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我们吃得比我们想象的多吗?非法信号传导和异种应激作为肥胖发病机制的参与者。

Are we eating more than we think? Illegitimate signaling and xenohormesis as participants in the pathogenesis of obesity.

作者信息

Yun Anthony J, Lee Patrick Y, Doux John D

机构信息

Stanford University, Department of Radiology, 470 University Avenue, Palo Alto, CA 94301 United States.

出版信息

Med Hypotheses. 2006;67(1):36-40. doi: 10.1016/j.mehy.2005.11.022. Epub 2006 Jan 6.

Abstract

Resource utilization may represent a central force driving evolution. A tight link between sensing energy availability and managing energy acquisition and utilization constitutes a common feature among all organisms. While such a link was likely adaptive during prehistoric evolution, modern lifestyles may decouple perceived cues from actual energy availability so as to promote obesity in humans. A particular illegitimate signal is chronic stress, which may shift body phenotype to suit a more conservative state of energy management. In prehistoric times, such a response likely aided survival during periods of low resource availability. However, new sources of chronic stress have emerged that bear little relationship to contextual energy, which is generally abundant in the modern world. In addition, modern techniques of husbandry and agriculture can produce stress in the food chain, such that food itself can act as an illegitimate signal of chronic stress. Obese livestock and unusual fat profiles in farmed fish, meat, and eggs may reflect stress phenotypes. Consumers of stressed foods may sense those signals--a phenomenon known as xenohormesis--and assume the stressed phenotype. This maladaptive process may promote obesity by erroneously biasing hosts towards caloric accumulation in the context of energy abundance. Regional tissue accumulation of fat may indicate local tissue stress. Atherosclerosis may result from stress signals that induce sympathetic bias and regional fat accumulation in vessel adventitia. Medications such as neuroleptics and foods such as diet drinks may generate illegitimate signals by mimicking molecules used for energy management. Implications for the prevention and treatment of dysfunctions related to these derangements are discussed. New strategies for manufacturing biologics by manipulating stress conditions or controlling fatty acid attachments to proteins are envisioned.

摘要

资源利用可能是推动进化的核心力量。感知能量可用性与管理能量获取和利用之间的紧密联系是所有生物的共同特征。虽然这种联系在史前进化过程中可能具有适应性,但现代生活方式可能会使感知线索与实际能量可用性脱钩,从而导致人类肥胖。一种特殊的非法信号是慢性应激,它可能会改变身体表型以适应更保守的能量管理状态。在史前时代,这种反应可能有助于在资源匮乏时期生存。然而,新出现的慢性应激源与环境能量几乎没有关系,而现代世界中环境能量通常很丰富。此外,现代畜牧和农业技术会在食物链中产生应激,以至于食物本身可能成为慢性应激的非法信号。肥胖的牲畜以及养殖鱼类、肉类和蛋类中异常的脂肪分布可能反映出应激表型。食用受应激影响的食物的消费者可能会感知到这些信号——这种现象被称为异种应激反应——并呈现出应激表型。这个适应不良的过程可能会在能量充裕的情况下错误地使宿主倾向于热量积累,从而促进肥胖。局部组织脂肪堆积可能表明局部组织应激。动脉粥样硬化可能是由诱导交感神经偏向和血管外膜局部脂肪堆积的应激信号引起的。抗精神病药物等药物以及无糖饮料等食物可能通过模仿用于能量管理的分子产生非法信号。本文讨论了针对与这些紊乱相关的功能障碍的预防和治疗的意义。设想了通过操纵应激条件或控制脂肪酸与蛋白质的附着来制造生物制剂的新策略。

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