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催产素信号在体重调节中的作用。

Role of oxytocin signaling in the regulation of body weight.

机构信息

VA Puget Sound Health Care System, Office of Research and Development Medical Research Service, Department of Veterans Affairs Medical Center, Seattle, WA, 98108, USA,

出版信息

Rev Endocr Metab Disord. 2013 Dec;14(4):311-29. doi: 10.1007/s11154-013-9260-x.

Abstract

Obesity and its associated metabolic disorders are growing health concerns in the US and worldwide. In the US alone, more than two-thirds of the adult population is classified as either overweight or obese [1], highlighting the need to develop new, effective treatments for these conditions. Whereas the hormone oxytocin is well known for its peripheral effects on uterine contraction during parturition and milk ejection during lactation, release of oxytocin from somatodendrites and axonal terminals within the central nervous system (CNS) is implicated in both the formation of prosocial behaviors and in the control of energy balance. Recent findings demonstrate that chronic administration of oxytocin reduces food intake and body weight in diet-induced obese (DIO) and genetically obese rodents with impaired or defective leptin signaling. Importantly, chronic systemic administration of oxytocin out to 6 weeks recapitulates the effects of central administration on body weight loss in DIO rodents at doses that do not result in the development of tolerance. Furthermore, these effects are coupled with induction of Fos (a marker of neuronal activation) in hindbrain areas (e.g. dorsal vagal complex (DVC)) linked to the control of meal size and forebrain areas (e.g. hypothalamus, amygdala) linked to the regulation of food intake and body weight. This review assesses the potential central and peripheral targets by which oxytocin may inhibit body weight gain, its regulation by anorexigenic and orexigenic signals, and its potential use as a therapy that can circumvent leptin resistance and reverse the behavioral and metabolic abnormalities associated with DIO and genetically obese models.

摘要

肥胖及其相关代谢紊乱是美国和全球日益严重的健康问题。仅在美国,超过三分之二的成年人口被归类为超重或肥胖[1],这凸显了开发这些疾病的新的、有效的治疗方法的必要性。虽然催产素作为一种激素,其外周作用众所周知,包括分娩时子宫收缩和哺乳期乳汁分泌,但在中枢神经系统(CNS)内,从神经元树突和轴突末端释放的催产素与亲社会行为的形成以及能量平衡的控制有关。最近的研究发现,慢性给予催产素可减少饮食诱导肥胖(DIO)和瘦素信号受损或缺陷的遗传性肥胖啮齿动物的食物摄入量和体重。重要的是,慢性全身给予催产素长达 6 周的时间可重现中枢给药对 DIO 啮齿动物体重减轻的影响,而不会导致耐受的产生。此外,这些作用伴随着后脑区域(如迷走神经背核复合体(DVC))中 Fos(神经元激活的标志物)的诱导,与控制进餐量有关,以及前脑区域(如下丘脑、杏仁核)与食物摄入和体重调节有关。这篇综述评估了催产素可能通过抑制体重增加的中枢和外周靶点,及其对厌食和食欲信号的调节,以及作为一种可以绕过瘦素抵抗并逆转与 DIO 和遗传性肥胖模型相关的行为和代谢异常的治疗方法的潜力。

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