility is determined by a dominant or a recessive allele; and (4) unisexual frequencies are affected in a qualitatively similar way by the dynamics of a metapopulation when cosexuals are self-incompatible to when they are self-compatible, although only in the former case are high frequencies of unisexuals maintained when extinction and colonization rates approach the threshold at which the metapopulation goes extinct. These results are discussed with reference to existing data from species with nuclear male or female sterility.     

Cladistic Analysis of A Problematic Ammonite Group: the Hamitidae (Cretaceous, Albian–turonian) and Proposals for New Cladistic Terms

The Hamitidae are a family of mid–Cretaceous heteromorph ammonites including lineages leading to four other families. Problems are outlined in trying to describe the phylogeny of completely extinct groups such as these heteromorph ammonites using the existing cladistic terminology, which is largely concerned with extant taxa and their ancestors. To solve these problems, two new terms are proposed: †crown groups and †stem groups, which are equivalent to crown and stem groups in terms of the evolutionary history of a clade, but are not defined on the basis of extant taxa. Instead they are defined by the topology of the phylogenetic tree, the †crown group being a clade defined by synapomorphies but which gave rise to no descendants. A †stem group is a branch of a phylogenetic tree which comprises the immediate sister groups of a given †crown group but is not itself a clade. Examples of these terms are described here with reference to the phylogeny of the Hamitidae and their descendants. The Hamitidae are paraphyletic and form †stem groups to a number of †crown groups, namely the Anisoceratidae, Baculitidae, Scaphitidae, and Turrilitidae. The definitions of the genera and subgenera are refined with respect to the type species and the clades within which they occur, and four new genera are described: Eohamites , Helicohamites , Sziveshamites , and Planohamites .     

Ultrastructural and biochemical studies of the swelling of developing chick telencephalic slices

Summary An ultrastructural and biochemical study of the importance and localization of tissue swelling was performed on telencephalic slices of 1- and 30-day-old chicks incubated in an oxygenated or a non-oxygenated physiological medium. The swelling of slices is greater for 30-day-old chick material than for that from 1-day-old chicks. It also reaches higher values in the non-oxygenated than in the oxygenated medium. When the 30-day-old chick telencephalic slices are incubated in an oxygenated medium, swelling mainly affects astrocytes, and especially the astrocytic endfeet. When they are incubated in a non-oxygenated medium, the astrocytes and astrocytic endfeet are very swollen and in addition the swelling also affects the neurons and their organelles. Extracellular space is increased. When 1-day-old chick telencephalic slices are incubated in a non-oxygenated medium, the tissue structures are well preserved. Swelling predominantly affects astrocytes and astrocytic endfeet. Neurons are not affected and the extracellular space is reduced. However, when they are incubated in an oxygenated medium, tissue structures are greatly affected showing a high degree of disorganization. Extracellular space is greatly increased. This study thus indicates that the best incubation conditions are an oxygenated medium for 30-day-old chick telencephalic slices which are characterized by an aerobic metabolism, and a non-oxygenated medium for 1-day-old chick telencephalic slices which have a predominantly anaerobic metabolism.     

Cephalic morphology of Hymenopus coronatus (Insecta: Mantodea) and its phylogenetic implications

External and internal head structures of the mantodean Hymenopus coronatus are examined and described in detail. The results are elaborately compared with the literature. Strong crests on the anterior tentorial arms that articulate with the subantennal suture, a parietal suture and glossae and paraglossae with anteriorly bent tips are proposed as new potential apomorphies for Mantodea while a head capsule being wider than long, enlarged compound eyes, the presence of a frontal shield or scutellum, lateral lobes in the anterior tentorial arms, the presence of a transverse and an interantennal suture and the reduction of the mentum are confirmed as apomorphies, As potential apomorphies for Dictyoptera the reduction of Musculus tentoriobuccalis lateralis (M. 49) is newly presented and a “perforate” tentorium, lacinial incisivi that are located in a galeal pouch and the presence of a postmola are confirmed. The present study shows the value of cephalic morphology for phylogenetic analysis but also points out that further studies including evolutionary key taxa are essential for resolving the evolutionary adaptations among dictyopterans.     

