Saturday, 7 October 2017

“Non-shivering” thermogenesis | PGI Nov 2017 Preparations MCQ


“Non-shivering” thermogenesis in adults is due to: 

A. Thyroid hormone
B. Brown fat between the shoulders 
C. Noradrenaline from adrenal medulla 
D. Muscle metabolism
E. Diet induced thermogenesis



Answer. C. Noradrenaline from adrenal medulla ; (E)  Diet induced thermogenesis.
A source of considerable heat, particularly in infants, is brown fat. This fat has a high rate of metabolism and its thermogenic function has been likened to that of an electric blanket.

Brown adipose tissue is involved in metabolism, particularly at times when heat generation is necessary. Thus, the tissue is extremely active in some species in arousal from hibernation, in animals exposed to cold (nonshivering thermogenesis), and in heat production in the newborn animal. Though not a prominent tissue in humans, it is present in normal individuals, where it could be responsible for “diet-induced thermogenesis.” It is noteworthy that brown adipose tissue is reduced or absent in obese persons. The tissue is characterized by a well-developed blood supply and a high content of mitochondria and cytochromes but low activity of ATP synthase. Metabolic emphasis is placed on oxidation of both glucose and fatty acids. Norepinephrine liberated from sympathetic nerve endings is important in increasing lipolysis in the tissue and increasing synthesis of lipoprotein lipase to enhance utilization of triacylglycerol-rich lipoproteins from the circulation. Oxidation and phosphorylation are not coupled in mitochondria of this tissue, and the phosphorylation that does occur is at the substrate level, eg, at the succinate thiokinase step and in glycolysis. Thus, oxidation produces much heat, and little free energy is trapped in ATP. A thermogenic uncoupling protein, thermogenin, acts as a proton conductance pathway dissipating the electrochemical potential across the mitochondrial membrane.