Review of the role of the nervous system in glucose homoeostasis and future perspectives towards the management of diabetes

Bioelectronic Medicine

emes¹  Amparo Gü¹ 

[1] Centre for Bio-Inspired Technology, Department of Electrical and Electronic Engineering, Imperial College London, London, UK

关键词: Diabetes management;    Bioelectronic medicine;    Neuromodulation;    Insulin sensitivity;    Pancreatic secretion;   

DOI  :  10.1186/s42234-018-0009-4

学科分类：医学（综合）

来源: BioMed Central

【 摘 要 】

Diabetes is a disease caused by a breakdown in the glucose metabolic process resulting in abnormal blood glucose fluctuations. Traditionally, control has involved external insulin injection in response to elevated blood glucose to substitute the role of the beta cells in the pancreas which would otherwise perform this function in a healthy individual. The central nervous system (CNS), however, also plays a vital role in glucose homoeostasis through the control of pancreatic secretion and insulin sensitivity which could potentially be used as a pathway for enhancing glucose control. In this review, we present an overview of the brain regions, peripheral nerves and molecular mechanisms by which the CNS regulates glucose metabolism and the potential benefits of modulating them for diabetes management. Development of technologies to interface to the nervous system will soon become a reality through bioelectronic medicine and we present the emerging opportunities for the treatment of type 1 and type 2 diabetes.

【 授权许可】

CC BY