腸から脳へのシグナルが病後のタンパク質欲求を抑制(Gut-to-Brain Signaling Restricts Post-Illness Protein Appetite)

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2025-11-04 イェール大学

Yale School of Medicineの研究チームは、急性疾患から回復期にあるマウスで「タンパク質への強い食欲低下」が起きる仕組みを解明しました。実験では、回復期(カタボリック状態)にあるマウスに、たんぱく質・脂質・炭水化物比率を異にした3種類の同カロリー食を与えたところ、タンパク質リッチ食のみ顕著に摂取量が低下しました。解析により、グルタミン、リジン、スレオニンの3つのアミノ酸がアンモニア生成を促し、腸管のトリップ トリップ受容体(TRPA1)依存性機構を介して腸から脳幹(延髄・孤束核)へのシグナルが送られ、タンパク質忌避行動を引き起こすことが確認されました。さらに、腸管の神経信号を遮断するとタンパク質摂取が回復しました。この「腸から脳へのシグナル回路」は、回復期のタンパク質摂取制御という“適応応答”ではあるものの、病後の食欲低下やがん性悪液質、低栄養の治療戦略において新たなターゲットとなる可能性があります。

<関連情報>

腸から脳へのシグナル伝達は異化状態からの回復中に食事性タンパク質摂取を制限する Gut-to-brain signaling restricts dietary protein intake during recovery from catabolic states

Nikolai P. Jaschke ∙ Joseph R. Luchsinger ∙ Zuojia Chen ∙ … ∙ Markus M. Rinschen ∙ Chuan Wu ∙ Andrew Wang
Cell  Published:November 4, 2025
DOI:https://doi.org/10.1016/j.cell.2025.10.005

Graphical abstract

腸から脳へのシグナルが病後のタンパク質欲求を抑制(Gut-to-Brain Signaling Restricts Post-Illness Protein Appetite)

Highlights

  • Mice voluntarily restrict dietary protein during recovery from catabolic insults
  • Three amino acids (Q, K, and T) are necessary and sufficient for protein aversion
  • Gut EC sense dietary ammoniagenesis in a TRPA1-dependent manner
  • TRPA1-dependent serotonin release is transduced from the gut to the brain

Summary

Dietary needs are dynamic, with optimal ranges for nutrients varying over time and across physiological states. How optimal nutrient set points are established and why they are adjusted remains largely unknown. In our efforts to understand the physiology of recovery, we made the surprising observation that mice restrict protein intake at the expense of caloric supply. We identified three amino acids—glutamine (Q), lysine (K), and threonine (T)—within dietary protein, which are necessary and sufficient for protein aversion during recovery from catabolic states. The anorexigenic effects of QKT are driven by ammoniagenesis in the gut, sensed by enterochromaffin cells in a TRPA1-dependent fashion and transduced to brainstem neurons via serotonin signaling, inducing anorexia. We propose that this mechanism serves as a first-line defense against ammonia toxicity. In summary, we identified a set of adaptive food preferences during recovery (“recovery behavior”), with implications for understanding diseases of pathologic recovery and the development of therapeutic interventions deployed to enhance recovery.

医療・健康
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