Rohner-Jeanrenaud F, Cusin I, Sainsbury A, Zakrzewska K E, Jeanrenaud B
Laboratoires de Recherches Métaboliques, Faculty of Medicine, University of Geneva, Switzerland.
Horm Metab Res. 1996 Dec;28(12):642-8. doi: 10.1055/s-2007-979870.
Over the years, the work of research laboratories in Baton Rouge (USA), Seattle (USA) and Geneva (Switzerland) have reached analogous conclusions regarding the main etiology of obesity as studied in animals: it largely lies within the brain, notably within the hypothalamus. The hypothalamus is indeed known to modulate food intake and energy partitioning, while the periphery has also been proposed to feed-back on the central nervous system (CNS) to provide information on the state of body energy stores, the two together constituting a loop system connecting the brain to the periphery (1,2,3). This etiologic viewpoint of a pivotal role of the hypothalamus in obesity syndromes has been strengthened by the discovery of one hypothalamic neuropeptide and one peripheral (adipose tissue) hormone, respectively neuropeptide Y (4), and quite particularly, leptin (5). As neuropeptide Y produces hyperphagia (6, 7) and as leptin produces hypophagia in normal animals (8,9,10), the loop system just mentioned was thought to comprise functional relationships, at least between these two factors. Other evidence also suggested that such a loop system was altered in obese animals.
多年来,美国巴吞鲁日、美国西雅图和瑞士日内瓦的研究实验室在对动物肥胖主要病因的研究方面得出了类似结论:肥胖主要源于大脑,尤其是下丘脑。下丘脑确实已知可调节食物摄入和能量分配,同时也有人提出外周会向中枢神经系统(CNS)反馈,以提供有关身体能量储备状态的信息,二者共同构成一个将大脑与外周相连的循环系统(1,2,3)。下丘脑在肥胖综合征中起关键作用这一病因观点,因分别发现一种下丘脑神经肽和一种外周(脂肪组织)激素而得到强化,这两种物质分别是神经肽Y(4),尤其是瘦素(5)。由于神经肽Y会导致食欲亢进(6,7),而瘦素在正常动物中会导致食欲减退(8,9,10),所以上述循环系统被认为至少在这两个因素之间存在功能关系。其他证据也表明,这种循环系统在肥胖动物中发生了改变。