The enteroendocrine axis is the critical, bidirectional communication pathway between the gastrointestinal tract and the rest of the body, primarily mediated by hormones secreted by specialized enteroendocrine cells within the gut lining. This axis is paramount for regulating energy homeostasis, appetite, glucose metabolism, and gastrointestinal motility. Understanding the integrity of this axis is vital for addressing metabolic syndrome, obesity, and type 2 diabetes, conditions heavily influenced by gut-derived hormonal signals.
Origin
The concept of the enteroendocrine system emerged with the discovery of secretin, the first hormone ever identified, which is produced in the duodenum. The term axis emphasizes the coordinated, integrated nature of the gut’s hormonal output with systemic physiology, moving beyond the view of the gut as merely a digestive organ. It links the processes of nutrient sensing and digestion directly to whole-body endocrine control.
Mechanism
Enteroendocrine cells act as chemosensors, releasing an array of peptide hormones, such as Glucagon-like Peptide-1 (GLP-1), ghrelin, and cholecystokinin (CCK), in response to nutrient presence. These hormones enter the bloodstream and act on distant target organs, including the pancreas to stimulate insulin release, the brain to modulate satiety, and the liver to influence glucose production. This rapid, nutrient-driven hormonal signaling is the central mechanism by which the gut dictates metabolic state.
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