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ossible drug target for obesity treatment a no-brainer: UNC study
February 05, 2009
Scientists at the University of North Carolina at Chapel Hill School of Medicine have discovered a gene that when mutated causes obesity by dampening the body's ability to burn energy while leaving appetite unaffected. The new research could potentially lead to new pharmacologic approaches to treating obesity in humans that do not target the brain, according to study senior author Yi Zhang, Ph.D., Howard Hughes Medical Institute investigator and professor of biochemistry and biophysics in the UNC School of Medicine. Zhang is also a member of the UNC Lineberger Comprehensive Cancer Center. The findings also add new knowledge to the burgeoning field of epigenetics, in which heritable changes in gene expression or physical appearance are caused by mechanisms besides changes in the underlying DNA. The gene in question encodes for a specific epigenetic factor, an enzyme called Jhdm2a. In 2006, Zhang showed that Jhdm2a was able to demethylate, or remove, a methyl group from one of four histone proteins bound to all genes. Because they are so intimately associated with DNA, even slight chemical alterations of histones can have profound effects on nearby genes. The new study focused on a line of so-called "knockout" mice that lacked the Jhdm2a gene. Zhang found impairment in two molecular signaling pathways important for normal function in brown fat tissue and muscle cells. Both pathways exert a major influence on metabolism, the body's conversion of food to energy. Without the enzyme, the mice had reduced metabolisms, becoming visibly obese. To Zhang's knowledge, this is the first mouse model to exhibit obese traits that do not resulting from an alteration in appetite, which is largely a brain function. "Given that this gene is not expressed in the brain, any drug that targets this gene would not have an effect on brain function," he said. "Therefore, we are really looking for a pure effect on metabolism." With that in mind, Zhang anticipates that the study, published online February 4, 2009 in the journal Nature, could be of great interest to pharmaceutical companies eager to develop new anti-obesity drugs aimed at a novel, new molecular target expressed in non-brain tissues. Zhang said his group will continue to look for more detailed mechanisms involved in how the enzyme regulates the relevant genes and changes in the metabolic rate. "My lab has a long-term interest in identifying histone-modifying enzymes," said Zhang. "Three years ago, we discovered the jumanji family of histone demethylase, which is a huge family and brought big interest in the field to study this group of genes." That body of work has contributed significantly to a new understanding that mutations in epigenetic factors such as histone demethylase enzymes can have profound physiologic effects. The team had already zeroed in on the Jhdm2a enzyme, showing in a 2007 Nature publication that the Jhdm2a gene is highly expressed in mouse testes and plays an important role in spermiogenesis, the final step in the production of a functional sperm cell. Male mice with the gene knocked out were infertile. That discovery has provided researchers with a new potential cause for male infertility, just as the current study shows that the same genetic defect leads to obesity in both male and female animals, shedding new light on the role of epigenetics in regulating metabolism. "So this gene has at least two biological functions," Zhang said. "One is control of spermiogenesis; the other is control of metabolism." This finding was not necessarily expected by the researchers. "Nobody could have predicted that this gene had this particular function in regulating metabolism," Zhang said. "The histone-modifying enzymes actually have broad effect - every gene is packaged by histones. Therefore, when modifying histones, you can't necessarily predict what function will be affected." In addition to being obese, the Jhdm2a knockout mouse also developed other characteristics related to human metabolic disorder, such as hyperlipidemia (raised lipid levels) and insulin resistance. Whether the mouse results will be mirrored in humans remains to be seen. "We don't know whether this gene is defective in some of the obese or metabolic syndrome patients - those are things that need to be investigated," Zhang said. One of the lines of research Zhang and his colleagues will pursue is to conduct experiments with "conditional" knockout mouse models, in which the gene of interest is functionally removed from specific tissues, such as, in this case, brown fat or muscle tissue. According to Zhang, "that way we can ask specific questions and can pinpoint the specific tissue or cell types-then we can also pinpoint the specific molecular mechanism." University of North Carolina School of Medicine

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The Obesity Epidemic: What Caused It? How Can We Stop It?
by Zoe Harcombe (Author)
The Obesity Epidemic: What caused it? How can we stop it? does what it says in the title it answers those two critical questions. It takes you on the journey that the author, Zoë Harcombe went on to answer those questions and hopefully it will shock you as much as it shocked her. The starting point must be when did The Obesity Epidemic start? The graphs and tables show a stunning increase in obesity levels at the turn of the 1980 s and obesity literally takes off, like an aeroplane trajectory, from that point onwards. Obesity in the UK, as an example, increases almost 10 fold between the 1970 s and 1999 from 2.7% to 25%. So what happened? The short answer is we changed our diet advice. More accurately we did a U-turn in our diet advice. We used to believe (and our grandmothers...
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The Obesity Cure: Weight Control, Metabolic Health, Revitalized Youth With Power Amino Acids
by NovaLife
At last, a breakthrough in nutritional science that identifies both the cause and solution of obesity, America's #1 metabolic disease. Using a lifetime of scientific achievement and clinical insight, Nobel associate and author, Dr. George Scheele, explains how to use nature's gift--Power Amino Acids--to avoid "addictive taste disorders"? and harness the body's own feedback mechanisms to tame appetite, rebalance metabolism, and normalize body weight. In The Obesity Cure Dr. Scheele shows that obesity is only one in a spectrum of metabolic diseases associated with the Metabolic Syndrome and accelerated aging. He demonstrates how the current "paradoxes"? of obesity and metabolic health prove that something "essential"? is missing in our current understanding of nutritional health and weight...
