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TrkB
The NTRK2 gene encodes the
TrkB (tropomyosin-related
kinase B) receptor protein. Mutations in this gene cause a defect in the
hypothalamus in the brain. This defect results in increased hunger, and thus
people eat more.
Brain-derived neurotrophic factor (BDNF) binds to the TrkB receptor. We make
less less BDNF when we do not eat. Giving BDNF to mice causes them to eat less
and lose weight. In mice, BDNF was also found to play a role in memory and
several other behaviors. Another brain chemical,
neurotrophin NT4/5,
also binds this receptor.
A case report of a severely obese child with short-term
memory impairment and developmental delay showed that this child had a mutation
in the gene for the receptor.
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It is important you
discuss any weight loss or exercise plan with your doctor. Only you and
your physician can decide what is best for you. Some people have
certain conditions that prevent them from doing all exercises, and goal
body weights may be different for different people. You need to discuss
all these things with your physician before starting any weight loss or
exercise program.
This
article was written by
John
Vickery, MD.
References Fauci et al., Harrison's
Principles of Internal Medicine 17th ed., ch 74
Endocrine Reviews 27(7):710-718
Endocrinol Metab Clin N Am 2008;37:733-751

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