Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine

Evidence of active brown adipose tissue in human adults suggests that this may become a pharmacological target to induce negative energy balance. We have explored whole-body indirect calorimetry to detect the metabolic effects of thermogenic drugs through administration of ephedrine hydrochloride an...

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Main Authors: Antonella Napolitano, Peter R. Murgatroyd, Nick Finer, Elizabeth K. Hussey, Robert Dobbins, Steve O'Rahilly, Derek J. R. Nunez
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2011/210484
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author Antonella Napolitano
Peter R. Murgatroyd
Nick Finer
Elizabeth K. Hussey
Robert Dobbins
Steve O'Rahilly
Derek J. R. Nunez
author_facet Antonella Napolitano
Peter R. Murgatroyd
Nick Finer
Elizabeth K. Hussey
Robert Dobbins
Steve O'Rahilly
Derek J. R. Nunez
author_sort Antonella Napolitano
collection DOAJ
description Evidence of active brown adipose tissue in human adults suggests that this may become a pharmacological target to induce negative energy balance. We have explored whole-body indirect calorimetry to detect the metabolic effects of thermogenic drugs through administration of ephedrine hydrochloride and have assessed ephedrine's merits as a comparator compound in the evaluation of novel thermogenic agents. Volunteers randomly given ephedrine hydrochloride 15 mg QID (n=8) or placebo (n=6) were studied at baseline and after 1-2 and 14-15 days of treatment. We demonstrate that overnight or 23-hour, 2% energy expenditure (EE) and 5% fat (FO) or CHO oxidation effects are detectable both acutely and over 14 days. Compared to placebo, ephedrine increased EE and FO rates overnight (EE 63 kJ day 2, EE 105 kJ, FO 190 kJ, day 14), but not over 23 h. We conclude that modest energy expenditure and fat oxidation responses to pharmacological interventions can be confidently detected by calorimetry in small groups. Ephedrine should provide reliable data against which to compare novel thermogenic compounds.
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institution Kabale University
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publishDate 2011-01-01
publisher Wiley
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series Journal of Obesity
spelling doaj-art-9a0804060bcc42fcb948eceed70c9f452025-02-03T07:24:59ZengWileyJournal of Obesity2090-07082090-07162011-01-01201110.1155/2011/210484210484Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to EphedrineAntonella Napolitano0Peter R. Murgatroyd1Nick Finer2Elizabeth K. Hussey3Robert Dobbins4Steve O'Rahilly5Derek J. R. Nunez6Clinical Unit in Cambridge, GlaxoSmithKline, ACCI, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 2QQ, UKWellcome Trust Clinical Research Facility, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, UKWellcome Trust Clinical Research Facility, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, UKMetabolic Pathways Center of Excellence for Drug Discovery, GlaxoSmithKline Research Triangle Park, NC 27709, USAMetabolic Pathways Center of Excellence for Drug Discovery, GlaxoSmithKline Research Triangle Park, NC 27709, USAWellcome Trust Clinical Research Facility, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, UKMetabolic Pathways Center of Excellence for Drug Discovery, GlaxoSmithKline Research Triangle Park, NC 27709, USAEvidence of active brown adipose tissue in human adults suggests that this may become a pharmacological target to induce negative energy balance. We have explored whole-body indirect calorimetry to detect the metabolic effects of thermogenic drugs through administration of ephedrine hydrochloride and have assessed ephedrine's merits as a comparator compound in the evaluation of novel thermogenic agents. Volunteers randomly given ephedrine hydrochloride 15 mg QID (n=8) or placebo (n=6) were studied at baseline and after 1-2 and 14-15 days of treatment. We demonstrate that overnight or 23-hour, 2% energy expenditure (EE) and 5% fat (FO) or CHO oxidation effects are detectable both acutely and over 14 days. Compared to placebo, ephedrine increased EE and FO rates overnight (EE 63 kJ day 2, EE 105 kJ, FO 190 kJ, day 14), but not over 23 h. We conclude that modest energy expenditure and fat oxidation responses to pharmacological interventions can be confidently detected by calorimetry in small groups. Ephedrine should provide reliable data against which to compare novel thermogenic compounds.http://dx.doi.org/10.1155/2011/210484
spellingShingle Antonella Napolitano
Peter R. Murgatroyd
Nick Finer
Elizabeth K. Hussey
Robert Dobbins
Steve O'Rahilly
Derek J. R. Nunez
Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine
Journal of Obesity
title Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine
title_full Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine
title_fullStr Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine
title_full_unstemmed Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine
title_short Assessment of Acute and Chronic Pharmacological Effects on Energy Expenditure and Macronutrient Oxidation in Humans: Responses to Ephedrine
title_sort assessment of acute and chronic pharmacological effects on energy expenditure and macronutrient oxidation in humans responses to ephedrine
url http://dx.doi.org/10.1155/2011/210484
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