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Editorial
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Volume 348:1160-1163 March 20, 2003 Number 12
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Defective Melanocortin 4 Receptors in Hyperphagia and Morbid Obesity
James F. List, M.D., Ph.D., and Joel F. Habener, M.D.

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There has been a dramatic increase in the worldwide prevalence of obesity, a disorder with complex genetic traits that is influenced by environmental factors and that predisposes affected persons to diseases such as diabetes mellitus, hypertension, stroke, and heart attack. Since it has arisen with the increasing availability of easily obtainable calories, this pandemic of obesity is often ascribed to gluttony. If energy balance is taken into account, however, eating behavior can be viewed as controlled by homeostatic mechanisms whereby hormonal signals from adipose tissue provide feedback to neural circuitry to regulate appetite. From this perspective, most weight gain represents . . . [Full Text of this Article]


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From the Laboratory of Molecular Endocrinology, Massachusetts General Hospital, Boston.


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