臨牀消化器内科 Vol.31 No.9(2-2)


特集名 臨床に必要な消化管による食欲調節の知識
題名 食欲調節と消化管ホルモン (2) 空腹の生理―消化管ホルモンの役割
発刊年月 2016年 08月
著者 坂田 一郎 埼玉大学大学院理工学研究科生命科学部門
著者 坂井 貴文 埼玉大学大学院理工学研究科戦略的研究部門
【 要旨 】 消化管ホルモンは消化管粘膜に散在性に存在する細胞より分泌され,摂食や消化管運動調節を含むさまざまな生理作用を発揮することで恒常的な生命活動の維持を担っている.一方,消化管の運動機能不全により機能性胃腸症などの疾患が起こることが知られており,消化管運動機構の解明は胃腸疾患の病態理解および創薬に重要である.近年,消化管運動モデル動物として食虫目スンクス (Suncus murinus) が見出され,詳細な消化管運動調節機構が明らかとなってきている.本稿では,スンクスを用いることで得られた消化管ホルモンによる消化管運動と摂食調節機構の知見について,とくに,モチリンとグレリンに注目して概説する.
Theme The Gastrointestinal Tract and Appetite Control : Essential Clinical Knowledge
Title Role of Gastrointestinal Hormones in Gastrointestinal Motility and Feeding Behavior
Author Ichiro Sakata Division of Life Science, Graduate School of Science and Engineering, Saitama University
Author Takafumi Sakai Division of Strategic Research, Graduate School of Science and Engineering, Saitama University
[ Summary ] Gastrointestinal hormones play various physiological roles by acting on the central and peripheral tissues. Among these roles, the induction of gastrointestinal motility, followed by feeding behavior modulation, induced by gastrointestinal hormones, is important for the maintenance of the biological energy metabolism and the overall quality of life. In addition, dysfunctions of the gastrointestinal motility cause several disorders such as diabetic gastroparesis, functional dyspepsia, and small‒intestinal bacterial overgrowth. Patterns of gastrointestinal motility differ between the fasting and postprandial states. In the fasting state, a characteristic contraction, called the migrating motor complex (MMC), is observed, which is considered to clean the gastrointestinal tract environment and thereby, prevent bacterial overgrowth. Recently, Suncus mirinus (house musk shrew) was revealed as a useful small laboratory animal when it comes to conducting research on gastrointestinal motility, because it possesses the motilin and ghrelin systems. This model allows a detailed examination of the neural network and the relationship between the hormones and the nervous system, involved in gastrointestinal motility. In this chapter, we summarize the recent findings on the regulatory mechanisms underlying gastrointestinal motility and feeding behavior, involving gastrointestinal hormones, especially ghrelin and motilin.
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