Tritos N A, Maratos-Flier E
Joslin Diabetes Center, Boston, MA, 02215, USA.
Neuropeptides. 1999 Oct;33(5):339-49. doi: 10.1054/npep.1999.0055.
Our understanding of the regulation of appetite and energy balance has advanced significantly over the past decade as several peptides, centrally or peripherally expressed, have been characterized and shown to profoundly influence food intake and energy expenditure. (1)The growing number of putative appetite-regulating neuropeptides includes peptides that are orexigenic (appetite-stimulating) signals and anorectic peptides. Neuropeptide Y (NPY), melanin concentrating hormone (MCH), orexins A and B, galanin, and agouti -related peptide (AgRP) all act to stimulate feeding while alpha-melanocyte stimulating hormone (alphaMSH), corticotropin releasing hormone (CRH), cholecystokinin (CCK), cocaine and amphetamine regulated transcript (CART), neurotensin, glucagon-like peptide 1 (GLP 1), and bombesin have anorectic actions.(1) Leptin, expressed in the periphery in white adipose tissue, acts in the CNS to modulate the expression of several of these hypothalamic peptides.(1) This creates a functional link between the adipose tissue and the brain that translates the information on body fat provided by leptin to input into energy balance regulating processes. In the current review we examine the significant role of the melanocortin system (alphaMSH, agouti and AgRP peptides, and their receptors and mahogany protein) and melanin concentrating hormone in the regulation of energy balance.
在过去十年中,随着几种在中枢或外周表达的肽被鉴定出来,并显示出对食物摄入和能量消耗有深远影响,我们对食欲调节和能量平衡的理解有了显著进展。(1)越来越多的假定食欲调节神经肽包括促食欲(刺激食欲)信号肽和抑食欲肽。神经肽Y(NPY)、黑色素浓缩激素(MCH)、食欲素A和B、甘丙肽以及刺鼠相关肽(AgRP)均起到刺激进食的作用,而α-黑素细胞刺激激素(αMSH)、促肾上腺皮质激素释放激素(CRH)、胆囊收缩素(CCK)、可卡因和苯丙胺调节转录物(CART)、神经降压素、胰高血糖素样肽1(GLP-1)和蛙皮素则具有抑食欲作用。(1)瘦素在外周白色脂肪组织中表达,在中枢神经系统中发挥作用,调节几种下丘脑肽的表达。(1)这在脂肪组织和大脑之间建立了功能联系,将瘦素提供的身体脂肪信息转化为输入到能量平衡调节过程中的信息。在本综述中,我们研究了黑皮质素系统(αMSH、刺鼠肽和AgRP肽及其受体和桃花心木蛋白)和黑色素浓缩激素在能量平衡调节中的重要作用。