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Obesity: Special Feature |
University Departments of Medicine and Clinical Biochemistry, Cambridge Institute of Medical Research, Addenbrookes Hospital, Cambridge, United Kingdom CB2 2QQ
Address all correspondence and requests for reprints to: Dr. Stephen ORahilly, University Departments of Medicine and Clinical Biochemistry, Box 232, Addenbrookes 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
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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