Maurya Santosh Kumar, Periasamy Muthu
Sanford Burnham Prebys Medical Discovery Institute at Lake Nona, Orlando, FL, USA.
Sanford Burnham Prebys Medical Discovery Institute at Lake Nona, Orlando, FL, USA.
Pharmacol Res. 2015 Dec;102:270-5. doi: 10.1016/j.phrs.2015.10.020. Epub 2015 Oct 30.
Obesity is increasing at an alarming rate, both in adults and adolescents, across the globe due to increased consumption of caloric rich diet. Obesity and its associated complications appear to be major contributing factors not only to diabetes/heart disease but also to cancer, and neurological diseases causing a huge burden on the health care system. To date, there are no effective treatments to reduce weight gain, other than caloric restriction and exercise which are often difficult to enforce. There are very few drugs available for treating obesity and those that are available only reduce obesity by ∼ 10%. Identifying mechanisms to increase energy expenditure, on top of the increase elicited by exercise, would be more beneficial to control weight gain. The purpose of this review is to highlight the role of sarcolipin (SLN), a regulator of SERCA pump, in muscle thermogenesis and metabolism. We will further discuss if enhancing SLN activity could be an effective mechanism to increase energy expenditure and control weight gain. We will also discuss the merits of adaptive thermogenesis in muscle and brown fat as potential mechanisms to increase energy expenditure during caloric overload. That said, there is still a great need for further research into the mechanism of diet induced thermogenesis and its relevance to overall metabolism and obesity.
由于高热量饮食的摄入量增加,全球范围内成人和青少年肥胖率正以惊人的速度上升。肥胖及其相关并发症似乎不仅是糖尿病/心脏病的主要促成因素,也是癌症和神经疾病的主要促成因素,给医疗保健系统带来了巨大负担。迄今为止,除了热量限制和运动(这些往往难以实施)之外,尚无有效的治疗方法来减轻体重增加。治疗肥胖的药物非常少,而且现有的药物只能将肥胖降低约10%。确定除运动引起的能量消耗增加之外增加能量消耗的机制,将更有利于控制体重增加。本综述的目的是强调肌浆网钙ATP酶调节蛋白(SLN)在肌肉产热和代谢中的作用。我们将进一步讨论增强SLN活性是否可能是增加能量消耗和控制体重增加的有效机制。我们还将讨论肌肉和棕色脂肪中适应性产热作为热量过载期间增加能量消耗的潜在机制的优点。也就是说,仍然非常需要进一步研究饮食诱导产热的机制及其与整体代谢和肥胖的相关性。