The Appetite Hormone Axis refers to the intricate, bidirectional signaling network that governs hunger, satiety, and long-term energy homeostasis. This axis involves a complex interplay of hormones secreted from the gastrointestinal tract, adipose tissue, and the pancreas, all communicating with central regulatory centers in the hypothalamus. Understanding this axis is essential for managing body weight, addressing dysregulated eating behaviors, and treating metabolic disorders. It is the body’s master control system for energy intake.
Origin
The concept of an “axis” in endocrinology denotes a system of interconnected glands and signaling molecules that regulate a specific physiological function, such as the Hypothalamic-Pituitary-Adrenal axis. The Appetite Hormone Axis emerged from the discovery of key peripheral hormones like leptin and ghrelin, revealing the complex gut-brain and fat-brain communication loops that control feeding behavior. This physiological model helps clinicians conceptualize the multifaceted nature of energy regulation.
Mechanism
Peripheral signals like ghrelin, secreted by the stomach, stimulate appetite, acting as an orexigenic signal. Conversely, hormones such as PYY, GLP-1, and cholecystokinin (CCK), released post-prandially from the gut, promote satiety, acting as anorexigenic signals. Leptin, secreted proportionally to fat mass from adipocytes, provides a long-term signal of energy sufficiency to the brain. These hormones converge on specific neuronal populations in the arcuate nucleus of the hypothalamus, modulating the expression of neuropeptides that ultimately dictate the drive to eat and metabolic rate.
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