臨牀消化器内科 Vol.28 No.6(2)


特集名 栄養代謝制御における消化管生理活性ペプチドの役割
題名 グレリンと食欲亢進作用と脳腸相関
発刊年月 2013年 06月
著者 鈴木 甫 鹿児島大学大学院医歯学総合研究科心身内科学分野/鹿児島大学大学院医歯学総合研究科口腔顎顔面外科学分野
著者 浅川 明弘 鹿児島大学大学院医歯学総合研究科心身内科学分野
著者 中村 典史 鹿児島大学大学院医歯学総合研究科口腔顎顔面外科学分野
著者 乾 明夫 鹿児島大学大学院医歯学総合研究科心身内科学分野
【 要旨 】 グレリンは,1999年に胃から同定された強力な食欲促進ペプチドであり,血中あるいは迷走神経を経由して中枢にシグナルを伝え,視床下部に存在する神経ペプチドY(neuropeptide Y;NPY)やアグーチ関連ペプチド(agouti-relatedpeptide;AgRP)を介して,食欲や消化管運動に促進性の影響を及ぼす.このように末梢から放出されるホルモンが中枢の機能をコントロールすることは,臨床応用の観点からも重要な意義をもち,今後,脳腸相関の解明や,その異常病態の治療に有用なアプローチとなるものと期待される.
Theme The Roles of Gut Physiological Active Peptides in the Control of Nutrition and Metabolism
Title Orexigenic Peptide Ghrelin in Gut-brain Axis
Author Hajime Suzuki Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences / Department of Oral and Maxillofacial Surgery, Kagoshima University Graduate School of Medical and Dental Sciences
Author Akihiro Asakawa Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
Author Norifumi Nakamura Department of Oral and Maxillofacial Surgery, Kagoshima University Graduate School of Medical and Dental Sciences
Author Akio Inui Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
[ Summary ] Ghrelin, a 28-amino acid peptide, is an endogenous ligand for growth hormone secretagogue receptors. It is synthesized principally in the stomach and is released in response to fasting. Besides stimulating growth hormone secretion, studies show that ghrelin exerts a number of central and peripheral actions such as the regulation of food intake, the control of energy balance, glucose metabolism, insulin release and cardiovascular actions. The stimulation of gastric acid secretion, and motility. Its structure is related to motilin and, together, these substances represent a novel family of gut-brain regulatory peptides. Ghrelin is a complementary, yet antagonistic, signal to leptin, reflecting acute and chronic changes in energy balance. The resultant effects are mediated by hypothalamic neuropeptide Y (NPY) and the agouti-related peptide (AgRP). Ghrelin induces a fast induced pattern of gastroduodenal motility (phase III or hunger contractions). The ghrelin-NPY axis is involved in the physiological occurrence of the interdigestive phase III contractions in rodents. Recognition of the broad spectrum of biological activities associated with ghrelin continues to expand. In the future, the diverse functions of ghrelin may raise the possibility of its clinical application for a large number of pathological conditions.
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