Spetter Maartje S, Hallschmid Manfred
School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Otfried-Müller-Str. 26, 72076 Tübingen, Germany.
Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Otfried-Müller-Str. 26, 72076 Tübingen, Germany; German Center for Diabetes Research (DZD), 72076 Tübingen, Germany; Institute for Diabetes Research and Metabolic Diseases of the Helmholtz Center Munich at the University of Tübingen, 72076 Tübingen, Germany.
Physiol Behav. 2017 Jul 1;176:31-39. doi: 10.1016/j.physbeh.2017.03.007. Epub 2017 Mar 8.
In the face of the alarming prevalence of obesity and its associated metabolic impairments, it is of high basic and clinical interest to reach a complete understanding of the central nervous pathways that establish metabolic control. In recent years, the hypothalamic neuropeptide oxytocin, which is primarily known for its involvement in psychosocial processes and reproductive behavior, has received increasing attention as a modulator of metabolic function. Oxytocin administration to the brain of normal-weight animals, but also animals with diet-induced or genetically engineered obesity reduces food intake and body weight, and can also increase energy expenditure. Up to now, only a handful of studies in humans have investigated oxytocin's contribution to the regulation of eating behavior. Relying on the intranasal pathway of oxytocin administration, which is a non-invasive strategy to target central nervous oxytocin receptors, these experiments have yielded some promising first results. In normal-weight and obese individuals, intranasal oxytocin acutely limits meal intake and the consumption of palatable snacks. It is still unclear to which extent - or if at all - such metabolic effects of oxytocin in humans are conveyed or modulated by oxytocin's impact on cognitive processes, in particular on psychosocial function. We shortly summarize the current literature on oxytocin's involvement in food intake and metabolic control, ponder potential links to social and cognitive processes, and address future perspectives as well as limitations of oxytocin administration in experimental and clinical contexts.
面对肥胖及其相关代谢障碍令人担忧的流行情况,全面了解建立代谢控制的中枢神经通路具有很高的基础和临床研究价值。近年来,下丘脑神经肽催产素,主要因其参与心理社会过程和生殖行为而为人所知,作为代谢功能的调节剂受到越来越多的关注。给体重正常的动物以及饮食诱导或基因工程肥胖的动物脑部注射催产素,可减少食物摄入量和体重,还能增加能量消耗。到目前为止,只有少数针对人类的研究调查了催产素对饮食行为调节的作用。这些实验依靠催产素的鼻内给药途径,这是一种靶向中枢神经催产素受体的非侵入性策略,已经取得了一些有前景的初步结果。在体重正常和肥胖的个体中,鼻内注射催产素可急性限制进餐量和美味小吃的摄入量。催产素在人类中的这种代谢作用在多大程度上——或者是否——是由催产素对认知过程,特别是对心理社会功能的影响所传递或调节的,目前仍不清楚。我们简要总结了目前关于催产素参与食物摄入和代谢控制的文献,思考其与社会和认知过程的潜在联系,并探讨催产素在实验和临床环境中的给药的未来前景以及局限性。