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进食会释放人体内的内源性阿片类物质。

Feeding Releases Endogenous Opioids in Humans.

作者信息

Tuulari Jetro J, Tuominen Lauri, de Boer Femke E, Hirvonen Jussi, Helin Semi, Nuutila Pirjo, Nummenmaa Lauri

机构信息

Turku PET Centre.

Department of Psychiatry, Institute of Clinical Medicine.

出版信息

J Neurosci. 2017 Aug 23;37(34):8284-8291. doi: 10.1523/JNEUROSCI.0976-17.2017. Epub 2017 Jul 26.

Abstract

The endogenous opioid system supports a multitude of functions related to appetitive behavior in humans and animals, and it has been proposed to govern hedonic aspects of feeding thus contributing to the development of obesity. Here we used positron emission tomography to investigate whether feeding results in hedonia-dependent endogenous opioid release in humans. Ten healthy males were recruited for the study. They were scanned with the μ-opioid-specific ligand [C]carfentanil three times, as follows: after a palatable meal, a nonpalatable meal, and after an overnight fast. Subjective mood, satiety, and circulating hormone levels were measured. Feeding induced significant endogenous opioid release throughout the brain. This response was more pronounced following a nonpalatable meal versus a palatable meal, and independent of the subjective hedonic responses to feeding. We conclude that feeding consistently triggers cerebral opioid release even in the absence of subjective pleasure associated with feeding, suggesting that metabolic and homeostatic rather than exclusively hedonic responses play a role in the feeding-triggered cerebral opioid release. The endogenous opioid system supports both hedonic and homeostatic functions. It has been proposed that overeating and concomitant opioid release could downregulate opioid receptors and promote the development of obesity. However, it remains unresolved whether feeding leads to endogenous opioid release in humans. We used positron emission tomography to test whether feeding triggers cerebral opioid release and whether this response is associated with pleasurable sensations. We scanned volunteers using the μ-opioid receptor-specific radioligand [C]carfentanil three times, as follows: after an overnight fast, after consuming a palatable meal, and after consuming a nonpalatable meal. Feeding led to significant endogenous opioid release, and this occurred also in the absence of feeding-triggered hedonia. Feeding-triggered opioid release thus also reflects metabolic and homeostatic responses rather than hedonic responses exclusively.

摘要

内源性阿片系统支持人类和动物中与食欲行为相关的多种功能,并且有人提出它控制进食的享乐方面,从而导致肥胖的发生。在此,我们使用正电子发射断层扫描来研究进食是否会导致人类体内依赖享乐的内源性阿片释放。招募了10名健康男性参与该研究。他们使用μ-阿片特异性配体[C]卡芬太尼进行了三次扫描,具体如下:在食用美味餐后、食用不可口餐后以及禁食一夜后。测量了主观情绪、饱腹感和循环激素水平。进食在整个大脑中诱导了显著的内源性阿片释放。与美味餐相比,这种反应在不可口餐后更为明显,并且与对进食的主观享乐反应无关。我们得出结论,即使在没有与进食相关的主观愉悦感的情况下,进食也会持续触发大脑阿片释放,这表明代谢和稳态反应而非仅仅是享乐反应在进食触发的大脑阿片释放中起作用。内源性阿片系统支持享乐和稳态功能。有人提出暴饮暴食和伴随的阿片释放可能会下调阿片受体并促进肥胖的发展。然而,进食是否会导致人类内源性阿片释放仍未解决。我们使用正电子发射断层扫描来测试进食是否会触发大脑阿片释放以及这种反应是否与愉悦感相关。我们使用μ-阿片受体特异性放射性配体[C]卡芬太尼对志愿者进行了三次扫描,具体如下:禁食一夜后、食用美味餐后以及食用不可口餐后。进食导致了显著的内源性阿片释放,并且在没有进食触发的享乐感的情况下也会发生。因此,进食触发的阿片释放也反映了代谢和稳态反应而非仅仅是享乐反应。

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