Hamr Sophie C, Wang Beini, Swartz Timothy D, Duca Frank A
Department of Physiology, University of Toronto, Toronto, M5S 1A8, Canada,
Curr Diab Rep. 2015 Jun;15(6):604. doi: 10.1007/s11892-015-0604-7.
The ability to "see" both incoming and circulating nutrients plays an essential role in the maintenance of energy homeostasis. As such, nutrient-sensing mechanisms in both the gastrointestinal tract and the brain have been implicated in the regulation of energy intake and glucose homeostasis. The intestinal wall is able to differentiate individual nutrients through sensory machinery expressed in the mucosa and provide feedback signals, via local gut peptide action, to maintain energy balance. Furthermore, both the hypothalamus and hindbrain detect circulating nutrients and respond by controlling energy intake and glucose levels. Conversely, nutrient sensing in the intestine plays a role in stimulating food intake and preferences. In this review, we highlight the emerging evidence for the regulation of energy balance through nutrient-sensing mechanisms in the intestine and the brain, and how disruption of these pathways could result in the development of obesity and type 2 diabetes.
“感知”摄入和循环中的营养物质的能力在维持能量平衡中起着至关重要的作用。因此,胃肠道和大脑中的营养感知机制都与能量摄入和葡萄糖稳态的调节有关。肠壁能够通过黏膜中表达的传感机制区分不同的营养物质,并通过局部肠道肽的作用提供反馈信号,以维持能量平衡。此外,下丘脑和后脑都能检测循环中的营养物质,并通过控制能量摄入和葡萄糖水平做出反应。相反,肠道中的营养感知在刺激食物摄入和偏好方面发挥作用。在这篇综述中,我们强调了通过肠道和大脑中的营养感知机制调节能量平衡的新证据,以及这些途径的破坏如何导致肥胖和2型糖尿病的发生。