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Submitted on August 1, 2005
Accepted on September 10, 2005
Department of Metabolic Medicine, Dietetics, Hammersmith Hospital, Imperial College London, UK; Department of Endocrinology, University College London UK; Department of Endocrinology, King's College Hospital, London, UK
The responses of the gut hormone, peptide YY (PYY), to food were investigated in twenty normal weight and twenty obese humans in response to six test meals of varying calorie content. Human volunteers had a graded rise in plasma PYY (R2=0.96, P < 0.001) during increasing calorific meals, but the obese subjects had a lower endogenous PYY response at each meal size (P < 0.05 at all levels). The ratio of plasma PYY1-36 to PYY3-36 was similar in normal weight and obese subjects. The effect on food intake and satiety of graded doses of exogenous PYY3-36 was also evaluated in twelve human volunteers. Stepwise increasing doses of exogenous PYY3-36 in humans caused a graded reduction in food intake (R2=0.38, P < 0.001). In high fat fed (HF) mice that became obese and low fat fed (LF) mice that remained normal weight, we measured plasma PYY, tissue PYY and PYY mRNA levels and assessed the effect of exogenous administered PYY3-36 on food intake in HF mice. HF fed mice remained sensitive to the anorectic effects of exogenous intraperitoneal PYY3-36. Compared with LF fed mice, the HF fed mice had lower endogenous plasma PYY, higher tissue PYY, but similar PYY mRNA levels, suggesting a possible reduction of PYY release. Thus, fasting and postprandial endogenous plasma PYY levels were attenuated in obese humans and rodents. The PYY3-36 infusion study showed that the degree of plasma PYY reduction in obese subjects were likely associated with decreased satiety and relatively increased food intake. We conclude that obese subjects have a PYY deficiency that would reduce satiety and could thus reinforce their obesity.
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