The vagus nerve and the inflammatory reflex-linking immunity and metabolism

被引:648
作者
Pavlov, Valentin A. [1 ]
Tracey, Kevin J. [1 ]
机构
[1] Feinstein Inst Med Res, Ctr Biomed Sci, Manhasset, NY 11030 USA
关键词
CHOLINERGIC ANTIINFLAMMATORY PATHWAY; DIET-INDUCED OBESITY; TERM VAGAL-STIMULATION; HEART-RATE-VARIABILITY; ADIPOSE-TISSUE; FOOD-INTAKE; INSULIN-RESISTANCE; GUT MICROBIOTA; ACETYLCHOLINE-RECEPTORS; STERILE INFLAMMATION;
D O I
10.1038/nrendo.2012.189
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The vagus nerve has an important role in regulation of metabolic homeostasis, and efferent vagus nerve-mediated cholinergic signalling controls immune function and proinflammatory responses via the inflammatory reflex. Dysregulation of metabolism and immune function in obesity are associated with chronic inflammation, a critical step in the pathogenesis of insulin resistance and type 2 diabetes mellitus. Cholinergic mechanisms within the inflammatory reflex have, in the past 2 years, been implicated in attenuating obesity-related inflammation and metabolic complications. This knowledge has led to the exploration of novel therapeutic approaches in the treatment of obesity-related disorders.
引用
收藏
页码:743 / 754
页数:12
相关论文
共 141 条
[1]   Modulation of nicotinic receptor activity in the central nervous system: A novel approach to the treatment of Alzheimer disease [J].
Albuquerque, EX ;
Santos, MD ;
Alkondon, M ;
Pereira, EFR ;
Maelicke, A .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2001, 15 :S19-S25
[2]   Reflex Principles of Immunological Homeostasis [J].
Andersson, Ulf ;
Tracey, Kevin J. .
ANNUAL REVIEW OF IMMUNOLOGY, VOL 30, 2012, 30 :313-335
[3]   HMGB1 Is a Therapeutic Target for Sterile Inflammation and Infection [J].
Andersson, Ulf ;
Tracey, Kevin J. .
ANNUAL REVIEW OF IMMUNOLOGY, VOL 29, 2011, 29 :139-162
[4]   Sensors of the innate immune system: their mode of action [J].
Baccala, Roberto ;
Gonzalez-Quintial, Rosana ;
Lawson, Brian R. ;
Stern, Michael E. ;
Kono, Dwight H. ;
Beutler, Bruce ;
Theofilopoulos, Argyrios N. .
NATURE REVIEWS RHEUMATOLOGY, 2009, 5 (08) :448-456
[5]   NF-κB, Inflammation, and Metabolic Disease [J].
Baker, Rebecca G. ;
Hayden, Matthew S. ;
Ghosh, Sankar .
CELL METABOLISM, 2011, 13 (01) :11-22
[6]   Portal GLP-1 administration in rats augments the insulin response to glucose via neuronal mechanisms [J].
Balkan, B ;
Li, X .
AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, 2000, 279 (04) :R1449-R1454
[7]  
Bastard JP, 2006, EUR CYTOKINE NETW, V17, P4
[8]   The cholinergic anti-inflammatory pathway and the gastrointestinal tract [J].
Bonaz, Bruno .
GASTROENTEROLOGY, 2007, 133 (04) :1370-1373
[9]   Vagus nerve stimulation attenuates the systemic inflammatory response to endotoxin [J].
Borovikova, LV ;
Ivanova, S ;
Zhang, MH ;
Yang, H ;
Botchkina, GI ;
Watkins, LR ;
Wang, HC ;
Abumrad, N ;
Eaton, JW ;
Tracey, KJ .
NATURE, 2000, 405 (6785) :458-462
[10]   Interleukin-1 beta sensitizes the response of the gastric vagal afferent to cholecystokinin in rat [J].
Bucinskaite, V ;
Kurosawa, M ;
Miyasaka, K ;
Funakoshi, A ;
Lundeberg, T .
NEUROSCIENCE LETTERS, 1997, 229 (01) :33-36