Smarkusz-Zarzecka Joanna, Ostrowska Lucyna, Radziszewska Marcelina
Department of Dietetics and Clinical Nutrition, Medical University of Bialystok, 15-054 Bialystok, Poland.
Nutrients. 2025 Aug 2;17(15):2544. doi: 10.3390/nu17152544.
The enteroendocrine system of the gastrointestinal (GI) tract is the largest endocrine organ in the human body, playing a central role in the regulation of hunger, satiety, digestion, and energy homeostasis. Numerous factors-including dietary components, physical activity, and the gut microbiota-affect the secretion of GI hormones. This study aims to analyze how these factors modulate enteroendocrine function and influence systemic metabolic regulation. This review synthesizes the current scientific literature on the physiology and distribution of enteroendocrine cells and mechanisms of hormone secretion in response to macronutrients, physical activity, and microbial metabolites. Special attention is given to the interactions between gut-derived signals and central nervous system pathways involved in appetite control. Different GI hormones are secreted in specific regions of the digestive tract in response to meal composition and timing. Macronutrients, particularly during absorption, stimulate hormone release, while physical activity influences hormone concentrations, decreasing ghrelin and increasing GLP-1, PYY, and leptin levels. The gut microbiota, through fermentation and metabolite production (e.g., SCFAs and bile acids), modulates enteroendocrine activity. Species such as are associated with improved gut barrier integrity and enhanced GLP-1 secretion. These combined effects contribute to appetite regulation and energy balance. Diet composition, physical activity, and gut microbiota are key modulators of gastrointestinal hormone secretion. Their interplay significantly affects appetite regulation and metabolic health. A better understanding of these relationships may support the development of personalized strategies for managing obesity and related disorders.
胃肠道的肠内分泌系统是人体最大的内分泌器官,在饥饿、饱腹感、消化和能量稳态调节中发挥核心作用。众多因素,包括饮食成分、身体活动和肠道微生物群,都会影响胃肠道激素的分泌。本研究旨在分析这些因素如何调节肠内分泌功能并影响全身代谢调节。这篇综述综合了关于肠内分泌细胞的生理学和分布以及激素分泌机制(响应常量营养素、身体活动和微生物代谢产物)的当前科学文献。特别关注肠道衍生信号与参与食欲控制的中枢神经系统途径之间的相互作用。不同的胃肠道激素在消化道的特定区域分泌,以响应膳食组成和时间。常量营养素,尤其是在吸收过程中,会刺激激素释放,而身体活动会影响激素浓度,降低胃饥饿素水平并增加胰高血糖素样肽 -1、肽YY和瘦素水平。肠道微生物群通过发酵和代谢产物生成(例如短链脂肪酸和胆汁酸)来调节肠内分泌活动。某些物种与改善肠道屏障完整性和增强胰高血糖素样肽 -1分泌有关。这些综合作用有助于食欲调节和能量平衡。饮食组成、身体活动和肠道微生物群是胃肠道激素分泌的关键调节因素。它们之间的相互作用显著影响食欲调节和代谢健康。更好地理解这些关系可能有助于制定管理肥胖及相关疾病的个性化策略。