Thermogenesis: Difference between revisions

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'''TIMI''' or '''Thrombolysis in Myocardial Infarction''' is a clinical trial group funded by the National Heart, Lung, and Blood Institute to investigate the treatment of acute myocardial infarction. This group has conducted several large, multicenter trials that have led to changes in medical guidelines and practice.
{{DISPLAYTITLE:Thermogenesis}}


== History ==
== Overview ==
[[File:ThermogeneseAdipozyten-en.svg|thumb|right|Diagram of thermogenesis in adipocytes]]
'''Thermogenesis''' is the process of heat production in organisms. It occurs in all warm-blooded animals and is a crucial component of [[homeostasis]], allowing the maintenance of a stable internal body temperature regardless of external conditions. Thermogenesis can be classified into several types, including [[shivering thermogenesis]], [[non-shivering thermogenesis]], and [[diet-induced thermogenesis]].


The TIMI Study Group was established in 1984 at the Brigham and Women's Hospital, a teaching affiliate of Harvard Medical School, to conduct the original TIMI Trial. The group has since grown to include over 50 clinical research professionals and has conducted over 50 clinical trials involving more than 200,000 patients worldwide.
== Types of Thermogenesis ==


== TIMI Score ==
=== Shivering Thermogenesis ===
Shivering thermogenesis is the rapid contraction of muscles to generate heat. It is an involuntary response to cold exposure and is one of the primary methods of heat production in humans and other mammals. During shivering, the [[muscle]]s contract and relax rapidly, which increases [[metabolic rate]] and produces heat.


The [[TIMI Score]] is a tool used by healthcare professionals to assess the risk of death and ischemic events in patients with unstable angina or non-ST elevation myocardial infarction. The score is based on seven variables, each of which is associated with an increased risk of adverse outcomes. The higher the TIMI Score, the greater the risk.
=== Non-Shivering Thermogenesis ===
Non-shivering thermogenesis occurs primarily in [[brown adipose tissue]] (BAT), also known as brown fat. This type of thermogenesis is activated by the [[sympathetic nervous system]] and involves the uncoupling of [[oxidative phosphorylation]] in the [[mitochondria]], leading to heat production instead of [[adenosine triphosphate|ATP]] synthesis. The protein [[uncoupling protein 1]] (UCP1) plays a key role in this process.


== TIMI Trials ==
=== Diet-Induced Thermogenesis ===
Diet-induced thermogenesis, also known as the thermic effect of food, is the increase in energy expenditure above the basal fasting level divided by the energy content of the food ingested. It is associated with the digestion, absorption, and assimilation of nutrients. Different macronutrients have varying thermogenic effects, with [[protein]] having the highest thermogenic effect compared to [[carbohydrates]] and [[fats]].


The TIMI Trials have investigated a variety of treatments for acute myocardial infarction, including thrombolytic therapy, antiplatelet therapy, anticoagulant therapy, and invasive strategies. The results of these trials have informed the development of guidelines for the treatment of acute myocardial infarction.
== Mechanisms of Thermogenesis ==
Thermogenesis involves several physiological mechanisms, including:


== See Also ==
* '''Activation of Brown Adipose Tissue (BAT):''' BAT is rich in mitochondria and is highly vascularized, allowing for rapid heat production and distribution throughout the body.
* '''Hormonal Regulation:''' Hormones such as [[thyroid hormone]]s and [[catecholamines]] play a significant role in regulating thermogenesis. They increase the metabolic rate and enhance heat production.
* '''Sympathetic Nervous System Activation:''' The sympathetic nervous system stimulates thermogenesis through the release of [[norepinephrine]], which activates BAT and increases metabolic activity.


* [[Myocardial Infarction]]
== Clinical Significance ==
* [[Thrombolysis]]
Thermogenesis has important implications for [[metabolism]] and [[energy balance]]. It is a target for [[obesity]] treatment, as increasing thermogenesis can enhance energy expenditure and promote weight loss. Understanding the mechanisms of thermogenesis can also aid in the development of therapies for [[hypothermia]] and other temperature regulation disorders.
* [[Clinical Trials]]


== References ==
== Related Pages ==
* [[Homeostasis]]
* [[Brown adipose tissue]]
* [[Metabolism]]
* [[Obesity]]
* [[Hypothermia]]


<references />
[[Category:Physiology]]
 
[[Category:Metabolism]]
== External Links ==
 
* [https://www.timi.org/ TIMI Study Group Official Website]
 
[[Category:Medical Trials]]
[[Category:Cardiology]]
[[Category:Medical Research]]
 
{{stub}}

Latest revision as of 05:29, 16 February 2025


Overview[edit]

Diagram of thermogenesis in adipocytes

Thermogenesis is the process of heat production in organisms. It occurs in all warm-blooded animals and is a crucial component of homeostasis, allowing the maintenance of a stable internal body temperature regardless of external conditions. Thermogenesis can be classified into several types, including shivering thermogenesis, non-shivering thermogenesis, and diet-induced thermogenesis.

Types of Thermogenesis[edit]

Shivering Thermogenesis[edit]

Shivering thermogenesis is the rapid contraction of muscles to generate heat. It is an involuntary response to cold exposure and is one of the primary methods of heat production in humans and other mammals. During shivering, the muscles contract and relax rapidly, which increases metabolic rate and produces heat.

Non-Shivering Thermogenesis[edit]

Non-shivering thermogenesis occurs primarily in brown adipose tissue (BAT), also known as brown fat. This type of thermogenesis is activated by the sympathetic nervous system and involves the uncoupling of oxidative phosphorylation in the mitochondria, leading to heat production instead of ATP synthesis. The protein uncoupling protein 1 (UCP1) plays a key role in this process.

Diet-Induced Thermogenesis[edit]

Diet-induced thermogenesis, also known as the thermic effect of food, is the increase in energy expenditure above the basal fasting level divided by the energy content of the food ingested. It is associated with the digestion, absorption, and assimilation of nutrients. Different macronutrients have varying thermogenic effects, with protein having the highest thermogenic effect compared to carbohydrates and fats.

Mechanisms of Thermogenesis[edit]

Thermogenesis involves several physiological mechanisms, including:

  • Activation of Brown Adipose Tissue (BAT): BAT is rich in mitochondria and is highly vascularized, allowing for rapid heat production and distribution throughout the body.
  • Hormonal Regulation: Hormones such as thyroid hormones and catecholamines play a significant role in regulating thermogenesis. They increase the metabolic rate and enhance heat production.
  • Sympathetic Nervous System Activation: The sympathetic nervous system stimulates thermogenesis through the release of norepinephrine, which activates BAT and increases metabolic activity.

Clinical Significance[edit]

Thermogenesis has important implications for metabolism and energy balance. It is a target for obesity treatment, as increasing thermogenesis can enhance energy expenditure and promote weight loss. Understanding the mechanisms of thermogenesis can also aid in the development of therapies for hypothermia and other temperature regulation disorders.

Related Pages[edit]