J Neurogastroenterol Motil.  2012 Apr;18(2):138-149.

Yin and Yang: the Gastric X/A-like Cell as Possible Dual Regulator of Food Intake

Affiliations
  • 1Department of Medicine, Division Psychosomatic Medicine and Psychotherapy, Charite, Campus Mitte, Universitatsmedizin Berlin, Berlin, Germany. andreas.stengel@charite.de
  • 2CURE/Digestive Diseases Research Center, Center for Neurobiology of Stress, Department of Medicine, Digestive Diseases Division at the University of California Los Angeles; and VA Greater Los Angeles Health Care System, Los Angeles, CA, USA.

Abstract

Ingestion of food affects secretion of hormones from enteroendocrine cells located in the gastrointestinal mucosa. These hormones are involved in the regulation of various gastrointestinal functions including the control of food intake. One cell in the stomach, the X/A-like has received much attention over the past years due to the production of ghrelin. Until now, ghrelin is the only known orexigenic hormone that is peripherally produced and centrally acting to stimulate food intake. Subsequently, additional peptide products of this cell have been described including desacyl ghrelin, obestatin and nesfatin-1. Desacyl ghrelin seems to be involved in the regulation of food intake as well and could play a counter-balancing role of ghrelin's orexigenic effect. In contrast, the initially proposed anorexigenic action of obestatin did not hold true and therefore the involvement of this peptide in the regulation of feeding is questionable. Lastly, the identification of nesfatin-1 in the same cell in different vesicles than ghrelin extended the function of this cell type to the inhibition of feeding. Therefore, this X/A-like cell could play a unique role by encompassing yin and yang properties to mediate not only hunger but also satiety.

Keyword

Desacyl ghrelin; Eating; Ghrelin; Nucleobindin; Obesity; Obestatin; Stomach

MeSH Terms

Calcium-Binding Proteins
DNA-Binding Proteins
Eating
Enteroendocrine Cells
Ghrelin
Hunger
Mucous Membrane
Nerve Tissue Proteins
Obesity
Stomach
Calcium-Binding Proteins
DNA-Binding Proteins
Ghrelin
Nerve Tissue Proteins
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