ABSTRACT

Over the past decade, advances in endocrine and neuro-

sciences research have revolutionized our understanding

of the biological basis underlying the complex regulation

of glucose and energy homeostasis. These advances

include not only the discovery and characterization of

numerous novel hormones but also a much deeper under-

standing of how various peripheral endocrine signals are

integrated within the central nervous system (CNS) to

regulate energy homeostasis. It is widely recognized that

hormonal signals secreted from pancreatic islets [e.g.,

glucagon, insulin, amylin, and pancreatic polypeptide

(PP)], the gut [e.g., glucagon-like peptide-1 (GLP-1),

glucose-dependent insulinotropic polypeptide, cholecysto-

kinin (CCK), and peptide YY (PYY)], and white adipose

tissue (e.g., leptin and adiponectin) collectively play a

pivotal role in the physiological regulation of glucose

metabolism, food intake, and body weight (1).