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肥胖症:肠道激素、脂质感知和肠道微生物群可能发挥的作用概述。

Obesity: An overview of possible role(s) of gut hormones, lipid sensing and gut microbiota.

机构信息

Centre for Infectious Diseases and Control, School of BioSciences and Technology, VIT University, Vellore, 632014, Tamil Nadu, India.

Centre for Infectious Diseases and Control, School of BioSciences and Technology, VIT University, Vellore, 632014, Tamil Nadu, India.

出版信息

Metabolism. 2016 Jan;65(1):48-65. doi: 10.1016/j.metabol.2015.10.008. Epub 2015 Nov 13.

Abstract

Obesity is one of the major challenges for public health in 21st century, with 1.9 billion people being considered as overweight and 600 million as obese. There are certain diseases such as type 2 diabetes, hypertension, cardiovascular disease, and several forms of cancer which were found to be associated with obesity. Therefore, understanding the key molecular mechanisms involved in the pathogenesis of obesity could be beneficial for the development of a therapeutic approach. Hormones such as ghrelin, glucagon like peptide 1 (GLP-1) peptide YY (PYY), pancreatic polypeptide (PP), cholecystokinin (CCK) secreted by an endocrine organ gut, have an intense impact on energy balance and maintenance of homeostasis by inducing satiety and meal termination. Glucose and energy homeostasis are also affected by lipid sensing in which different organs respond in different ways. However, there is one common mechanism i.e. formation of esterified lipids (long chain fatty acyl CoAs) and the activation of protein kinase C δ (PKC δ) involved in all these organs. The possible role of gut microbiota and obesity has been addressed by several researchers in recent years, indicating the possible therapeutic approach toward the management of obesity by the introduction of an external living system such as a probiotic. The proposed mechanism behind this activity is attributed by metabolites produced by gut microbial organisms. Thus, this review summarizes the role of various physiological factors such as gut hormone and lipid sensing involved in various tissues and organ and most important by the role of gut microbiota in weight management.

摘要

肥胖是 21 世纪公共卫生面临的主要挑战之一,有 19 亿人被认为超重,6 亿人肥胖。某些疾病,如 2 型糖尿病、高血压、心血管疾病和几种形式的癌症,都与肥胖有关。因此,了解肥胖发病机制中涉及的关键分子机制可能有助于开发治疗方法。激素如 ghrelin、胰高血糖素样肽 1(GLP-1)肽 YY(PYY)、胰多肽(PP)、胆囊收缩素(CCK)由内分泌器官肠道分泌,通过诱导饱腹感和停止进食对能量平衡和体内平衡的维持有强烈影响。葡萄糖和能量稳态也受到脂质感应的影响,不同的器官以不同的方式作出反应。然而,有一个共同的机制,即酯化脂质(长链脂肪酸辅酶 A)的形成和蛋白激酶 C δ(PKC δ)的激活,涉及所有这些器官。近年来,一些研究人员已经研究了肠道微生物群和肥胖之间的可能作用,表明通过引入外部活体系统(如益生菌)来管理肥胖的可能治疗方法。这种活性背后的可能机制归因于肠道微生物体产生的代谢物。因此,本文综述了肠道激素和脂质感应等各种生理因素在各种组织和器官中的作用,以及最重要的是肠道微生物群在体重管理中的作用。

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