Mercader JM, Lozano JJ, Sumoy L, Dierssen M, Visa J, Gratacòs M, Estivill X. Hypothalamus transcriptome profile suggests an anorexia-cachexia syndrome in the anx/anx mouse model. Physiol Genomics 35: 341-350, 2008. First published September 23, 2008 doi:10.1152/physiolgenomics.90255.2008The anx/anx mouse displays poor appetite and lean appearance and is considered a good model for the study of anorexia nervosa. To identify new genes involved in feeding behavior and body weight regulation we performed an expression profiling in the hypothalamus of the anx/anx mice. Using commercial microarrays we detected 156 differentially expressed genes and validated 92 of those using TaqMan low-density arrays. The expression of a set of 87 candidate genes selected based on literature evidences was also quantified by TaqMan low-density arrays. Our results showed enrichment in deregulated genes involved in cell death, cell morphology, and cancer, as well as an alteration of several signaling circuits involved in energy balance including neuropeptide Y and melanocortin signaling. The expression profile along with the phenotype led us to conclude that anx/anx mice resemble the anorexia-cachexia syndrome typically observed in cancer, infection with human immunodeficiency virus or chronic diseases, rather than starvation, and that anx/anx mice could be considered a good model for the treatment and investigation of this condition. feeding regulation; chronic disorders; gene expression; TaqMan lowdensity arrays; microarrays ENERGY BALANCE AND BODY WEIGHT regulation are major homeostatic processes, and the disruption of their regulatory mechanisms can cause several complications, leading to death in the worst cases. In humans, deregulation of these mechanisms occurs in patients with eating disorders (ED), such as anorexia nervosa (AN) and bulimia nervosa (BN), and obesity. ED and obesity, major health problems in adolescents, are associated with elevated risk for a broad range of physical and mental disorders during early adulthood (1, 6, 69). In developed countries, the incidence of AN or BN has dramatically increased in recent years (39), though other diseases such as cancer or chronic infections can be also associated with an energy balance impairment characterized by progressive weight loss and depletion of adipose and skeletal muscle reserves, known as cachexia, which can aggravate the outcome of the disease (73). In these cases, anorexia appears in response to acute and chronic infections, inflammation, and trauma, followed by severe loss of body weight due to a deregulation of the appetite-regulating hypothalamic circuitry.One animal model proposed for the study of anorexia is the anx/anx mouse, a mutant that harbors a recessive mutation in chromosome 2, not yet identified, close to the Pallidin gene (36, 49). These mice display poor appetite resulting in growth failure and emaciated appearance, accompanied by abnormal behavior and neurological symptoms including body tremors, head weaving, hyperactivity, and uncoordinated gat...