De Vadder Filipe, Mithieux Gilles
Inserm U855, 7-11 rue Paradin, 69372 Lyon Cedex 08, France ; Université de Lyon, 69008 Lyon, France ; Université Lyon 1, 69622 Villeurbanne, France.
Med Sci (Paris). 2015 Feb;31(2):168-73. doi: 10.1051/medsci/20153102013. Epub 2015 Mar 4.
Since the XIX(th) century, the brain has been known for its role in regulating food intake (via the control of hunger sensation) and glucose homeostasis. Further interest has come from the discovery of gut hormones, which established a clear link between the gut and the brain in regulating glucose and energy homeostasis. The brain has two particular structures, the hypothalamus and the brainstem, which are sensitive to information coming either from peripheral organs or from the gut (via circulating hormones or nutrients) about the nutritional status of the organism. However, the efforts for a better understanding of these mechanisms have allowed to unveil a new gut-brain neural axis as a key regulator of the metabolic status of the organism. Certain nutrients control the hypothalamic homeostatic function via this axis. In this review, we describe how the gut is connected to the brain via different neural pathways, and how the interplay between these two organs drives the energy balance.
自19世纪以来,人们就知道大脑在调节食物摄入(通过控制饥饿感)和葡萄糖稳态方面发挥着作用。肠道激素的发现引发了更多关注,这些激素在调节葡萄糖和能量稳态方面建立了肠道与大脑之间的明确联系。大脑有两个特殊结构,即下丘脑和脑干,它们对来自外周器官或肠道(通过循环激素或营养物质)的有关机体营养状况的信息敏感。然而,为更好理解这些机制所做的努力揭示了一条新的肠-脑神经轴,它是机体代谢状态的关键调节因子。某些营养物质通过这条轴控制下丘脑的稳态功能。在这篇综述中,我们描述了肠道如何通过不同神经通路与大脑相连,以及这两个器官之间的相互作用如何驱动能量平衡。