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Appetite- and Weight-Regulating Neuroendocrine Circuitry in Hypothalamic Obesity

Gan, Hoong-Wei; Cerbone, Manuela; Dattani, Mehul Tulsidas; (2024) Appetite- and Weight-Regulating Neuroendocrine Circuitry in Hypothalamic Obesity. Endocrine Reviews , 45 (3) pp. 309-342. 10.1210/endrev/bnad033. Green open access

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Abstract

Since hypothalamic obesity (HyOb) was first described over 120 years ago by Joseph Babinski and Alfred Fröhlich, advances in molecular genetic laboratory techniques have allowed us to elucidate various components of the intricate neurocircuitry governing appetite and weight regulation connecting the hypothalamus, pituitary gland, brainstem, adipose tissue, pancreas and gastrointestinal tract. On a background of an increasing prevalence of population-level common obesity, the number of survivors of congenital (e.g. septo-optic dysplasia, Prader-Willi syndrome) and acquired (e.g. central nervous system tumours) hypothalamic disorders is increasing, thanks to earlier diagnosis and management as well as better oncological therapies. Although to date the discovery of several appetite-regulating peptides has led to the development of a range of targeted molecular therapies for monogenic obesity syndromes, outside of these disorders these discoveries have not translated into the development of efficacious treatments for other forms of HyOb. This review aims to summarise our current understanding of the neuroendocrine physiology of appetite and weight regulation, and explore our current understanding of the pathophysiology of HyOb.

Type: Article
Title: Appetite- and Weight-Regulating Neuroendocrine Circuitry in Hypothalamic Obesity
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1210/endrev/bnad033
Publisher version: https://doi.org/10.1210/endrev/bnad033
Language: English
Additional information: Copyright © The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Anorexigen, appetite, hypothalamus, Obesity, orexigen
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Genetics and Genomic Medicine Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10183627
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