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A New Way to Fight Weight Gain

Two cell proteins that relax the gut and help accommodate a big meal
have been identified by UCL (University College London) scientists. The
proteins could offer a future drug target against weight gain, by
preventing the stomach from expanding.

    In a paper published in the Journal of Pharmacology and Experimental
    Therapeutics, Dr Brian King and Dr Andrea Townsend-Nicholson
    explored the molecular basis of relaxations of the gut.

    In the study, the authors identified two protein receptors – P2Y1 and
    P2Y11 – involved in fast and slow relaxations of the gut.

    These proteins were identified in the guinea pig, but are also present in
    the human gut, and thus offer the potential as a future target for drug
    treatment. Further research by the UCL team will focus on the human
    isoform of the P2Y11 protein receptor.

    Dr Brian King of the UCL Department of Neuroscience, Physiology and
    Pharmacology says: “The mechanisms we have identified are important
    to the normal workings of the stomach - a hollow organ which actively
    relaxes to help accommodate the size of your meal.

    "The human stomach has a ‘resting’ internal volume of 75 millilitres but,
    by relaxing its muscular wall, can expand to an internal volume of two
    litres or more - a 25-fold increase in the volume it can accept.

    "This expansion is controlled by nerves inside the stomach wall and
    these nerves release molecules that stimulate the P2Y1 and P2Y11
    receptor proteins embedded in muscle cells in the gut wall."

    The mechanism of slow relaxation of the stomach might represent a
    future drug target in the fight to control weight gain and reverse obesity.

    "We are looking to identify drugs that would block the P2Y11 receptor
    and, therefore, prevent slow relaxation of the stomach," Dr King said. "As
    a result of blocking the P2Y11-based mechanism, meal size would be
    smaller, offering the person a better chance of regulating their food
    intake."

    Dr King said this would be a brand new approach to weight control.

    "At present, the most successful way to help obese patients lose weight
    is gastric banding or stomach stapling, both of which reduce the
    maximum volume of the stomach. But these are also tricky surgical
    procedures, not without attendant risks.

    "A pill that could replace this surgery, yet have the same effect, might be
    a useful alternative,” Dr King said.
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