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The Journal of Clinical Endocrinology & Metabolism Vol. 89, No. 6 2557-2562
Copyright © 2004 by The Endocrine Society


Obesity: Special Feature

Proopiomelanocortin and Energy Balance: Insights from Human and Murine Genetics

Anthony P. Coll, I. Sadaf Farooqi, Benjamin G. Challis, Giles S. H. Yeo and Stephen O’Rahilly

University Departments of Medicine and Clinical Biochemistry, Cambridge Institute of Medical Research, Addenbrooke’s Hospital, Cambridge, United Kingdom CB2 2QQ

Address all correspondence and requests for reprints to: Dr. Stephen O’Rahilly, University Departments of Medicine and Clinical Biochemistry, Box 232, Addenbrooke’s Hospital, Cambridge, United Kingdom CB2 2QR. E-mail: sorahill{at}hgmp.mrc.ac.uk.

Proopiomelanocortin (POMC) undergoes extensive and tissuespecific posttranslational processing to yield a range of biologically active peptides. Historically, the most clearly defined roles of these peptides are in the control of adrenal steroidogenesis by corticotroph-derived ACTH and skin pigmentation by {alpha}MSH. However, a rapidly expanding body of work has established that POMC-derived peptides synthesized in neurons of the hypothalamus play a central role in the control of energy homeostasis. We review how inherited abnormalities in POMC synthesis and processing and defects in the action of POMC-derived peptides in both humans and mice have helped shape our current understanding of the importance of the melanocortin system in human energy balance.

This work was supported by the Wellcome Trust, the United Kingdom Medical Research Council, and a Raymond and Beverly Sackler Fellowship (to A.P.C.).

Abbreviations: AGRP, Agouti-related protein; GLP-2, glucagon-like peptide-2; MC3R, melanocortin receptor type 3; PC, prohormone convertase; POMC, proopiomelanocortin; WT, wild type.




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