Vázquez-Moreno Miguel Alexander, Cruz-López Miguel
Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Unidad de Investigación Médica en Bioquímica. Ciudad de México, México.
Rev Med Inst Mex Seguro Soc. 2023 May 2;61(3):356-362.
Worldwide, Mexico is one of the countries with the highest rate of obesity, which is a condition considered the main risk factor for type 2 diabetes. Among the mechanisms that predispose to obesity, the interaction between food intake and genetic components has been little explored. Recently we evidenced a significant association between the copy number (CN) of AMY1A and AMY2A genes, the enzymatic activity of salivary and pancreatic amylase, and the frequency of childhood obesity in Mexico, a particular population due to the high consumption of starch in the diet and the high prevalence of obesity in children and adults. This review aims to find a better understanding of the role of amylase in obesity through a description of the evolution of the CN of its genes, the association of its enzymatic activity with obesity, and the effect of its interaction with starch intake on Mexican children. In addition, it denotes the importance of the experimental perspectives of further investigation regarding the mechanism by which amylase could regulate the abundance of oligosaccharide-fermenting bacteria and producers of short-chain fatty acids and/or branched-chain amino acids that could contribute to the alteration of the physiological processes associated with intestinal inflammation and metabolic deregulation that predispose to the development of obesity.
在全球范围内,墨西哥是肥胖率最高的国家之一,肥胖被认为是2型糖尿病的主要风险因素。在导致肥胖的机制中,食物摄入与遗传成分之间的相互作用鲜有研究。最近,我们发现墨西哥人群中,AMY1A和AMY2A基因的拷贝数(CN)、唾液和胰腺淀粉酶的酶活性与儿童肥胖发生率之间存在显著关联。墨西哥人群是一个特殊群体,因为其饮食中淀粉消耗量高,儿童和成人肥胖患病率也高。本综述旨在通过描述淀粉酶基因拷贝数的演变、其酶活性与肥胖的关联以及其与淀粉摄入量的相互作用对墨西哥儿童的影响,更好地理解淀粉酶在肥胖中的作用。此外,它还指出了进一步研究淀粉酶调节寡糖发酵细菌以及短链脂肪酸和/或支链氨基酸产生菌数量的机制的实验观点的重要性,这些细菌数量的改变可能导致与肠道炎症和代谢失调相关的生理过程发生变化,进而引发肥胖。