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恶心的神经通路及其在能量平衡中的作用。

Neural pathways of nausea and roles in energy balance.

作者信息

Zhang Chuchu

机构信息

Department of Physiology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

出版信息

Curr Opin Neurobiol. 2025 Feb;90:102963. doi: 10.1016/j.conb.2024.102963. Epub 2025 Jan 6.

Abstract

Our internal sensory systems encode various gut-related sensations, such as hunger, feelings of fullness, and nausea. These internal feelings influence our eating behaviors and play a vital role in regulating energy balance. Among them, the neurological basis for nausea has been the least well characterized, which has hindered comprehension of the connection between these sensations. Single-cell sequencing, along with functional mapping, has brought clarity to the neural pathways of nausea involving the brainstem area postrema. In addition, the newly discovered nausea sensory signals have deepened our understanding of the area postrema in regulating feeding behaviors. Nausea has significant clinical implications, especially in developing drugs for weight loss and metabolism. This review summarizes recent research on the neural pathways of nausea, particularly highlighting their contribution to energy balance.

摘要

我们的内部感觉系统会编码各种与肠道相关的感觉,如饥饿、饱腹感和恶心感。这些内在感觉会影响我们的饮食行为,并在调节能量平衡中发挥至关重要的作用。其中,恶心的神经学基础是最不明确的,这阻碍了我们对这些感觉之间联系的理解。单细胞测序以及功能图谱绘制,为涉及延髓最后区的恶心神经通路带来了清晰的认识。此外,新发现的恶心感觉信号加深了我们对延髓最后区在调节进食行为方面的理解。恶心具有重要的临床意义,尤其是在开发减肥和代谢药物方面。本综述总结了近期关于恶心神经通路的研究,特别强调了它们对能量平衡的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e28/11839311/5776db8a4a8d/nihms-2048829-f0001.jpg

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