Insulin Regulates Brain Function, but How Does It Get There?
Open accessAbstract
We have learned over the last several decades that the brain is an important target for insulin action. Insulin in the central nervous system (CNS) affects feeding behavior and body energy stores, the metabolism of glucose and fats in the liver and adipose, and various aspects of memory and cognition. Insulin may even influence the development or progression of Alzheimer disease. Yet, a number of seemingly simple questions (e.g., What is the pathway for delivery of insulin to the brain? Is insulin’s delivery to the brain mediated by the insulin receptor and is it a regulated process? Is brain insulin delivery affected by insulin resistance?) are unanswered. Here we briefly review accumulated findings affirming the importance of insulin as a CNS regulatory peptide, examine the current understanding of how peripheral insulin is delivered to the brain, and identify key gaps in the current understanding of this process.
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By signaling through the brain, insulin regulates feeding behavior and modifies energy metabolism in liver and adipose tissues, as well as several more cognitive functions.
“By signaling through the brain, insulin regulates feeding behavior and modifies energy metabolism in liver and adipose tissues, as well as several more cognitive functions 27, 28, 29, 30, 31.”
From Inter‐organ communication: a gatekeeper for metabolic health (2019) · cites this paper as [28]
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- Authors
- Gray, S. M., Meijer, R. I., & Barrett, E. J.
- Affiliations
- University of Virginia (US)
- Corresponding author
- Barrett, Eugene J.
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2014-11-13
- Volume
- 63
- Issue
- 12
- Pages
- 3992-3997
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- PMC
- PMC4237995
- OpenAlex
- W2074479414
- Cited by
- 206
- References
- 56
- Citations by year
- 2026: 11 · 2025: 6 · 2024: 12 · 2023: 12 · 2022: 20 · 2021: 22 · 2020: 25 · 2019: 30 · 2018: 22 · 2017: 18 · 2016: 20 · 2015: 8
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- American Diabetes Association (11-BS6)
- National Institutes of Health
- National Heart, Lung, and Blood Institute (T32HL007284)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK057878, DK073059, R01DK057878)
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- insulin, insulin receptor, insulin resistance, feeding behavior, energy metabolism, glucose metabolism, memory and cognition, Alzheimer's disease
- MeSH terms
- Brain, Cerebrospinal Fluid, Glucose, Humans, Insulin, Glucose Transport Proteins, Facilitative, Glucose Transporter Type 4
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