Homeostatic Regulation of Glucose Metabolism by the Central Nervous System

Evidence for involvement of the central nervous system (CNS) in the regulation of glucose metabolism dates back to the 19th century, although the majority of the research on glucose metabolism has focused on the peripheral metabolic organs. Due to recent advances in neuroscience, it has now become c...

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Main Authors: Jong Han Choi, Min-Seon Kim
Format: Article
Language:English
Published: Korean Endocrine Society 2022-02-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://www.e-enm.org/upload/pdf/enm-2021-1364.pdf
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author Jong Han Choi
Min-Seon Kim
author_facet Jong Han Choi
Min-Seon Kim
author_sort Jong Han Choi
collection DOAJ
description Evidence for involvement of the central nervous system (CNS) in the regulation of glucose metabolism dates back to the 19th century, although the majority of the research on glucose metabolism has focused on the peripheral metabolic organs. Due to recent advances in neuroscience, it has now become clear that the CNS is indeed vital for maintaining glucose homeostasis. To achieve normoglycemia, specific populations of neurons and glia in the hypothalamus sense changes in the blood concentrations of glucose and of glucoregulatory hormones such as insulin, leptin, glucagon-like peptide 1, and glucagon. This information is integrated and transmitted to other areas of the brain where it eventually modulates various processes in glucose metabolism (i.e., hepatic glucose production, glucose uptake in the brown adipose tissue and skeletal muscle, pancreatic insulin and glucagon secretion, renal glucose reabsorption, etc.). Errors in these processes lead to hyper- or hypoglycemia. We here review the current understanding of the brain regulation of glucose metabolism.
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spelling doaj.art-ae7b044692fd4dad9fa99eb9b3a6242b2022-12-21T23:35:45ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782022-02-0137192510.3803/EnM.2021.13642263Homeostatic Regulation of Glucose Metabolism by the Central Nervous SystemJong Han Choi0Min-Seon Kim1 Division of Endocrinology and Metabolism, Konkuk University Medical Center, University of Ulsan College of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaEvidence for involvement of the central nervous system (CNS) in the regulation of glucose metabolism dates back to the 19th century, although the majority of the research on glucose metabolism has focused on the peripheral metabolic organs. Due to recent advances in neuroscience, it has now become clear that the CNS is indeed vital for maintaining glucose homeostasis. To achieve normoglycemia, specific populations of neurons and glia in the hypothalamus sense changes in the blood concentrations of glucose and of glucoregulatory hormones such as insulin, leptin, glucagon-like peptide 1, and glucagon. This information is integrated and transmitted to other areas of the brain where it eventually modulates various processes in glucose metabolism (i.e., hepatic glucose production, glucose uptake in the brown adipose tissue and skeletal muscle, pancreatic insulin and glucagon secretion, renal glucose reabsorption, etc.). Errors in these processes lead to hyper- or hypoglycemia. We here review the current understanding of the brain regulation of glucose metabolism.http://www.e-enm.org/upload/pdf/enm-2021-1364.pdfglucosemetabolismcentral nervous system
spellingShingle Jong Han Choi
Min-Seon Kim
Homeostatic Regulation of Glucose Metabolism by the Central Nervous System
Endocrinology and Metabolism
glucose
metabolism
central nervous system
title Homeostatic Regulation of Glucose Metabolism by the Central Nervous System
title_full Homeostatic Regulation of Glucose Metabolism by the Central Nervous System
title_fullStr Homeostatic Regulation of Glucose Metabolism by the Central Nervous System
title_full_unstemmed Homeostatic Regulation of Glucose Metabolism by the Central Nervous System
title_short Homeostatic Regulation of Glucose Metabolism by the Central Nervous System
title_sort homeostatic regulation of glucose metabolism by the central nervous system
topic glucose
metabolism
central nervous system
url http://www.e-enm.org/upload/pdf/enm-2021-1364.pdf
work_keys_str_mv AT jonghanchoi homeostaticregulationofglucosemetabolismbythecentralnervoussystem
AT minseonkim homeostaticregulationofglucosemetabolismbythecentralnervoussystem