Translational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Leuven, Belgium.
Am J Gastroenterol. 2013 May;108(5):698-706. doi: 10.1038/ajg.2013.24. Epub 2013 Mar 5.
The response of the gastrointestinal tract (GIT) to ingestion of food is a complex and closely controlled process, which allows optimization of propulsion, digestion, absorption of nutrients, and removal of indigestible remnants. This review summarizes current knowledge on the mechanisms that control the response of the GIT to food intake. During the cephalic phase, triggered by cortical food-related influences, the GIT prepares for receiving nutrients. The gastric phase is dominated by the mechanical effect of the meal volume. Accumulation of food in the stomach activates tension-sensitive mechanoreceptors, which in turn stimulate gastric accommodation and gastric acid secretion through the intrinsic and vago-vagal reflex pathways. After meal ingestion, the tightly controlled process of gastric emptying starts, with arrival of nutrients in the duodenum triggering negative feedback on emptying and stimulating secretion of digestive enzymes through the neural (mainly vago-vagal reflex, but also intrinsic) and endocrine (release of peptides from entero-endocrine cells) pathways. Several types of specialized receptors detect the presence of all main categories of nutrients. In addition, the gastrointestinal mucosa expresses receptors of the T1R and T2R families (taste receptors) and several members of the transient receptor potential channel family, all of which are putatively involved in the detection of specific tastants in the lumen. Activation of nutrient and taste sensors also activates the extrinsic and intrinsic neural, as well as entero-endocrine, pathways. During passage through the small bowel, nutrients are progressively extracted, and electrolyte-rich liquid intestinal content with non-digestible residue is delivered to the colon. The colon provides absorption of the water and electrolytes, storage of non-digestible remnants of food, aboral propulsion of contents, and finally evacuation through defecation.
胃肠道(GIT)对食物摄入的反应是一个复杂而紧密控制的过程,它可以优化推进、消化、吸收营养物质以及清除不可消化的残余物。这篇综述总结了目前关于控制胃肠道对食物摄入反应的机制的知识。在头期,皮质与食物相关的影响触发,胃肠道为接收营养物质做准备。胃期主要受餐量的机械效应支配。食物在胃中的积累激活了张力敏感的机械感受器,这些感受器通过内在的和迷走神经反射途径刺激胃顺应性和胃酸分泌。进食后,开始了严格控制的胃排空过程,随着营养物质到达十二指肠,对排空产生负反馈,并通过神经(主要是迷走神经反射,但也有内在的)和内分泌(肠内分泌细胞释放肽)途径刺激消化酶的分泌。几种类型的专门受体检测所有主要营养物质类别的存在。此外,胃肠道黏膜表达 T1R 和 T2R 家族(味觉受体)以及瞬时受体电位通道家族的几个成员的受体,所有这些受体都被认为参与了腔中特定味觉物质的检测。营养和味觉传感器的激活也激活了外在的和内在的神经以及肠内分泌途径。在通过小肠的过程中,营养物质逐渐被提取,富含电解质的液体肠内容物和不可消化的残余物被输送到结肠。结肠提供水和电解质的吸收、食物不可消化残余物的储存、内容物向口腔推进,最后通过排便排出。
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