Cited by 125Regulation of Appetite and ObesityAdipokines, Inflammation, and Metabolic DiseasesMetabolism, Diabetes, and Cancer

Neuronal regulation of homeostasis by nutrient sensing

Lam, Tony K T·2010·Nature Medicine

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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Crossref · 10.1038/nm0410-392

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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”

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Authors
Lam, T. K. T.
Affiliations
University Health Network (CA)
Corresponding author
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
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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