The primary molecules, such as glucose, fatty acids, and amino acids, that circulate throughout the body and are readily available for all cells and tissues to utilize as fuel for metabolic processes and structural synthesis. The balance and efficient utilization of these substrates are tightly regulated by hormones like insulin, glucagon, and thyroid hormones. Maintaining optimal substrate availability and flux is fundamental to metabolic health and sustained physical and cognitive performance.
Origin
This term is a foundational concept in human physiology and metabolism, combining ‘systemic,’ referring to the entire body, with ‘energy substrate,’ denoting the material used to produce energy. It is the language used to describe the fuel economy of the body. Endocrinology is the primary regulatory science governing the distribution and fate of these substrates.
Mechanism
Hormones govern the flux of energy substrates by controlling their release from storage and their uptake into cells. Insulin promotes the uptake and storage of glucose and fatty acids, while glucagon and catecholamines promote their release from the liver and adipose tissue. An efficient systemic energy substrate mechanism ensures that energy demands, whether for muscular contraction or cognitive function, are met without inducing states of chronic hyperglycemia or excessive catabolism.
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