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Type: Artigo de periódico
Title: Partial Reversibility of Hypothalamic Dysfunction and Changes in Brain Activity After Body Mass Reduction in Obese Subjects
Author: van de Sande-Lee, S
Pereira, FRS
Cintra, DE
Fernandes, PT
Cardoso, AR
Garlipp, CR
Chaim, EA
Pareja, JC
Geloneze, B
Li, LM
Cendes, F
Velloso, LA
Abstract: OBJECTIVE-Inflammation and dysfunction of the hypothalamus are common features of experimental obesity. However, it is unknown whether obesity and massive loss of body mass can modify the immunologic status or the functional activity of the human brain. Therefore, the aim of this study was to determine the effect of body mass reduction on brain functionality. RESEARCH DESIGN AND METHODS-In humans, changes in hypothalamic activity after a meal or glucose intake can be detected by functional magnetic resonance imaging (fMRI). Distinct fMRI analytic methods have been developed to explore changes in the brain's activity in several physiologic and pathologic conditions. We used two analytic methods of fMRI to explore the changes in the brain activity after body mass reduction. RESULTS-Obese patients present distinct functional activity patterns in selected brain regions compared with lean subjects. On massive loss of body mass, after bariatric surgery, increases in the cerebrospinal fluid (CSF) concentrations of interleukin (IL)-10 and IL-6 are accompanied by changes in fMRI patterns, particularly in the hypothalamus. CONCLUSIONS-Massive reduction of body mass promotes a partial reversal of hypothalamic dysfunction and increases anti-inflammatory activity in the CSF. Diabetes 60:1699-1704,2011
Country: EUA
Editor: Amer Diabetes Assoc
Citation: Diabetes. Amer Diabetes Assoc, v. 60, n. 6, n. 1699, n. 1704, 2011.
Rights: fechado
Identifier DOI: 10.2337/db10-1614
Date Issue: 2011
Appears in Collections:Unicamp - Artigos e Outros Documentos

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