Exp Mol Med.  2016 Mar;48(3):e216. 10.1038/emm.2016.4.

Emerging role of the brain in the homeostatic regulation of energy and glucose metabolism

Affiliations
  • 1Appeptite Regulation Laboratory, Asan Institute for Life Sciences, University of Ulsan College of Medicine, Seoul, Korea. mskim@amc.seoul.kr
  • 2Department of Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • 3Division of Endocrinology and Metabolism, Asan Medical Center, Seoul, Korea.

Abstract

Accumulated evidence from genetic animal models suggests that the brain, particularly the hypothalamus, has a key role in the homeostatic regulation of energy and glucose metabolism. The brain integrates multiple metabolic inputs from the periphery through nutrients, gut-derived satiety signals and adiposity-related hormones. The brain modulates various aspects of metabolism, such as food intake, energy expenditure, insulin secretion, hepatic glucose production and glucose/fatty acid metabolism in adipose tissue and skeletal muscle. Highly coordinated interactions between the brain and peripheral metabolic organs are critical for the maintenance of energy and glucose homeostasis. Defective crosstalk between the brain and peripheral organs contributes to the development of obesity and type 2 diabetes. Here we comprehensively review the above topics, discussing the main findings related to the role of the brain in the homeostatic regulation of energy and glucose metabolism.


MeSH Terms

Adipose Tissue
Brain*
Eating
Energy Metabolism
Glucose*
Homeostasis
Hypothalamus
Insulin
Metabolism*
Models, Animal
Muscle, Skeletal
Obesity
Glucose
Insulin
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