Enteroendocrine signaling refers to the complex communication system mediated by specialized cells, known as enteroendocrine cells, which are diffusely located throughout the gastrointestinal tract epithelium. These cells act as sensory transducers, releasing a host of potent peptide hormones directly into the circulation in response to nutrient ingestion and gut distension. This crucial endocrine communication profoundly regulates systemic metabolic processes, including postprandial insulin secretion, central appetite control, gastric motility, and overall energy homeostasis. Key hormones involved in this axis include Glucagon-like Peptide-1 (GLP-1), Cholecystokinin (CCK), and Ghrelin.
Origin
The term combines the Greek roots entero- (intestine) and endocrine (internal secretion), accurately describing the system’s anatomical location and primary function as a hormonal regulator. Enteroendocrine cells were first described morphologically in the late 19th and early 20th centuries, but their crucial hormonal roles were fully elucidated only with the discovery of gut peptides like secretin and, more recently, the incretins. This signaling system is now recognized as a major nexus in the bidirectional crosstalk between the digestive and endocrine systems, influencing whole-body metabolism.
Mechanism
The mechanism is initiated when ingested nutrients, such as glucose, amino acids, or fatty acids, directly stimulate specific chemoreceptors located on the apical surface of enteroendocrine cells. This stimulation triggers the rapid exocytosis and subsequent release of stored peptide hormones from the basal pole of the cell into the portal and systemic circulation. These gut hormones then travel to distant target organs, such as the pancreas, liver, and specific nuclei in the brain, where they bind to specific G-protein coupled receptors to modulate glucose metabolism and energy balance, ensuring a coordinated physiological response to feeding.
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