Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health, Bethesda, MD, USA.
Department of Neuroscience, Brown University, Providence, RI, USA.
Nat Metab. 2022 Jul;4(7):836-847. doi: 10.1038/s42255-022-00611-y. Epub 2022 Jul 25.
The overconsumption of highly caloric and palatable foods has caused a surge in obesity rates in the past half century, thereby posing a healthcare challenge due to the array of comorbidities linked to heightened body fat accrual. Developing treatments to manage body weight requires a grasp of the neurobiological basis of appetite. In this Review, we discuss advances in neuroscience that have identified brain regions and neural circuits that coordinate distinct phases of eating: food procurement, food consumption, and meal termination. While pioneering work identified several hypothalamic nuclei to be involved in feeding, more recent studies have explored how neuronal populations beyond the hypothalamus, such as the mesolimbic pathway and nodes in the hindbrain, interconnect to modulate appetite. We also examine how long-term exposure to a calorically dense diet rewires feeding circuits and alters the response of motivational systems to food. Understanding how the nervous system regulates eating behaviour will bolster the development of medical strategies that will help individuals to maintain a healthy body weight.
在过去的半个世纪里,高热量、美味的食物过度消费导致肥胖率飙升,由此产生了一系列与体脂增加相关的合并症,给医疗保健带来了挑战。开发治疗方法来控制体重需要了解食欲的神经生物学基础。在这篇综述中,我们讨论了神经科学的进展,这些进展确定了协调进食不同阶段的大脑区域和神经回路:食物采购、食物消费和用餐结束。虽然开创性的工作确定了几个下丘脑核参与进食,但最近的研究探索了除下丘脑以外的神经元群体,如中脑边缘通路和后脑节点,如何相互连接以调节食欲。我们还研究了长期暴露于高热量饮食如何重塑进食回路并改变动机系统对食物的反应。了解神经系统如何调节进食行为将有助于开发帮助个人保持健康体重的医疗策略。