Neuronal regulation of homeostasis by nutrient sensing
Abstract
In type 2 diabetes and obesity, the homeostatic control of glucose and energy balance is impaired, leading to hyperglycemia and hyperphagia. Recent studies indicate that nutrient-sensing mechanisms in the body activate negative-feedback systems to regulate energy and glucose homeostasis through a neuronal network. Direct metabolic signaling within the intestine activates gut-brain and gut-brain-liver axes to regulate energy and glucose homeostasis, respectively. In parallel, direct metabolism of nutrients within the hypothalamus regulates food intake and blood glucose levels. These findings highlight the importance of the central nervous system in mediating the ability of nutrient sensing to maintain homeostasis. Futhermore, they provide a physiological and neuronal framework by which enhancing or restoring nutrient sensing in the intestine and the brain could normalize energy and glucose homeostasis in diabetes and obesity.
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CNS nutrient-sensing plays an important role in the regulation of energy balance and glucose metabolism.
“Nutrient-sensing involving in the CNS play an important role in the regulation of energy balance and glucose metabolism”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [98]
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Thyroid Hormone Signaling and Homeostasis During Aging
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Hypothalamic glucagon signaling inhibits hepatic glucose production
Mighiu, P. I., Yue, J. T. Y., Filippi, B., Abraham, M. A., Chari, M., Lam, C., Yang, C. S., Christian, N. R., Charron, M. J., & Lam, T. K. T. (2013) · Nature Medicine · doi:10.1038/nm.3115 · Cited by 117 · see citing works
Self-citationRegulation of fat intake in the absence of flavour signalling
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Self-citationInsulin Activates Erk1/2 Signaling in the Dorsal Vagal Complex to Inhibit Glucose Production
Filippi, B., Yang, C. S., Tang, C., & Lam, T. K. T. (2012) · Cell Metabolism · doi:10.1016/j.cmet.2012.09.005 · Cited by 105 · see citing works
Self-citationZhang, H., Zhang, G., Gonzalez, F. J., Park, S.-M., & Cai, D. (2011) · PLoS Biology · doi:10.1371/journal.pbio.1001112 · Cited by 100 · see citing works
Hypothalamic AMP-Activated Protein Kinase Regulates Glucose Production
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Self-citationLam, C., Chari, M., Su, B., Cheung, G. W. C., Kokorovic, A., Yang, C. S., Wang, P. Y. T., Lai, T. Y. Y., & Lam, T. K. T. (2010) · Journal of Biological Chemistry · doi:10.1074/jbc.m109.087338 · Cited by 83 · see citing works
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Lipid Sensing and Insulin Resistance in the Brain
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Nutrient-Sensing Mechanisms in the Gut as Therapeutic Targets for Diabetes
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Yue, J. T. Y., Mighiu, P. I., Naples, M., Adeli, K., & Lam, T. K. T. (2012) · Circulation Research · doi:10.1161/circresaha.112.268276 · Cited by 56 · see citing works
Self-citationDuodenal nutrient exclusion improves metabolic syndrome and stimulates villus hyperplasia
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Insulin and glucagon signaling in the central nervous system
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Insulin action in the hypothalamus and dorsal vagal complex
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Self-citationLipid sensing in the gut, brain and liver
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How Should We Think About the Role of the Brain in Glucose Homeostasis and Diabetes?
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Gut-brain mechanisms controlling glucose homeostasis
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Leptin and the central control of feeding behavior
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Blunted Brain Energy Consumption Relates to Insula Atrophy and Impaired Glucose Tolerance in Obesity
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Hypothalamic glucagon signals through the KATP channels to regulate glucose production
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Duodenal Mucosal Protein Kinase C-δ Regulates Glucose Production in Rats
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Total cerebral blood flow and mortality in old age
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Duodenal PKC-δ and Cholecystokinin Signaling Axis Regulates Glucose Production
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- Authors
- Lam, T. K. T.
- Affiliations
- University Health Network (CA)
- Corresponding author
- Lam, Tony K T
- ORCID
- Lam, Tony K T
- Venue
- Nature Medicine
- Published
- 2010-04
- Volume
- 16
- Issue
- 4
- Pages
- 392-395
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W2057182111
- Cited by
- 125
- References
- 72
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 8 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 17 · 2014: 6 · 2013: 14 · 2012: 20
- FWCI
- 8.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (86554, MOP-82701)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- nutrient sensing, glucose homeostasis, energy homeostasis, type 2 diabetes, obesity, gut-brain axis, neuronal regulation, negative feedback, hyperphagia, hyperglycemia, food intake regulation
- MeSH terms
- Animals, Blood Glucose, Brain, Homeostasis, Humans, Hypothalamus, Nervous System Physiological Phenomena, Nutritional Status, Gastrointestinal Tract, Rats
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