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肠道-脑轴中与代谢调节激素相关的中枢信号通路:综述

The central signaling pathways related to metabolism-regulating hormones of the gut-brain axis: a review.

作者信息

Liu Jiyuan, Jing Changqing, Guo Ying, Shang Zhou, Zhang Baolin, Zhou Xinxiu, Zhang Jizhun, Lian Guodong, Tian Feng, Li Leping, Chen Yuezhi

机构信息

Department of Gastrointestinal Surgery, Shandong Provincial Hospital, Shandong First Medical University, Jinan, 250021, Shandong, China.

Department of General Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, Shandong, China.

出版信息

J Transl Med. 2025 Jun 11;23(1):648. doi: 10.1186/s12967-025-06656-3.

DOI:10.1186/s12967-025-06656-3
PMID:40500780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12160472/
Abstract

Obesity is a widespread metabolic disorder linked to various conditions, including type 2 diabetes, hypertension, fatty liver disease, sleep apnea, and hyperuricemia. It significantly impacts quality of life and economic productivity. Traditional methods like diet and lifestyle changes often fail to produce substantial weight loss. Consequently, emerging treatments such as anti-obesity medications, bariatric surgery, and fecal microbiota transplantation are becoming more prominent. Recent research emphasizes the role of hormones that communicate with the hypothalamus through the gut-brain axis, affecting appetite, insulin secretion, and body weight via specific signaling pathways. This review explores the role of key gastrointestinal hormones (GLP-1, PYY, ghrelin, CCK, GIP, leptin, and bile acids) and their signaling pathways in metabolic regulation. The present research systematically evaluates the impact of bariatric surgery on appetite modulation and certain metabolic functions through key signaling pathways, including GLP-1R, GHS-R1a, and FXR/TGR5.

摘要

肥胖是一种广泛存在的代谢紊乱疾病,与多种病症相关,包括2型糖尿病、高血压、脂肪肝疾病、睡眠呼吸暂停和高尿酸血症。它对生活质量和经济生产力有重大影响。诸如饮食和生活方式改变等传统方法往往无法实现显著的体重减轻。因此,抗肥胖药物、减肥手术和粪便微生物群移植等新兴治疗方法正变得越来越突出。最近的研究强调了通过肠脑轴与下丘脑进行沟通的激素的作用,这些激素通过特定的信号通路影响食欲、胰岛素分泌和体重。本综述探讨了关键胃肠激素(胰高血糖素样肽-1、肽YY、胃饥饿素、胆囊收缩素、葡萄糖依赖性促胰岛素多肽、瘦素和胆汁酸)及其信号通路在代谢调节中的作用。本研究通过关键信号通路,包括胰高血糖素样肽-1受体、生长激素促分泌素受体1a和法尼醇X受体/ TGR5,系统地评估了减肥手术对食欲调节和某些代谢功能的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e704/12160472/79945a501d70/12967_2025_6656_Fig9_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e704/12160472/baa28c94c1cd/12967_2025_6656_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e704/12160472/396bc87ef108/12967_2025_6656_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e704/12160472/1a3e1ed52440/12967_2025_6656_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e704/12160472/79945a501d70/12967_2025_6656_Fig9_HTML.jpg

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本文引用的文献

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Glucose-dependent insulinotropic polypeptide (GIP).葡萄糖依赖性促胰岛素多肽(GIP)。
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