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糖皮质激素和黑皮质素在人体体重调节中的作用

Glucocorticoids and melanocortins in the regulation of body weight in humans.

作者信息

Fehm H L, Born J, Peters A

机构信息

Medizinische Klinik I und Institut für Neuroendokrinologie, Universität Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.

出版信息

Horm Metab Res. 2004 Jun;36(6):360-4. doi: 10.1055/s-2004-814568.

Abstract

The last decade witnessed a dramatic increase in knowledge concerning regulation of body weight and obesity. According to recent concepts constancy of body weight is a side product of regulatory events which ensure constant glucose fluxes to the brain. Within these control systems glucocorticoids and melanocortins play a fundamental role at several sites. The melanocortin neurons in the arcuate nucleus are important mediators of the feedback effects of leptin and insulin. Glucocorticoid and mineralocorticoid receptors in hippocampal neurons are crucial as they define the balance between glucose allocation processes and food intake. Thereby, the hippocampal structures determine the setpoint for bodyweight regulation. Novel approaches to treatment of obesity must aim at manipulating these brain structures.

摘要

在过去十年中,人们对体重调节和肥胖的认识有了显著增加。根据最近的概念,体重恒定是调节事件的一个附带产物,这些调节事件确保了大脑有恒定的葡萄糖通量。在这些控制系统中,糖皮质激素和黑皮质素在多个部位发挥着重要作用。弓状核中的黑皮质素神经元是瘦素和胰岛素反馈作用的重要介质。海马神经元中的糖皮质激素和盐皮质激素受体至关重要,因为它们决定了葡萄糖分配过程和食物摄入之间的平衡。因此,海马结构决定了体重调节的设定点。肥胖治疗的新方法必须旨在操纵这些脑结构。

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