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外周甲状腺激素脱碘:阐明体重恢复期间代谢适应机制的切入点。

Peripheral thyroid hormone deiodination: Entry points to elucidate mechanisms of metabolic adaptation during weight regain.

机构信息

Department of Endocrinology, Metabolism and Cardiovascular System, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.

出版信息

Obesity (Silver Spring). 2023 May;31(5):1179-1182. doi: 10.1002/oby.23721. Epub 2023 Apr 4.

Abstract

The concept of dual-adaptive thermogenesis underlying metabolic adaptation to prolonged energy deficit posits that there are two control systems that govern energy sparing: a rapid-reacting system to energy deficit and a slow-reacting system to fat store depletion. The latter control system, referred to as the "adipose-specific" control of thermogenesis, contributes to accelerating fat store replenishment (catch-up fat) during weight regain. The case is put forward here that, whereas adaptive thermogenesis during weight loss results primarily from central suppression of the sympathetic nervous system and hypothalamic-pituitary-thyroid axis, during weight regain it operates primarily through peripheral tissue resistance to the actions of this neurohormonal network. Emerging evidence that altered deiodination of thyroid hormones within the skeletal muscle and liver is a key determinant of such peripheral resistance therefore offers entry points toward elucidating the molecular mechanisms that underlie the adipose-specific control of thermogenesis and unraveling tissue-specific targets to counter obesity recidivism.

摘要

代谢适应长期能量不足的双适应产热概念假设存在两个控制能量节约的系统

一个是快速反应系统对能量不足,另一个是缓慢反应系统对脂肪储存耗竭。后者被称为“脂肪特异性”产热控制,有助于在体重恢复期间加速脂肪储存的补充(追赶性脂肪)。这里提出的观点是,在减肥期间,适应性产热主要是由于中枢抑制交感神经系统和下丘脑-垂体-甲状腺轴,而在体重恢复期间,它主要通过外周组织对这种神经激素网络的作用产生抵抗来发挥作用。新兴证据表明,骨骼肌和肝脏中甲状腺激素脱碘作用的改变是这种外周抵抗的关键决定因素,因此为阐明脂肪特异性产热控制的分子机制以及揭示对抗肥胖复发的组织特异性靶点提供了切入点。

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