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The Journal of Clinical Endocrinology & Metabolism Vol. 89, No. 6 2576-2582
Copyright © 2004 by The Endocrine Society


Obesity: Special Feature

The Gut and Regulation of Body Weight

Katie Wynne, Sarah Stanley and Steve Bloom

Endocrine Unit, Imperial College Faculty of Medicine, Hammersmith Hospital, London W12 ONN, United Kingdom

Address all correspondence and requests for reprints to: Professor S. R. Bloom, Endocrine Unit, Imperial College Faculty of Medicine, Hammersmith Hospital, Du Cane Road, London W12 ONN, United Kingdom. E-mail: s.bloom{at}imperial.ac.uk.

Signals generated by the gastrointestinal tract are able to regulate appetite and influence body weight. Ghrelin is an orexigenic peptide produced by the stomach. Satiety signals derived from the intestine and pancreas include peptide YY, pancreatic polypeptide, glucagon-like peptide 1, oxyntomodulin, and cholecystokinin. Signals from the gut and adipose tissue are integrated in the central nervous system to provide energy homeostasis. Knowledge of the body’s control of appetite is important because we strive to combat obesity in man.

This work was supported by the Welcome Trust (to K.W.) and Medical Research Council (to S.S.).

Abbreviations: AgRP, Agouti-related peptide; AP, area postrema; BBB, blood-brain barrier; CCK, cholecystokinin; CNS, central nervous system; DPPIV, dipeptidyl peptidase IV; GHS-R, GH secretagogue receptor; GLP-1, glucagon-like peptide 1; GLP-1R, GLP-1 receptor; NPY, neuropeptide Y; NTS, nucleus of the solitary tract; OXM, oxyntomodulin; POMC, proopiomelanocortin; PP, pancreatic polypeptide; PYY, peptide YY.




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