Written in 1890 "Hunger" is a rather difficult novel by the Norwegian Nobel laureate Knut Hamsun. The novel carries autobiographical overtones of a starving individual and sketches his physical and mental trauma. Hunger is an existential necessity contrived by evolution and compels living organisms to seek food to survive. That physiologically several complex, parallel and interwoven pathways reinforce hunger, underscores its significance. History is replete with instances when severe famine has driven people to consume things they normally would have absolutely avoided.
Physiologically, hunger is an homeostatic signal for energy. Homeostasis is the process of maintaining a stable, balanced internal environment for a living system to function correctly. From single-celled organisms to complex multicellular beings like humans, all living systems require internal balance for survival. Built-in system of checks and balances ensure stable internal conditions like temperature, blood pH, glucose levels etc. Body achieves this through constant monitoring and warning signals that induce prompt corrective actions. For example we feel hungry when energy level goes down, thirsty when hydro mineral balance is disturbed, we shiver when body feels cold......
As far as hunger is concerned primitive man lived on a feasting-fasting cycle, alternating between bouts of gorging after a massive hunt followed by fasting during periods of waiting for next hunt. At the biochemical level, homeostatic hunger (and its alleviation) is an intricate multi hormonal, multi enzymatic process. True, gut has the autonomy over digestion nevertheless inputs from the brain are also essential. Gut microbes too interfere with the digestion process. In this complex drama, two hormones play vital reciprocatory roles: the hunger hormone ghrelin and the satiety hormone leptin. When energy level is low, ghrelin secreted by empty stomach talks to hypothalamus via the vagus nerve and we feel hungry. Though labelled hunger hormone, this small peptide of 28 amino acids was originally implicated in growth hormone release (and hence the name). Later it was found that besides being the hunger hormone it has roles in learning, memory, mood swings, sleep-wake cycle etc. A very busy molecule indeed.
With food intake, ghrelin level drops, glucose level in the blood goes up. Excess glucose is ultimately converted to fat through glycolysis followed by lipogenesis. When fat storage reaches full capacity, leptin, secreted by adipose tissues contacts hypothalamus to stimulate a feeling of fullness. And we stop eating. In the reverse, when energy is needed and food is unavailable, body first exhausts the glucose stock and then switches to burning fat reserves. Thus homeostatic hunger ensures a fine balance between the hunger hormone and the satiety hormone and homeostasis is maintained. Any small error, anywhere, in any of the complex biochemical processes can lead to a host of pathophysiological conditions including anorexia, hyperphagia, obesity or Type 2 diabetes mellitus etc.
The feasting- fasting cycle which suited the primitive man is essentially an Eat to Live program . That was a long long time ago. Now with easy availability of food we have settled for a Breakfast-Lunch-Dinner routine whether hungry or not. It is the routine rather than the caloric need that drives us to eat. Having discovered the pleasures of eating, we have succumbed to hedonic hunger (also called hyperphagia). Hedonic hunger can be triggered by a variety of confusing and contradictory cues. For example we eat when we feel happy, we also eat to drown our sorrow. We eat when excited, also when bored. Some people eat when over stressed while others eat when relaxed. Even after a full meal, sensory stimuli such as sight, smell or just thought of tasty food can work up our appetite. Surprisingly the neurocircuits for homeostatic and hedonic hunger overlap and ghrelin is implicated in both. Ghrelin can influence brain's reward pathways and spike the release of dopamine, the "feel good molecule". The hedonic urge is powerful enough to override the homeostatic signals of satiety. Precisely for this reason, ghrelin's role in addiction is under intense scrutiny.
What happens if we don't have ghrelin ? Somewhere along the evolutionary pathway, Mother Nature seems to have toyed with that idea. A recent study published in Royal Society Open Biology Journal reports that 32 serpentine species either lack the gene for ghrelin or it is nonfunctional. Authors explain this as an evolutionary advantage bestowed on snakes to fast and survive in unfriendly terrains where prey availability is uncertain.
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REFERENCES:
1. Hunger by Knut Hamsun Trans. George Egerton
3. Overlapping brain circuits for homeostatic and hedonic feeding
4. The role of ghrelin in addiction: a review
2. Loss of hunger hormone has made snakes masters of fasting