The dynamic, complex process governing the synthesis, secretion, and action of peptide hormones produced by enteroendocrine cells lining the gastrointestinal tract in response to nutrient ingestion. This regulation is central to controlling appetite, satiety, gastric emptying, and insulin secretion, establishing a direct link between the digestive system and systemic metabolic and endocrine control. These hormones are critical communicators in the gut-brain axis.
Origin
This area of study stems from classical endocrinology, specifically the discovery of secretin in the early 20th century, but has been rapidly expanded by modern research into the roles of peptides like ghrelin, leptin, GLP-1, and cholecystokinin (CCK). The term highlights the regulatory control exerted by the gut over whole-body energy balance.
Mechanism
Nutrient presence in the lumen stimulates enteroendocrine cells to release their specific hormones into the bloodstream. For example, the presence of glucose and fat triggers L-cells to secrete GLP-1 and PYY, which travel to the pancreas to enhance insulin release and to the hypothalamus to suppress hunger. This rapid, meal-dependent hormonal release provides acute feedback mechanisms that manage postprandial metabolism and energy intake.
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