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Neurology Service, Department of Veterans Affairs New Jersey Health Care System, East Orange 07018; and the Department of Neurosciences, New Jersey Medical School, Newark, New Jersey 07103
Chronic administration
of sibutramine lowers body weight, presumably by altering brain
monoamine metabolism. Here the effect of sibutramine on sympathoadrenal
function (24-h urine norepinephrine and epinephrine levels) and arcuate
nucleus (ARC) neuropeptide Y (NPY) and proopiomelanocortin (POMC)
expression was assessed in diet-induced obese rats fed a low-fat diet.
Chronic (10 wk) sibutramine [5
mg · kg
1 · day
1 ip; rats
fed ad libitum and injected with sibutramine (AS)] lowered body weight
by 15% but only transiently (3-4 wk) reduced intake compared with
vehicle-treated controls [rats fed chow ad libitum and injected with
vehicle daily (AV)]. Other rats food restricted (RS) to 90% of the
weight of AS rats and then given sibutramine restored their body
weights to the level of AS rats when allowed libitum food intake. After
reequilibration, RS rats were again energy restricted to reduce their
weight to 90% of AS rats, and additional vehicle-treated rats (RV)
were restricted to keep their body weights at the level of AS rats for
3 wk more. Terminally, total adipose depot weights and leptin levels
paralleled body weights (AV > AS = RV > RS), although
AS rats had heavier abdominal and lighter peripheral depots than RV
rats of comparable body weights. Sibutramine treatment increased
sympathetic activity, attenuated the increased ARC NPY, and decreased
POMC mRNA levels induced by energy restriction in RV rats. Thus
sibutramine lowered the defended body weight in association with
compensatory changes in those central pathways involved in energy homeostasis.
norepinephrine; serotonin; epinephrine; neuropeptide Y; proopiomelanocortin; melanocortin; arcuate nucleus; sympathetic nervous system
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