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Effects of sympathetic modulation in metabolic disease

机译:交感调节在代谢疾病中的作用

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摘要

Sympathetic overdrive contributes to the derangement of glucose metabolism evident in clinical conditions, such as obesity, metabolic syndrome, type 2 diabetes, obstructive sleep apnea, and others. Targeting the sympathetic nervous system directly therefore appears as an attractive therapeutic approach to restore impaired glucose metabolism. Indeed, lifestyle interventions, including healthier diets and exercise, have been shown to exert their beneficial effects at least in part by reducing sympathetic nervous system activity. Pharmacologic inhibition of exaggerated central sympathetic outflow has also been demonstrated to beneficially impact on body weight and glucose and lipid metabolism. More recently, catheter-based renal denervation, an intervention applied predominantly to lower elevated blood pressure in patients with resistant hypertension, revealed salutary effects on glucose metabolism. Here, we review the mechanisms that contribute to the beneficial effects of targeting the sympathetic nervous system directly and discuss how these approaches may best be embedded in routine clinical practice.
机译:交感神经过度驱动会导致临床上明显的葡萄糖代谢紊乱,例如肥胖,代谢综合征,2型糖尿病,阻塞性睡眠呼吸暂停等。因此,直接靶向交感神经系统似乎是恢复受损葡萄糖代谢的有吸引力的治疗方法。实际上,已经证明生活方式干预措施,包括更健康的饮食和运动,至少可以通过减少交感神经系统活动来发挥其有益作用。过度的中枢交感神经流出的药理抑制作用也已被证明对体重,葡萄糖和脂质代谢具有有益的影响。最近,基于导管的肾脏去神经支配治疗(主要用于降低耐药性高血压患者的血压升高)显示出对葡萄糖代谢的有益作用。在这里,我们回顾了直接针对交感神经系统的有益机制,并讨论了这些方法如何最好地嵌入常规临床实践中。

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  • 来源
    《Annals of the New York Academy of Sciences》 |2019年第10期|80-89|共10页
  • 作者

  • 作者单位

    Univ Western Australia Sch Med Dobney Hypertens Ctr Royal Perth Hosp Unit Med Res Fdn Perth WA Australia;

    Swinburne Univ Technol Iverson Hlth Innovat Res Inst Hawthorn Vic Australia|Swinburne Univ Technol Sch Hlth Sci Hawthorn Vic Australia;

    Univ Western Australia Sch Med Dobney Hypertens Ctr Royal Perth Hosp Unit Med Res Fdn Perth WA Australia|Royal Perth Hosp Dept Cardiol & Nephrol Perth WA Australia|Baker Heart & Diabet Inst Neurovasc Hypertens & Kidney Dis Lab Melbourne Vic Australia;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    sympathetic nervous system; hypertension; renal denervation; metabolic diseases; glucose metabolism; norepinephrine;

    机译:交感神经系统;高血压;肾神经支配代谢性疾病;葡萄糖代谢去甲肾上腺素;

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