Weight loss normally stimulates hunger, through mechanisms that include falls in circulating leptin and insulin, leading to stimulation of hypothalamic neuropeptide Y (NPY). Here, we investigated the leptin, insulin and NPY to clarify why hunger is suppressed in mice with severe cachexia due to the MAC16 adenocarcinoma. MAC16-bearing mice progressively lost weight (19% below controls) and fat (2 61%) over 16 days after tumour transplantation, while total food intake fell by 10%. Pair-fed mice showed less wasting, with ®nal weight being 9% and fat mass 25% below controls. Plasma leptin fell by 85% in MAC16 and 51% in pair-fed mice, in proportion to loss of fat. Plasma insulin was also reduced by 49% in MAC16 and 53% in pair-fed groups. Hypothalamic leptin receptor (OB-Rb) mRNA was signi®cantly increased in both MAC16 (1223%) and pair-fed (1192%) mice. Hypothalamic NPY mRNA was also signi®cantly raised in MAC16 (1152%) and pair-fed (199%) groups, showing negative correlations with plasma leptin and insulin, and a positive association with OBRb mRNA. In MAC16-induced cachexia, leptin production and hypothalamic OB-Rb and NPY expression are regulated appropriately in response to fat depletion. Therefore, suppression of hunger is probably due to tumour products that inhibit NPY transport or release, or that interfere with neuronal targets downstream of NPY. Keywords: cancer cachexia, hypothalamus, insulin, leptin, NPY, OB-Rb.Cachexia, marked loss of body protein and fat, is common in human gastrointestinal and pancreatic cancers and contributes greatly to morbidity and early death (Puccio and Nathanson 1997). An important paradox of cancer cachexia is that hunger is not stimulated following weight loss, as it is during starvation. Indeed, food intake is often decreased and is an important contributor to weight loss. Tissue catabolism and the suppression of hunger are presumed to be due to speci®c tumour products, as cachexia and hypophagia occur with very small tumour masses and in the absence of metastases. Some tumour products have been tentatively identi®ed in certain animal models of cancer cachexia, including proglucagon-derived peptides in the transplantable glucagonoma in the rat (Jensen et al. 1998), tumour necrosis factor-a (TNF-a) in an experimental transgenic tumour in mice (Oliff et al. 1987) and cytokines in rats with prostatic adenocarcinoma (Plata-Salaman et al. 1998). However, none of these has been convincingly implicated in human cancers, notably in the common gut-derived adenocarcinomas which are responsible for most of the clinical burden of cancer cachexia.Here, we have investigated peripheral and hypothalamic mechanisms of the cachexia syndrome in mice bearing the transplantable colonic adenocarcinoma, MAC16, which has pathogenic similarities to wasting in human gastrointestinal and pancreatic cancers (Bibby et al. 1987 Abbreviations used: ARC, arcuate nucleus; BSA, bovine serum antigen; CRF, corticotropin releasing factor; MC4-R, type-4 melanocortin receptor; a-MSH, a-melanocyte-stimula...