Excessive consumption of high-energy, palatable food contributes to obesity, which results in the metabolic syndrome, heart disease, type-2 diabetes and death. Current knowledge on the function of the hypothalamus as the brain 'feeding centre' recognizes this region as the main regulator of body weight in the central nervous system. Because of their intrinsically fast and adaptive activities, feeding-controlling neural circuitries are endowed with synaptic plasticity modulated by neurotransmitters and hormones that act at different hierarchical levels of integration. In the hypothalamus, among the chemical mediators involved in this integration, endocannabinoids (eCBs) are ideal candidates for the fast (that is, nongenomic), stress-related fine-tuning of neuronal functions. In this article, we overview the role of the eCB system (ECS) in the control of energy intake, and particularly in the consumption of high-energy, palatable food, and discuss how such a role is affected in the brain by changes in the levels of feeding-regulated hormones, such as the adipose tissue-derived anorexigenic mediator leptin, as well as by high-fat diets. The understanding of the molecular mechanisms underlying the neuronal control of feeding behaviours by eCBs offers many potential opportunities for novel therapeutic approaches against obesity. Highlights of the latest advances in the development of strategies that minimize central ECS overactivity in 'western diet'-driven obesity are discussed.International Journal of Obesity Supplements (2014) 4, S26--S30; doi:10.1038/ijosup.2014.8Keywords: CB1; hypothalamus; leptin; high-fat diet; synaptic rewiring; endocannabinoids
INTRODUCTIONThe hypothalamus is the most extensively interconnected area of the brain, and through its wide web of neural circuits it controls a variety of essential autonomic and somatomotor functions. Neuroanatomical studies have demonstrated direct projections to hypothalamic areas from several brain regions such as cortical/ limbic areas and autonomic motor systems of the brainstem. Such extensive connectivity is thought to represent the anatomical basis supporting sleep--wake regulation, energy homeostasis and cognitive and reward-related functions.1 Hormonal and nutrient signals are processed in the hypothalamus and inform the brain about the free and stored levels of fuel available to the organism. In turn, the hypothalamic neuronal circuits use this information to regulate energy intake, energy expenditure and peripheral lipid and glucose metabolism.2 Because of their intrinsic functional activities, and the necessity to adapt to often significant changes in nutritional status, neural feeding circuitries are endowed with synaptic plasticity modulated by neurotransmitters and hormones that act at different hierarchical levels of integration.1 Among the chemical mediators involved in this integration, the endocannabinoids (eCBs) are the master regulators of the fast (that is, nongenomic) and stress-related fine-tuning of energy intake and processing. The eCB sys...