中枢脂质检测与摄食行为调控

C. Cansell, S. Luquet
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摘要

现代丰富的高能量食物,加上久坐不动的生活方式的转变,导致了一种热力学不平衡,过量的热量摄入和减少的能量消耗是肥胖流行的原因。特别是,暴露于富含脂质的饮食被认为会促进与肥胖相关疾病相关的外周组织的代谢改变。能量平衡的调节取决于大脑对饥饿和饱腹感循环因素变化提供适应性反应的能力。下丘脑特别被认为是关键的综合结构,但除了下丘脑介导的稳态控制外,摄食行为还受到感官输入的调节,如味觉和气味,以及情感或情绪状态。食物的强化和激励作用与中脑边缘系统释放的神经递质多巴胺密切相关,而中脑边缘系统受到高热量食物和大多数其他欲望物体的刺激。因此,进食行为受到来自下丘脑和中边缘区的稳态输入和非稳态输入的调节。有趣的是,这些结构表达了几种参与甘油三酯和脂肪酸加工的酶,最近的文献提供了越来越多的证据,表明在离散的大脑区域内的脂肪酸代谢可以作为营养可用性的传感器,直接控制进食的享乐和稳态方面。
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Central lipid detection and the regulation of feeding behavior
The modern abundance of energy-rich foods combined with a shift to more sedentary lifestyles has led to a thermodynamic imbalance in which excessive caloric intake and reduced energy expenditure account for the prevalence of obesity. In particular, exposure to lipid-rich diet is thought to promote metabolic alteration in peripheral tissue associated with obesity-related diseases. The regulation of energy balance depends on the ability of the brain to provide an adaptive response to change in circulating factors of hunger and satiety. The hypothalamus is particularly regarded as key integrative structure but, aside from hypothalamic-mediated homeostatic control, feeding behavior isalso modulated by sensory inputs, such as tastes and odors,as well as by affective or emotional states. The reinforcing and motivational aspects of food are closely tied to the release of the neurotransmitter dopamine by the mesolimbic system, which is stimulated by calorie-dense foods as well as by most other objects of desire. Therefore feeding behavior is regulated by homeostatic as well as non-homeostatic inputs from the hypothalamus and the mesolimbic region. Interestingly, these structures expressesseveralenzymesinvolvedintheprocessingoftriglycerideandfatty acidandthe recent literature provide growing evidence that fatty acid metabolism within discrete brain regions can function as sensor of nutrient availability directly control the hedonic and the homeostatic aspect of feeding.
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