The complex, bidirectional communication and regulatory network among key endocrine signaling molecules that govern energy balance, substrate utilization, and nutrient partitioning throughout the body. This interplay involves hormones originating from various tissues, including insulin from the pancreas, leptin and adiponectin from adipose tissue, and thyroid hormones, all working synergistically or antagonistically. Optimal interplay is essential for maintaining glucose homeostasis and healthy body composition.
Origin
This term reflects a systems-biology perspective on endocrinology, moving beyond single-hormone pathology to examine the holistic function of the entire metabolic signaling network. The concept of “interplay” emphasizes the integrated, cross-talk nature of these regulatory molecules, which are constantly adjusting to maintain the energy set point. It is a fundamental principle in understanding the pathophysiology of obesity and diabetes.
Mechanism
The mechanism involves intricate feedback loops, where, for instance, insulin release signals satiety to the hypothalamus, which then modulates the secretion of other appetite-regulating hormones like ghrelin. Adipokines, hormones released by fat cells, communicate the body’s energy status to the central nervous system and peripheral tissues. Disruption of this delicate interplay, such as through chronic hyperinsulinemia, can lead to widespread cellular resistance and metabolic dysfunction.
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