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Eating Disorders
Weighty Research Links Hormone to the Drive to Eat

(April 3, 2004) - Scientists are a step closer to understanding why it is so hard to lose weight.

In papers published in Science, two research teams describe newly discovered powers of leptin, the mysterious hormone that helps govern hunger and satiety. It appears that the substance plays a crucial role in establishing the brain's circuitry before birth, and retains the ability to subtly rewire those neural connections throughout life.

Those observations, made in mice but thought to apply also to human beings, offer a peek at the cellular workings of the drive to eat. They also shed light on why many people seem to have a physical "set point" - a weight their body seeks to maintain despite a person's efforts to change it.

When leptin is released by fat cells into the bloodstream, it works to suppress appetite. A deficiency of the hormone leads to overeating and obesity.

Scientists at Rockefeller University in New York examined two brain pathways in adult mice: one increases appetite and another decreases it.

They looked at so called NPY cells, brain cells that stimulate feeding. In normal animals there were more inhibiting than stimulating connections to these cells from other cells. In mice that are genetically incapable of making leptin, that situation was reversed.

The effect of this was to make the leptin-deficient mice eat more and make more fat cells in a futile effort to make leptin.

In a second study, scientists at Oregon Health & Science University found exposure to leptin early in life affected brain structures involved in weight regulation.

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