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The Neuroscientist
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Brain Circuits Regulating Energy Homeostasis

Tamas L. Horvath

Department of Obstetrics/Gynecology and Reproductive Sciences, Department of Neurobiology, Yale University School of Medicine, New Haven, Connecticut, tamas.horvath{at}yale.edu

Sabrina Diano

Department of Obstetrics/Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut

Matthias Tschöp

Department of Psychiatry, Obesity Research Center, University of Cincinnati, Ohio

For decades, increasingly sophisticated methods have been designed to address the problem of the involvement of the brain in the physiology of energy homeostasis and the pathogenesis of obesity. A vast number of experimental observations have been made from novel genetic and physiologic approaches that allowed the identification of metabolic hormones and their relationship to key peptidergic systems in the brain. Although the central integration of afferent signals reflecting acute and chronic energy requirements is becoming clearer, the blueprint of the central regulation of energy expenditure is not known. This review offers a look at central neuronal circuitries that are implicated in metabolism regulation and strongly suggests that without a blueprint, attempts to intervene and control energy balance will remain futile.

Key Words: Energy balance • Hypothalamus • Brain stem • Anatomy • Electrophysiology • Obesity

The Neuroscientist, Vol. 10, No. 3, 235-246 (2004)
DOI: 10.1177/1073858403262151


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