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Hormones or Hunger?

Inquiring about ghrelin, a hormone that makes food look better. Is it increasing obesity rates?

Everyday, hormones are zooming back and forth in the body causing people to do strange things, but is eating one of these strange things? In the article, Gut Hormone Makes Food Look Even More Yummier, the author informs and encourages treatments to disrupt the effects of the hormone, ghrelin.

Ghrelin is a hormone that stimulates the appetite and contributes to hedonic feeding habits. To study the effects of ghrelin, researchers used functional magnetic resonance imaging to measure the brain's response to food and non-food images following single-blinded ghrelin infusions on twenty people. Twelve of these people viewed the images before and after receiving the ghrelin, while the other eight viewed the same pictures without ghrelin administration. All of these people were told they might receive ghrelin. As a result ghrelin actually amplified the response to food pictures in several brain areas concerned in the salience and hedonic incentive value of visual prompts.

Health and medicine are two major scientific concepts involved with ghrelin. Its effects are so much more than just adding to an appetite. Ghrelin affects the brain's whole network in that after a ghrelin infusion food images become even more salient and the memory of the food was better when ghrelin levels were high. Although these effects may seem beneficial or insignificant, there are others that could result in devastation. Ghrelin heightens the chance of obesity along with high-calorie food addiction.

Inside of this seemingly harmless discovery is really a conundrum of problems. Will fast food be taken out of schools due to its high-calories? Will companies need to rethink diet pills and food? What, if any, treatments could be used to deter the effects of ghrelin? Will these treatments cause drastic mood shifts? Will more normal items be added to the illegal drugs list? How long before people begin to smuggle McDonald's burgers across the border? Where one problem is solved more are found.

Food is a part of everyone's daily life: at night breakfast is planned, after breakfast lunch has to be considered, and later dinner is served. I believe that if ghrelin is a natural hormone its supposed to be there, humans were intended to be motivated by their needs. Ghrelin might be produced more in some than others, but that just means a way to regulate it needs to be figured out. Plus, food tastes the best when you're most hungry!

Hormone Makes Food Look Even Yummier

A gut hormone that causes people to eat more does so by making food appear more desirable, suggests a new report in the May issue of Cell Metabolism, a publication of Cell Press. In a brain imaging study of individuals, the researchers found that reward centers respond more strongly to pictures of food in subjects who had received an infusion of the hormone known as ghrelin.

The findings suggest that the two drives for feeding-metabolic signals and pleasure signals-are actually intertwined.

“When you go to the supermarket hungry, every food looks better,” said Alain Dagher of the Montreal Neurological Institute at McGill University. “Your brain assigns a cost versus benefit to every food item. Now, we've found that it is ghrelin that acts on the brain to make food more appealing.”

Such a hedonic feeding behavior, which can occur in the absence of nutritional or caloric deficiency, may have once provided an adaptive advantage to humans, Dagher added. In our plentiful environment, however, it is likely a significant cause of obesity and its associated diseases.

Ghrelin levels are known to rise before a meal and fall afterwards, suggesting that it causes hunger and encourages eating. Indeed, Dagher noted, both lean and obese people administered ghrelin eat significantly more calories from a free-choice buffet relative to people administered a placebo. Overall, he said, acute and chronic nutritional states seem to influence naturally circulating levels of the hormone.

It has also been well established that ghrelin activates feeding through its effects on the hypothalamus, where ghrelin receptors are densely concentrated. However, ghrelin also has specific effects on many brain regions implicated in reward and motivation.

In the new study, the researchers investigated further using functional magnetic resonance imaging (fMRI) to measure the brain's response to food and nonfood images following single-blinded ghrelin infusions. Twelve people viewed pictures before and after ghrelin administration, and eight others viewed the same pictures in two identical blocks without receiving ghrelin. (All participants were told they might receive ghrelin.)

Ghrelin increased the response to food pictures in several brain regions involved in the salience and hedonic incentive value of visual cues, including the amygdala, orbitofrontal cortex, insula, visual areas, and striatum, the researchers found.

“Ghrelin has widespread effects,” Dagher said. “It's not one or two brain regions, but the whole network. [After ghrelin infusion], food pictures become even more salient-people actually see them better. It influences not only visual processing, but also memory. People remembered the food pictures better when ghrelin was high.”

Treatments that disrupt these effects of ghrelin might hold promise for fighting obesity. But because they would influence the brain's pleasure centers, Dagher suspects that they might come with side effects on mood.

Either way, the findings could have public health implications, he added.

The reward centers linked to ghrelin in the new study are also those involved in drug addiction. “That shows it's reasonable to think of high-calorie food as having addictive potential,” Dagher said. If so, he suggests that the results could provide the basis for new policies aimed at treating fast food more like cigarettes -for instance, banning its sale in school cafeterias.

The researchers include Saima Malik of Montreal Neurological Institute, McGill University in Montreal, QC; Francis McGlone of Unilever R&D, Wirral, Cheshire; and Diane Bedrossian and Alain Dagher of Montreal Neurological Institute, McGill University in Montreal, QC.

This work was supported by an unrestricted research grant from Unilever PLC, Port Sunlight, UK; the Canadian Institutes for Health Research and the Fonds de la Recherche en Santé du Québec.

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