Effects of PYY1–36and PYY3–36on appetite, energy intake, energy expenditure, glucose and fat metabolism in obese and lean subjects
Peptide YY (PYY)3–36has been shown to produce dramatic reductions in energy intake (EI), but no human data exist regarding energy expenditure (EE), glucose and fat metabolism. Nothing is known regarding PYY1-36. To compare effects of PYY1–36and PYY3–36on appetite, EI, EE, insulin, glucose and free fatty acids (FFA) concentrations, 12 lean and 12 obese males participated in a blinded, randomized, crossover study with 90-min infusions of saline, 0.8 pmol·kg−1·min−1PYY1–36and PYY3–36. Only four participants completed PYY3–36infusions because of nausea. Subsequently, six lean and eight obese participants completed 0.2 pmol·kg−1·min−1PYY3–36and 1.6 pmol·kg−1·min−1PYY1–36infusions. PYY3–36at 0.8 pmol·kg−1·min−1produced reduced EI, lower ratings of well-being, increases in FFA, postprandial glucose (only 0.8 pmol·kg−1·min−1PYY3–36) and insulin concentrations, as well as heart rate and EE (only 0.8 pmol·kg−1·min−1PYY3–36). PYY1–36at 1.6 pmol·kg−1·min−1produced increased heart rate and postprandial insulin response. Ratings of appetite were opposite with infusions of 0.8 and 1.6 pmol·kg−1·min−1PYY1–36and seemed to depend on subjects being lean or obese. PYY3–36caused increased thermogenesis, lipolysis, postprandial insulin and glucose responses, suggestive of increased sympathoadrenal activity. PYY1–36had no effect on EI and no clear effects on appetite but resulted in increased heart rate and postprandial insulin response. However, highest tolerable dose of PYY1–36was probably not reached in the present study.