School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol, BS8 1TD, UK.
Cerebellum. 2023 Oct;22(5):1002-1019. doi: 10.1007/s12311-022-01476-3. Epub 2022 Sep 19.
Given the importance of the cerebellum in controlling movements, it might be expected that its main role in eating would be the control of motor elements such as chewing and swallowing. Whilst such functions are clearly important, there is more to eating than these actions, and more to the cerebellum than motor control. This review will present evidence that the cerebellum contributes to homeostatic, motor, rewarding and affective aspects of food consumption.Prediction and feedback underlie many elements of eating, as food consumption is influenced by expectation. For example, circadian clocks cause hunger in anticipation of a meal, and food consumption causes feedback signals which induce satiety. Similarly, the sight and smell of food generate an expectation of what that food will taste like, and its actual taste will generate an internal reward value which will be compared to that expectation. Cerebellar learning is widely thought to involve feed-forward predictions to compare expected outcomes to sensory feedback. We therefore propose that the overarching role of the cerebellum in eating is to respond to prediction errors arising across the homeostatic, motor, cognitive, and affective domains.
鉴于小脑在控制运动方面的重要性,人们可能会认为小脑在进食方面的主要作用是控制咀嚼和吞咽等运动要素。虽然这些功能显然很重要,但进食不仅仅是这些动作,小脑的功能也不仅仅是运动控制。本综述将提供证据表明,小脑有助于食物摄入的稳态、运动、奖赏和情感方面。预测和反馈是进食的许多要素的基础,因为食物的摄入受到预期的影响。例如,昼夜节律钟会在预期的进餐时间产生饥饿感,而食物的摄入会产生反馈信号,从而引起饱腹感。同样,食物的视觉和嗅觉会产生对食物味道的预期,而食物的实际味道会产生内在的奖励价值,与这种预期进行比较。小脑学习被广泛认为涉及到前馈预测,将预期结果与感官反馈进行比较。因此,我们提出,小脑在进食中的总体作用是对来自于稳态、运动、认知和情感领域的预测误差做出反应。