Orexins/hypocretins and their receptors (OXRs) are ubiquitously
distributed throughout the nervous system and peripheral tissues.
Recently, various reports have indicated that orexins play regulatory
roles in numerous physiological processes involved in obesity, energy
homeostasis, sleep–wake cycle, analgesia, alcoholism, learning,
and memory. This review aims to outline recent progress in the research
and development of orexins used in biochemical signaling pathways,
secretion pathways, and the regulation of energy metabolism/adipose
tissue development. Orexins regulate a variety of physiological functions
in the body by activating phospholipase C/protein kinase C and AC/cAMP/PKA
pathways, through receptors coupled to Gq and Gi/Gs, respectively.
The secretion of orexins is modulated by blood glucose, blood lipids,
hormones, and neuropeptides. Orexins have critical functions in energy
metabolism, regulating both feeding behavior and energy expenditure.
Increasing the sensitivity of orexin-coupled hypothalamic neurons
concurrently enhances spontaneous physical activity, non-exercise
activity thermogenesis, white adipose tissue lipolysis, and brown
adipose tissue thermogenesis. With this comprehensive review of the
current literature on the subject, we hope to provide an integrated
perspective for the prevention/treatment of obesity.