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Integrated pathways that control stress and energy homeostasis

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Feeding is regulated by defined neuronal pathways and circulating factors that ensure homeostatic balance is maintained. However, many emotion-affective pathways are also involved in communicating positive and negative valence on… Click to show full abstract

Feeding is regulated by defined neuronal pathways and circulating factors that ensure homeostatic balance is maintained. However, many emotion-affective pathways are also involved in communicating positive and negative valence on feeding behaviour. In 2019, several seminal discoveries were made that illuminate the complex interaction between homeostatic and hedonic feeding control mechanisms. Neuropeptide Y expressed in central amygdala (CeA) neurons is critical to drive feeding under chronic stress conditions, which lead to the accelerated development of obesity when combined with calorically dense food 5 . Palatable food increases the activity of CeA prepro-nociceptin neurons, which leads to an increase in reward properties via changes in functions of the striata terminalis, the parabrachial nucleus and the nucleus of the solitary tract 7 . Pro-opiomelanocortin neurons in the arcuate nucleus are specifically activated by restraint stress, which is associated with an increase in feeding and reduction in depression-like behaviour that is mediated by an alteration in ventral tegmental area 9 . Aversive emotional states are integrated with other homeostatic bodily functions in the posterior visceral insular cortex, which then subsequently alters feeding via the nucleus accumbens and anxiety behaviour via amygdala connections 10 .

Keywords: integrated pathways; pathways control; energy homeostasis; stress energy; control stress

Journal Title: Nature Reviews Endocrinology
Year Published: 2019

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