FRI003 Oxytocin Response To Feeding Predicts Reward-driven Calorie Consumption In Adults With Obesity

Disclosure: R. Boutin: None. M. Wronski: None. A. Aulinas Maso: None. M. Muhammed: None. F. Galbiati: None. L. Kerem: None. S. Carter: None. H. Nazarloo: None. J.M. Davis: None. K. Holman: None. J. Gydus: None. S. Smith: None. E. Asanza: None. F. Plessow: None. E.A. Lawson: Consulting Fee; Self; OXT Therapeutics. Stock Owner; Self; OXT Therapeutics. Objectives: Oxytocin (OXT) is a hypothalamic peptide hormone that reduces reward-related food intake and is under investigation as a potential weight loss therapy. Activation of OXT neurons in appetite pathways results in suppression of posterior pituitary release of OXT to the circulation, such that peripheral OXT levels (in response to feeding) may reflect the opposite of central OXT activity. While a relationship between peripheral OXT response to feeding and appetite has been reported in healthy females, there are no data related to OXT levels and appetite or eating behavior in individuals with obesity. We hypothesized that in individuals with obesity, higher OXT levels in response to feeding would be associated with greater reward-driven food intake assessed during a Cookie Taste Test. Methods: In a cross-sectional study of 53 adults with obesity (56% females; age [mean±SD] 33.7±6.2 years; BMI 36.9±4.9 kg/m2), participants presented after an overnight fast and were provided with a standard 400 kcal mixed meal. We sampled blood before and 30, 60 and 120 minutes after the meal for OXT levels and calculated area under the curve (AUC) as an integrated measure of OXT response to feeding. After receiving a subsequent snack, subjects ate as many cookies as needed to rate the cookies on various characteristics (i.e. sweetness, texture, delectability). We logarithmically transformed non-normal data to achieve a normalized distribution and used Pearson correlation to evaluate the relationship between OXT AUC and number of calories eaten during the Cookie Taste Test (behavioral marker of reward-related eating). Results: OXT AUC in response to a standardized meal predicted subsequent calories consumed at the Cookie Taste Test (R=0.30, p=0.036), such that those with higher OXT levels consumed more calories. Conclusions: Consistent with our hypothesis, peripheral OXT response to a standardized meal predicted subsequent reward-driven caloric intake in adults with obesity. These data suggest that endogenous OXT is involved in regulation of hedonic eating and supports targeting OXT pathways in the treatment of obesity. Presentation: Friday, June 16, 2023