Sympathetic circuits regulating hepatic glucose metabolism: where we stand.

Sympathetic circuits regulating hepatic glucose metabolism: where we stand.
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调节肝脏葡萄糖代谢的交感神经回路:我们的立场。

DOI:
10.1152/physrev.00005.2023
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发表时间:
2024
影响因子:
33.6
通讯作者:
Derbenev,AndreiV
Derbenev,AndreiV
中科院分区:
医学1区
文献类型:
--
作者:
Zsombok,Andrea;Desmoulins,LucieD;Derbenev,AndreiV

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The prevalence of metabolic disorders, including type 2 diabetes mellitus, continues to increase worldwide. Although newer and more advanced therapies are available, current treatments are still inadequate and the search for solutions remains. The regulation of energy homeostasis, including glucose metabolism, involves an exchange of information between the nervous systems and peripheral organs and tissues; therefore, developing treatments to alter central and/or peripheral neural pathways could be an alternative solution to modulate whole body metabolism. Liver glucose production and storage are major mechanisms controlling glycemia, and the autonomic nervous system plays an important role in the regulation of hepatic functions. Autonomic nervous system imbalance contributes to excessive hepatic glucose production and thus to the development and progression of type 2 diabetes mellitus. At cellular levels, change in neuronal activity is one of the underlying mechanisms of autonomic imbalance; therefore, modulation of the excitability of neurons involved in autonomic outflow governance has the potential to improve glycemic status. Tissue-specific subsets of preautonomic neurons differentially control autonomic outflow; therefore, detailed information about neural circuits and properties of liver-related neurons is necessary for the development of strategies to regulate liver functions via the autonomic nerves. This review provides an overview of our current understanding of the hypothalamus-ventral brainstem-liver pathway involved in the sympathetic regulation of the liver, outlines strategies to identify organ-related neurons, and summarizes neuronal plasticity during diabetic conditions with a particular focus on liver-related neurons in the paraventricular nucleus.
DOI: 10.1038/s41572-022-00357-7
发表时间: 2022-05-19
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DOI: 10.1016/j.cmet.2012.06.001
发表时间: 2012-07-03
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影响因子: 29
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作者:
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