Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects

Anti-obesity drugs in the amphetamine (AMPH) class act in the brain to reduce appetite and increase locomotion. They are also characterized by adverse cardiovascular effects with origin that, despite absence of any in vivo evidence, is attributed to a direct sympathomimetic action in the heart. Here...

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Main Authors: Mahú, I, Barateiro, A, Rial-Pensado, E, Domingos, A
Format: Journal article
Language:English
Published: Elsevier 2020
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author Mahú, I
Barateiro, A
Rial-Pensado, E
Domingos, A
author_facet Mahú, I
Barateiro, A
Rial-Pensado, E
Domingos, A
author_sort Mahú, I
collection OXFORD
description Anti-obesity drugs in the amphetamine (AMPH) class act in the brain to reduce appetite and increase locomotion. They are also characterized by adverse cardiovascular effects with origin that, despite absence of any in vivo evidence, is attributed to a direct sympathomimetic action in the heart. Here, we show that the cardiac side effects of AMPH originate from the brain and can be circumvented by PEGylation (PEGyAMPH) to exclude its central action. PEGyAMPH does not enter the brain and facilitates SNS activity via theβ2-adrenoceptor, protecting mice against obesity by increasing lipolysis and thermogenesis, coupled to higher heat dissipation, which acts as an energy sink to increase energy expenditure without altering food intake or locomotor activity. Thus, we provide proof-of-principle for a novel class of exclusively peripheral anti-obesity sympathofacilitators that are devoid of any cardiovascular and brain-related side effects.
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spelling oxford-uuid:efc49931-dcb8-4980-881d-8b691850a77b2022-03-27T11:42:46ZBrain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effectsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:efc49931-dcb8-4980-881d-8b691850a77bEnglishSymplectic ElementsElsevier2020Mahú, IBarateiro, ARial-Pensado, EDomingos, AAnti-obesity drugs in the amphetamine (AMPH) class act in the brain to reduce appetite and increase locomotion. They are also characterized by adverse cardiovascular effects with origin that, despite absence of any in vivo evidence, is attributed to a direct sympathomimetic action in the heart. Here, we show that the cardiac side effects of AMPH originate from the brain and can be circumvented by PEGylation (PEGyAMPH) to exclude its central action. PEGyAMPH does not enter the brain and facilitates SNS activity via theβ2-adrenoceptor, protecting mice against obesity by increasing lipolysis and thermogenesis, coupled to higher heat dissipation, which acts as an energy sink to increase energy expenditure without altering food intake or locomotor activity. Thus, we provide proof-of-principle for a novel class of exclusively peripheral anti-obesity sympathofacilitators that are devoid of any cardiovascular and brain-related side effects.
spellingShingle Mahú, I
Barateiro, A
Rial-Pensado, E
Domingos, A
Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
title Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
title_full Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
title_fullStr Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
title_full_unstemmed Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
title_short Brain-sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
title_sort brain sparing sympathofacilitators mitigate obesity without adverse cardiovascular effects
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