Institute for Diabetes and Obesity, Helmholtz Zentrum München and Department of Medicine, Technische Universität München, Munich, Germany.
Rev Endocr Metab Disord. 2013 Dec;14(4):331-8. doi: 10.1007/s11154-013-9263-7.
Obesity, and its associated comorbidities such as type 2 diabetes, cardiovascular diseases, and certain cancers, represent major health challenges. Importantly, there is a sexual dimorphism with respect to the prevalence of obesity and its associated metabolic diseases, implicating a role for gonadal hormones. Specifically, estrogens have been demonstrated to regulate metabolism perhaps by acting as a leptin mimetic in the central nervous system (CNS). CNS estrogen receptors (ERs) include ER alpha (ERα) and ER beta (ERβ), which are found in nuclear, cytoplasmic and membrane sites throughout the brain. Additionally, estrogens can bind to and activate a G protein-coupled estrogen receptor (GPER), which is a membrane-associated ER. ERs are expressed on neurons as well as glia, which are known to play a major role in providing nutrient supply for neurons and have recently received increasing attention for their potentially important involvement in the CNS regulation of systemic metabolism and energy balance. This brief overview summarizes data focusing on the potential role of astrocytic estrogen action as a key component of estrogenic modulation responsible for mediating the sexual dimorphism in body weight regulation and obesity.
肥胖及其相关的合并症,如 2 型糖尿病、心血管疾病和某些癌症,是重大的健康挑战。重要的是,肥胖及其相关代谢疾病的流行存在性别二态性,这暗示了性腺激素的作用。具体来说,雌激素被证明可以调节代谢,可能是通过在中枢神经系统 (CNS) 中充当瘦素模拟物来发挥作用。CNS 雌激素受体 (ER) 包括 ERα (ERα) 和 ERβ (ERβ),它们存在于大脑中的核、细胞质和膜部位。此外,雌激素可以与 G 蛋白偶联雌激素受体 (GPER) 结合并激活,GPER 是一种膜相关的 ER。ER 在神经元和神经胶质细胞上表达,神经胶质细胞在为神经元提供营养供应方面起着主要作用,最近因其在中枢神经系统对全身代谢和能量平衡的调节中的潜在重要作用而受到越来越多的关注。本简要综述总结了数据,重点关注星形胶质细胞雌激素作用作为雌激素调节的关键组成部分的潜在作用,负责调节体重调节和肥胖的性别二态性。