Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45237, USA.
Cell Metab. 2012 Feb 8;15(2):137-49. doi: 10.1016/j.cmet.2011.12.013. Epub 2012 Jan 11.
The central nervous system (CNS) plays key role in the homeostatic regulation of body weight. Satiation and adiposity signals, providing acute and chronic information about available fuel, are produced in the periphery and act in the brain to influence energy intake and expenditure, resulting in the maintenance of stable adiposity. Diet-induced obesity (DIO) does not result from a failure of these central homeostatic circuits. Rather, the threshold for defended adiposity is increased in environments providing ubiquitous access to palatable, high-fat foods, making it difficult to achieve and maintain weight loss. Consequently, mechanisms by which nutritional environments interact with central homeostatic circuits to influence the threshold for defended adiposity represent critical targets for therapeutic intervention.
中枢神经系统(CNS)在体重的体内平衡调节中起着关键作用。饱腹和肥胖信号提供了有关可用燃料的急性和慢性信息,这些信号在外周产生,并在大脑中发挥作用,影响能量摄入和消耗,从而维持稳定的肥胖。饮食诱导的肥胖(DIO)不是由于这些中枢体内平衡回路的故障引起的。相反,在提供无处不在的美味高脂肪食物的环境中,防御性肥胖的阈值会增加,这使得很难实现和维持体重减轻。因此,营养环境与中枢体内平衡回路相互作用影响防御性肥胖阈值的机制是治疗干预的关键靶点。