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利拉鲁肽对热量摄入的抑制作用可与美味自助餐饮食的促进摄入作用相抗衡,但不影响食物或常量营养素的选择。

Liraglutide suppression of caloric intake competes with the intake-promoting effects of a palatable cafeteria diet, but does not impact food or macronutrient selection.

作者信息

Hyde Kellie M, Blonde Ginger D, le Roux Carel W, Spector Alan C

机构信息

Department of Psychology and Program in Neuroscience, Florida State University, 1107 W. Call Street, Tallahassee, FL 32306, United States.

Diabetes Complications Research Centre, Conway Institute, School of Medicine, University College Dublin, Dublin, Ireland; Investigative Science, Imperial College London, London, United Kingdom.

出版信息

Physiol Behav. 2017 Aug 1;177:4-12. doi: 10.1016/j.physbeh.2017.03.045. Epub 2017 Mar 30.

Abstract

Liraglutide, a Glucagon-Like Peptide-1 (GLP-1) receptor agonist, is used as a treatment for Type 2 diabetes mellitus and obesity because it improves glycemia and decreases food intake. Here, we tested whether chronic activation of the GLP-1 receptor system with liraglutide would induce decreases in intake accompanied by changes in proportional food or macronutrient intake similar to those seen following RYGB in rats when a variety of palatable food options are available. A "cafeteria diet" was used that included: laboratory rodent chow, refried beans (low-fat/low-sugar), low-fat yogurt (low-fat/high-sugar), peanut butter (high-fat/low-sugar) and sugar-fat whip (high-fat/high-sugar). Liraglutide (1mg/kg daily, sc, n=6) induced significant reductions in body weight and total caloric intake compared to saline-injected control rats (n=6). Although access to a cafeteria diet induced increases in caloric intake in both groups relative to chow alone, liraglutide still effectively decreased intake compared with saline-injected rats suggesting that chronic GLP-1 activation competes with the energy density and palatability of available food options in modulating ingestive behavior. Even with the substantial effects on overall intake, liraglutide did not change food choice or relative macronutrient intake when compared to pre-treatment baseline. When drug treatment was discontinued, the liraglutide group increased caloric intake and rapidly gained body weight to match that of the saline group. These results demonstrate that, while liraglutide effectively decreases caloric intake and body weight in rats, it does not cause adjustments in relative macronutrient consumption. Our data also show that drug-induced decreases in intake and body weight are not maintained following termination of treatment.

摘要

利拉鲁肽是一种胰高血糖素样肽-1(GLP-1)受体激动剂,因其能改善血糖水平并减少食物摄入量,被用于治疗2型糖尿病和肥胖症。在此,我们测试了用利拉鲁肽长期激活GLP-1受体系统是否会导致摄入量减少,并伴有食物比例或常量营养素摄入量的变化,类似于大鼠接受胃旁路手术后在有多种美味食物可供选择时所观察到的情况。采用了一种“自助饮食”,包括:实验用啮齿动物饲料、炒豆(低脂/低糖)、低脂酸奶(低脂/高糖)、花生酱(高脂/低糖)和糖脂奶昔(高脂/高糖)。与注射生理盐水的对照大鼠(n = 6)相比,利拉鲁肽(每日1mg/kg,皮下注射,n = 6)可显著降低体重和总热量摄入。尽管与单独喂食饲料相比,两组大鼠食用自助饮食均导致热量摄入增加,但与注射生理盐水的大鼠相比,利拉鲁肽仍能有效减少摄入量,这表明长期激活GLP-1可在调节摄食行为方面与现有食物选择的能量密度和适口性相抗衡。即使对总体摄入量有显著影响,但与治疗前基线相比,利拉鲁肽并未改变食物选择或相对常量营养素摄入量。当停止药物治疗时,利拉鲁肽组的热量摄入增加,体重迅速增加至与生理盐水组相当。这些结果表明,虽然利拉鲁肽能有效降低大鼠的热量摄入和体重,但不会引起相对常量营养素消耗的调整。我们的数据还表明,治疗终止后,药物引起的摄入量和体重下降无法维持。

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