This describes the central nervous system’s capacity to effectively select and metabolize available energy sources, primarily glucose or ketone bodies, to support sustained neuronal signaling. Efficient utilization is paramount for maintaining executive function and cognitive throughput. Poor utilization manifests as mental fatigue or impaired concentration, often reflecting underlying metabolic inflexibility. The brain’s high energy demand necessitates precise fuel management.
Origin
Originating in neurochemistry, this concept has expanded with the clinical study of ketogenic states and glucose intolerance. It addresses how metabolic shifts impact central nervous system performance distinct from peripheral tissue needs. Understanding this utilization pattern is crucial when assessing neuroendocrine feedback mechanisms. It bridges endocrinology with cognitive neuroscience.
Mechanism
The process is regulated by the concentration gradient of fuel substrates and the density/activity of relevant transporters, such as GLUT1 on the blood-brain barrier. Ketone utilization requires specific enzymatic upregulation, a process influenced by nutritional state and hormonal signals like insulin. Thyroid hormones permissively regulate the overall metabolic rate necessary for these fuel-processing enzymes to function optimally.
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