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Obesity: Pathophysiology and Clinical
BioApplication Enterprises, Winnipeg, Canada.
Manitoba Institute of Cell Biology, CancerCare Manitoba; Department of Human Genetics, University of Aarhus, Aarhus, Denmark.
Department of Immunology, Lerner Research Institute, Cleveland, USA.
Interfaculty Institute for Biochemistry, University of Tübingen, Germany; BioApplications Enterprises, Winnipeg, MB, Canada.ORCID-id: 0000-0001-9518-1411
2009 (Engelska)Ingår i: Current Medicinal Chemistry, ISSN 0929-8673, E-ISSN 1875-533X, Vol. 16, nr 4, s. 506-521Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Obesity is an increasingly serious socioeconomic and clinical problem. Between 1/4 - 1/3 of population in the developed countries can be classified as obese. Four major etiological factors for development of obesity are genetic determinants, environmental factors, food intake and exercise. Obesity increases the risk of the development of various pathologic conditions including: insulin-resistant diabetes mellitus, cardiovascular disease, non-alcoholic fatty liver disease, endocrine problems, and certain forms of cancer. Thus, obesity is a negative determinant for longevity. In this review we provide broad overview of pathophysiology of obesity. We also discuss various available, and experimental therapeutic methods. We highlight functions of adipocytes including fat storing capacity and secretory activity resulting in numerous endocrine effects like leptin, IL-6, adiponectin, and resistin. The anti-obesity drugs are classified according to their primary action on energy balance. Major classes of these drugs are: appetite suppressants, inhibitors of fat absorption (i.e. orlistat), stimulators of thermogenesis and stimulators of fat mobilization. The appetite suppressants are further divided into noradrenergic agents, (i.e. phentermine, phendimetrazine, benzphetamine, diethylpropion), serotoninergic agents (i.e. dexfenfluramine), and mixed noradrenergic-serotoninergic agents (i.e. sibutramine). Thus, we highlight recent advances in the understanding of the central neural control of energy balance, current treatment strategies for obesity and the most promising targets for the development of novel anti-obesity drugs.

Ort, förlag, år, upplaga, sidor
Bentham Science , 2009. Vol. 16, nr 4, s. 506-521
Nyckelord [en]
BMI; BVT.933; growth hormone; TNF; PRDM16
Nationell ämneskategori
Fysiologi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Biokemi och molekylärbiologi
Identifikatorer
URN: urn:nbn:se:liu:diva-86914DOI: 10.2174/092986709787315568ISI: 000263294900006PubMedID: 19199918OAI: oai:DiVA.org:liu-86914DiVA, id: diva2:583167
Tillgänglig från: 2013-01-07 Skapad: 2013-01-07 Senast uppdaterad: 2018-01-11

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FysiologiFolkhälsovetenskap, global hälsa, socialmedicin och epidemiologiBiokemi och molekylärbiologi

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