[Biomedical][course]Gut-brain glucose sensing
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God, another biomedical course summary!
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So, sit back, grab a beverage, and let’s dive into the fascinating realm of Gut-brain glucose sensing together! But just introduction.
Three major glucose sensor sections
- Gut glucose sensor
- Portal vein
- Brain glucose sensor
Pancreas glucose sensor
- Definition of glucose sensor
- need glucose transporters
- GLUT
- passive carrier
- SGLT
- a plasma membrane carrier requires energy to transport glucose against its concentration gradient
- GLUT
- need G protein coupled receptors
- GPCR: sweet taste receptor
- T1R2 + T1R3
- T1R2 + T1R3
- GPCR: sweet taste receptor
- evokes complex neural and endocrine responses that control glucose metabolism
Gut
Glucose sensing in small intestine
- need glucose transporters
- Conducted by enteroendocrine cell (EECs)
- Apical surface glucosensing
- One pathway depends on GPCR, T1R2 and T1R3
- One pathway depends on SGLT-1: more important one
Incretin
- Peptide secreted after nutrient intake and stimulate insulin secretion
- Two incretins
- GIP: gastric inhibitory polypeptide
- GLP-1: glucagon-like peptide 1
- how the GLP-1 regulate insulin secreted by the beta-cells
- 刺激胰岛素合成:
- GLP-1可以上调胰腺β细胞中胰岛素基因的转录,促进胰岛素的合成。
- 促进胰岛素分泌:
- GLP-1可以直接作用于胰腺β细胞,通过多种信号通路刺激胰岛素的分泌。
- 这包括激活腺苷酸环化酶-cAMP通路,增加细胞内钙离子浓度等。
- 促进β细胞增殖:
- GLP-1可以通过激活MAPK和PI3K-Akt等信号通路,促进胰腺β细胞的增殖和新生。
- 这有助于扩大β细胞量,增强胰岛功能。
- 抑制β细胞凋亡:
- GLP-1可以抑制胰腺β细胞的细胞凋亡过程,保护β细胞免受损伤。
- 这也有助于维持β细胞的数量和功能
- 抑制glucagon
- GIP和GLP作用上的区别就是它促进glucagon的分泌生成
Oral glucose intake
- Oral glucose tolerance test
- 评估glucose代谢功能的检查方法
- 测量集体在口服glucose之后的血糖变化情况,评估耐受能力
- Impaired oral glucose tolerance
- Decreased circulating GLP-1
- Accelerated gastric emptying
- normal food intake and body weight
- Dipeptidyl peptidase-4(DPP4)
- 可以讲活性形式的GLP-1,GIP转变为无活性的形式
- 因此DPP4的活性的增高会导致对于glucose 的耐受能力下降
neuropod cell and vagal nerve
- Using glutamate as neurotransmitter, form synapse with the neuron of the vagal nodose to transduce sense from gut to brain
Portal vein
- Hepatic portal vein denervation (去神经)impairs oral glucose tolerance
- Key roles in control
- Liver
- glycogen synthesis by the liver
- Brain
- send signals to the brain and elicits suppression of hepatic glucose production
- skeletal muscle and adipose tissue
- increase peripheral glucose utilisation in a number of tissues
- Pancreas
- Portal vein glucosensors may also target the pancreas to control the release of these two hormones
- Liver
- Portal vein is the most important glucose sensor section
- more sensitive than brain sensors
- the most suitable place in the body for sensing blood glucose
- During the fasted to fed transition, the portal glucose concentration increases more than systemic blood glucose
- Due to the high glucose consumption of the intestine, the portal glucose concentration drops below the systemic glucose concentration during post-absorptive period
- Due to the intestinal gluconeogenesis
other sensing
- Lipid sensing in small intestine
- protein sensing in small intestine
Impact of micrbiome on gut-brain signalling
- main effect is producing short chain fatty acid