2016
DOI: 10.1016/j.tem.2015.09.010
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Obesity Impairs the Action of the Neuroendocrine Ghrelin System

Abstract: Ghrelin is a metabolic hormone that promotes energy conservation by regulating appetite and energy expenditure. Although some studies suggest that antagonizing ghrelin function attenuates body weight gain and glucose intolerance on a high calorie diet, there is little information about the metabolic actions of ghrelin in the obese state. In this review, we discuss the novel concept of obesity-induced central ghrelin resistance in neural circuits regulating behavior, and impaired ghrelin secretion from the stom… Show more

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Cited by 118 publications
(100 citation statements)
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References 84 publications
(132 reference statements)
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“…Ghrelin is an orexigenic peptide that is produced by cells in the gastrointestinal tract and acts on the hypothalamus to stimulate food intake [75]. Thus, ghrelin has been proposed as a treatment for muscle wasting (Figure 1).…”
Section: Ghrelinmentioning
confidence: 99%
“…Ghrelin is an orexigenic peptide that is produced by cells in the gastrointestinal tract and acts on the hypothalamus to stimulate food intake [75]. Thus, ghrelin has been proposed as a treatment for muscle wasting (Figure 1).…”
Section: Ghrelinmentioning
confidence: 99%
“…Diets inducing weight loss reduce this resistance, pointing to possible defence mechanisms of body weight set-point established during times of food availability. 63 Voluntary weight loss secondary to low-calorie diets is accompanied by an increase in circulating ghrelin levels, leading to increased hunger sensation and therefore food intake. 64 As a result, attractive hypotheses have been put forward regarding the mechanism of repetitive weight gain in patients on cyclic diets, which can partially explain the present obesity epidemic.…”
Section: Ghrelin and Weight Statusmentioning
confidence: 99%
“…Several other molecules produced in the periphery provide feedback to the hypothalamus to regulate energy intake and expenditure. For instance, ghrelin, which is produced in the gastrointestinal tract, increases food intake and decreases energy expenditure and becomes dysregulated in obesity [47]. Other key peripheral molecules impacting the hypothalamus and energy homeostasis include insulin and amylin, which are secreted by the pancreas, adiponectin, which is secreted by adipose tissue, and irisin, which is secreted by muscle, and are all affected by obesity [48-64].…”
Section: Homeostatic Brain Systemsmentioning
confidence: 99%