Biological functions of amyloids: Facts and hypotheses

Amyloids are fibrous protein aggregates that arise via polymerization of proteins with their concurrent conformational rearrangement and the formation of a specific cross-β structure. Amyloids are of particular interest as a cause of a vast group of human and animal diseases called amyloidoses. Some of these diseases are caused by prions, a specific type of amyloids, and are transmissible. Apart from mammals, prion amyloids are described in lower eukaryotes, where they act as nonchromosomal genetic determinants. Although amyloids are usually associated with pathologies in humans and animals, the increasing number of findings suggests that the acquisition of an amyloid or prion form by a protein is of biological significance in some cases. The review summarizes the data on the biological significance of prion and nonprion amyloids in a wide range of species from bacteria to mammals.     

Adaptive change in the resource-exploitation traits of a generalist consumer: the evolution and coexistence of generalists and specialists

Mathematical models of consumer-resource systems are used to explore the evolution of traits related to resource acquisition in a generalist consumer species that is capable of exploiting two resources. The analysis focuses on whether evolution of traits determining the capture rates of two resources by a consumer species produce one generalist, two specialists, or all three types, when all types are characterized by a common fitness function. In systems with a stable equilibrium, evolution produces one generalist or two specialists, depending on the second derivative of the trade-off relationship. When there are sustained population fluctuations, the nature of the trade-off between the consumer's capture rates of the two resources still plays a key role in determining the evolutionary outcome. If the trade-off is described by a choice variable between zero and one that is raised to a power n, polymorphic states are possible when n > 1, which implies a positive second derivative of the curve. These states are either dimorphism, with two relatively specialized consumer types, or trimorphism, with a single generalist type and two specialists. Both endogenously driven consumer-resource cycles, and fluctuations driven by an environmental variable affecting resource growth are considered. Trimorphic evolutionary outcomes are relatively common in the case of endogenous cycles. In contrast to a previous study, these trimorphisms can often evolve even when new lineages are constrained to have phenotypes very similar to existing lineages. Exogenous cycles driven by environmental variation in resource growth rates appear to be much less likely to produce a mixture of generalists and specialists than are endogenous consumer-resource cycles.     

Italian palaeolithic and mesolithic burials

More than 50 skeletons have been found in Italy in Upper Palaeolithic and Mesolithic burials, most of them being of Pleistocene age. As for as Upper Palaeolithic is concerned, two distinct phases are recognized, with a gap in records between them of several millennia: 1) a first phase, in which rich burials, generally of adult or adolescent males, are found. Associated industries are of Gravettian — Early Epigravettian type. Strict rules are followed in funerary practices. Sites of this period are only a few in Italy, but most of them yelded burials; 2) a second phase, of late Würm IV age, with burials found in several sites all over Italy, associated with Final Epigravettian industries. Women as well as children are now buried in single graves, but men still outnumber women. Grave goods are scarce or lacking, except at Arene Candide, where very rich burials, customarily attributed to Mesolithic, but actually of Dryas III age, were found. Truly Mesolithic sepultures are only a few, and burial goods are scarce or lacking.     

Two arms are better than one: parasite variation leads to combined inducible and constitutive innate immune responses

Parasites represent a major threat to all organisms which has led to the evolution of an array of complex and effective defence mechanisms. Common to both vertebrates and invertebrates are innate immune mechanisms that can be either constitutively expressed or induced on exposure to infection. In nature, we find that a combination of both induced and constitutive responses are employed by vertebrates, invertebrates and, to an extent, plants when they are exposed to a parasite. Here we use a simple within-host model motivated by the insect immune system, consisting of both constitutive and induced responses, to address the question of why both types of response are maintained so ubiquitously. Generally, induced responses are thought to be advantageous because they are only used when required but are too costly to maintain constantly, while constitutive responses are advantageous because they are always ready to act. However, using a simple cost function but with no a priori assumptions about relative costs, we show that variability in parasite growth rates selects for a strategy that combines both constitutive and induced defences. Differential costs are therefore not necessary to explain the adoption of both forms of defence. Clearly, hosts are likely to be challenged by variable parasites in nature and this is sufficient to explain why it is optimal to deploy both arms of the innate immune system.