New insights into the complex metabolic circuitry of energyhomeostasis have refined our understanding of the pathophysiologyof obesity. Some of these insights regarding energy homeostasisare based on the identification of new functions for peptidesthat were discovered decades ago (see Figure). It is now knownthat -melanocytestimulating hormone, a peptide derivedfrom proopiomelanocortin and long recognized for its role inskin pigmentation through activity at the melanocortin 1 receptor(MC1R), decreases food intake and increases energy expenditurethrough interaction in the hypothalamus with another melanocortinreceptor, MC4R. In mice, targeted deletion of the Mc4r generesults in . . . [Full Text of this Article]
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From the College of Physicians and Surgeons, Columbia University, New York.
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