Glucose plays a key role as energy source in the majority of mammals, but its importance in fish appears limited. Until now, the physiological basis for such apparent glucose intolerance in fish has not been fully understood. A distinct regulation of hepatic glucose utilization (glycolysis) and production (gluconeogenesis) may be advanced to explain the relative inability of fish to efficiently utilize dietary glucose. We summarize here information regarding the nutritional regulation of key enzymes involved in glycolysis (hexokinases, 6-phosphofructo-1-kinase and pyruvate kinase) and gluconeogenesis (phosphoenolpyruvate carboxykinase, fructose-1,6-bisphosphatase and glucose-6-phosphatase) pathways as well as that of the bifunctional enzyme 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase. The effect of dietary carbohydrate level and source on the activities and gene expression of the mentioned key enzymes is also discussed. Overall, data strongly suggest that the liver of most fish species is apparently capable of regulating glucose storage. The persistent high level of endogenous glucose production independent of carbohydrate intake level may lead to a putative competition between exogenous (dietary) glucose and endogenous glucose as the source of energy, which may explain the poor dietary carbohydrate utilization in fish.

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Under intensive culture conditions, fish are subject to increased stress owing to environmental (water quality and hypoxia) and health conditions (parasites and infectious diseases). All these factors have negative impacts on fish well-being and overall performance, with consequent economic losses. Though good management practices contribute to reduce stressor effects, stress susceptibility is always high under crowded conditions. Adequate nutrition is essential to avoid deficiency signs, maintain adequate animal performance and sustain normal health. Further, it is becoming evident that diets overfortified with specific nutrients [amino acids, essential fatty acids (FAs), vitamins or minerals] at levels above requirement may improve health condition and disease resistance. Diet supplements are also being evaluated for their antioxidant potential, as fish are potentially at risk of peroxidative attack because of the large quantities of highly unsaturated FAs in both fish tissues and diets. Functional constituents other than essential nutrients (such as probiotics, prebiotics and immunostimulants) are also currently being considered in fish nutrition aiming to improve fish growth and/or feed efficiency, health status, stress tolerance and resistance to diseases. Such products are becoming more and more important for reducing antibiotic utilization in aquafarms, as these have environmental impacts, may accumulate in animal tissues and increase bacterial resistance. This study reviews knowledge of the effect of diet nutrients on health, welfare and improvement of disease resistance in fish.

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