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The Evolution of Obesity
by Michael L. Power (Author), Jay Schulkin (Author)
In this sweeping exploration of the relatively recent obesity epidemic, Michael L. Power and Jay Schulkin probe evolutionary biology, history, physiology, and medical science to uncover the causes of our growing girth. The unexpected answer? Our own evolutionary success.For most of the past few million years, our evolutionary ancestors' survival depended on being able to consume as much as possible when food was available and to store the excess energy for periods when it was scarce. In the developed world today, high-calorie foods are readily obtainable, yet the propensity to store fat is part of our species' heritage, leaving an increasing number of the world's people vulnerable to obesity. In an environment of abundant food, we are anatomically, physiologically, metabolically, and...
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My Journey Out Of Super Morbid Obesity
by Cindy Snyder (Author)
Cindy Snyder shares her deepest thoughts, feelings and experiences in this diary/journal in hopes to encourage others and for her to never forget where her God has brought her. Being warned by her physicians that her life was at stake, she knew she did not have the willpower to deliver herself from this bondage. This book is the personal journal of Cindy's journey out of obesity. You will be led through this journey as to what life is like for the super morbidly obese person and is filled with descriptive and explicit hardships that the super morbid obese must daily live with. Cindy has tried to be as open and honest as possible and in some instances very detailed and graphic as to what "life" had become. Cindy not only shares the battles but also lets everyone experience the victories...
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Obesity Cancer & Depression: Their Common Cause & Natural Cure
by F. Batmanghelidj (Author)
This book, the result of over 20 years of research, looks at the conditions of obesity, cancer and depression through a new physiological perspective and offers a new approach in preventing and treating these conditions
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Weighing In: Obesity, Food Justice, and the Limits of Capitalism (California Studies in Food and Culture)
by Julie Guthman (Author)
Weighing In takes on the "obesity epidemic," challenging many widely held assumptions about its causes and consequences. Julie Guthman examines fatness and its relationship to health outcomes to ask if our efforts to prevent "obesity" are sensible, efficacious, or ethical. She also focuses the lens of obesity on the broader food system to understand why we produce cheap, over-processed food, as well as why we eat it. Guthman takes issue with the currently touted remedy to obesity--promoting food that is local, organic, and farm fresh. While such fare may be tastier and grown in more ecologically sustainable ways, this approach can also reinforce class and race inequalities and neglect other possible explanations for the rise in obesity, including environmental toxins. Arguing that ours is...
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Cognitive-Behavioral Treatment of Obesity: A Clinician's Guide
by Zafra Cooper (Author), Christopher G. Fairburn (Author), Deborah M. Hawker (Author)
The first cognitive-behavioral treatment manual for obesity, this volume presents an innovative therapeutic model currently being evaluated in controlled research at Oxford University. From leading clinical researchers, the approach is specifically designed to overcome a major weakness of existing therapies: posttreatment weight regain. The book details powerful ways to help patients not only to achieve weight loss, but also to modify the problematic cognitions that undermine long-term weight control. Drawing on strategies proven effective with such problems as binge eating, the manual contains everything needed to implement the treatment: intervention guidelines, case examples, and reproducible handouts and forms.
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Fed Up!: Winning the War Against Childhood Obesity
by Susan Okie (Author)
Obesity now ranks second only to smoking as a wholly preventable cause of death. It is a major contributor to heart disease, high blood pressure, high cholesterol, and depression. Even conservative estimates show that 20 per cent of all children are now considered to be overweight - worldwide there are 22 million kids under five years old that are defined as fat. Eating way too much unhealthy food coupled with lifestyles that don't involve a lot of physical activity accounts for a lot of what's making our children heavier. But that's not the whole story. Researchers are at a loss to explain why obesity rates have risen so suddenly and so steeply. "Fed Up!", based in part on the Institute of Medicine's ground-breaking report on childhood obesity, and written by paediatrician and...
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Fat Politics: The Real Story behind America's Obesity Epidemic
by J. Eric Oliver (Author)
It seems almost daily we read newspaper articles and watch news reports exposing the growing epidemic of obesity in America. Our government tells us we are experiencing a major health crisis, with sixty percent of Americans classified as overweight, and one in four as obese. But how valid are these claims? In Fat Politics, J. Eric Oliver shows how a handful of doctors, government bureaucrats, and health researchers, with financial backing from the drug and weight-loss industries, have campaigned to create standards that mislead the public. They mislabel more than sixty million Americans as "overweight," inflate the health risks of being fat, and promote the idea that obesity is a killer disease. In reviewing the scientific evidence, Oliver shows there is little proof that obesity...
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Food Fight: The Inside Story of The Food Industry, America's Obesity Crisis, and What We Can Do About It
by Kelly Brownell (Author), Katherine Battle Horgen (Author)
"The evergreen subject of American gluttony and sloth brings out the best in scientist-advocates, and the authors, while drawing on a mountain of statistics and studies, make their indictment both funny and appalling." --Publishers Weekly "Brownell and Horgen uncover some of America's biggest diet hazards and how to avoid them." --Self magazine "This is a fascinating, empowering must-read filled with practical ways to take action." --Shape magazine "Food Fight is . . . an important contribution to the discourse around the obesity epidemic. I highly recommend it to anyone who wishes to learn more about the role of the food industry, and especially to public health advocates looking for clearly presented research and ideas for positive change." --Michele Simon, founder and...
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