The increasing incidence of obesity and obesity-linked disease presents a serious global health threat. To develop truly effective therapies to modulate food intake and promote weight loss, we must understand the physiological regulators that underlie these processes. One crucial mediator of food intake and energy homeostasis is the adipose-derived hormone, leptin, which acts through neurons expressing the long form of the leptin receptor (LepRb). Although most investigation of leptin action has centered on the large population of LepRb neurons in the arcuate nucleus (ARC), this nucleus does not mediate all aspects of leptin action. Indeed, several hypothalamic and extrahypothalamic loci contain substantial numbers of LepRb neurons, each of which presumably mediates distinct aspects of leptin action, and the collective output of these various LepRb populations produces the totality of leptin function. This review will examine known central nervous system loci that contain LepRb neurons and the potential roles for discrete populations of LepRb neurons in the control of homeostatic and hedonic pathways by leptin. Understanding the unique neuroanatomical and functional roles for each locus of leptin action will be important to identify how specific aspects of food intake contribute to obesity. International Journal of Obesity (2009) 33, S14-S17; doi:10.1038/ijo.2009.66Keywords: leptin; hypothalamus; energy balance; dopamine
Leptin signaling is crucial for normal energy homeostasisThe incidence of obesity is increasing rapidly, predisposing millions of individuals to obesity-linked diseases such as type 2 diabetes that result in reduced life expectancy. In addition to the considerable personal toll exacted by obesity and its complications, the ongoing treatment of these conditions throughout a patient's life poses a staggering health care cost. These costs will only become more apparent with the dramatic ongoing rise in juvenile obesity that precipitates earlier onset of complications. Clearly, therapies to prevent weight gain and facilitate weight loss are needed, but our limited understanding of the systems that govern energy homeostasis has hindered the development of truly effective treatments.The discovery of leptin represents an important step in our understanding of how the body regulates food intake and energy homeostasis. Lack of leptin in rodents and humans results in obesity, diminished metabolic rate, hyperphagia and attenuated reproductive function. 1 Loss of the long form of the leptin receptor (LepRb) produces the same phenotype, showing the importance of leptin/ LepRb for normal physiology. 2 Although leptin is produced by adipocytes in approximate proportion to fat stores (that is, the more the adipose content, the more the leptin produced) and released into the circulation, LepRb is expressed, and leptin acts, primarily in the central nervous system on subsets of (primarily hypothalamic) neurons that control processes linked to the intake and expenditure of energy. 3 In aggregate, these clusters of...