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Accepted Preprint first posted online on 20 March 2009

Journal of Endocrinology 2009;202:191.

Journal of Endocrinology (2009) In press
DOI: 10.1677/JOE-09-0056
© 2009 Society for Endocrinology
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REVIEW

Shedding light on the intricate puzzle of ghrelin's effects on appetite regulation

Blerina Kola and Marta Korbonits

B Kola, Endocrinology, William Harvey research Insttute, London, EC1M 6BQ, United Kingdom
M Korbonits, Endocrinology, Queen Mary University of London, London, United Kingdom

Correspondence: Blerina Kola, Email: b.kola{at}qmul.ac.uk

Abstract

Ghrelin, a hormone primarily produced by the stomach, has a wide range of metabolic and non-metabolic effects. It also stimulates food intake through activation of various hypothalamic and brain stem neurons. A series of recent studies have explored the intracellular mechanisms of the appetite-inducing effect of ghrelin in the hypothalamus, shedding light on the intricate mechanisms of appetite regulation.

AMP-activated protein kinase (AMPK) is a key metabolic enzyme involved in appetite regulation. Calmodulin kinase kinase 2 (CaMKK2) has been identified as the upstream kinase of AMPK and a key mediator in the effect of ghrelin on AMPK activity. The fatty acid pathway, hypothalamic mitochondrial respiration and uncoupling protein UCP2 have been outlined as downstream targets of AMPK and effectors of ghrelin s appetite stimulating effect. This short overview summarises the present data in this field.







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