Peripheral Innervation in the Regulation of Glucose Homeostasis.

Peripheral Innervation in the Regulation of Glucose Homeostasis.
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外周神经支配对葡萄糖稳态的调节。

DOI:
10.1016/j.tins.2020.10.015
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发表时间:
2021-03
影响因子:
15.9
通讯作者:
Kuruvilla R
Kuruvilla R
中科院分区:
医学1区
文献类型:
--
作者:
Lin EE;Scott-Solomon E;Kuruvilla R

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循环葡萄糖的精确调节对人类健康至关重要,并确保大脑的充足供应,大脑几乎完全依赖葡萄糖作为代谢能量。葡萄糖稳态由胰腺中的葡萄糖分泌内分泌细胞以及外周代谢组织(包括肝脏、肌肉和脂肪组织)中的葡萄糖利用和产生来协调。葡萄糖调节组织接受来自交感神经、副交感神经和感觉纤维的密集神经支配。本文就周围神经在葡萄糖调节和代谢中的作用作一综述。在肥胖和糖尿病的动物模型中也观察到外周神经支配的动态变化。总之,这些研究突出了周围神经作为代谢紊乱的新治疗靶点的重要性。
Precise regulation of circulating glucose is crucial for human health and ensures a sufficient supply to the brain, which relies almost exclusively on glucose for metabolic energy. Glucose homeostasis is coordinated by hormone-secreting endocrine cells in the pancreas, as well as glucose utilization and production in peripheral metabolic tissues including the liver, muscle, and adipose tissue. Glucose-regulatory tissues receive dense innervation from sympathetic, parasympathetic, and sensory fibers. In this review, we summarize the functions of peripheral nerves in glucose regulation and metabolism. Dynamic changes in peripheral innervation have also been observed in animal models of obesity and diabetes. Together, these studies highlight the importance of peripheral nerves as a new therapeutic target for metabolic disorders.
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