The Need to Feed  Clifford B. Saper, Thomas C. Chou, Joel K. Elmquist 

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The Need to Feed  Clifford B. Saper, Thomas C. Chou, Joel K. Elmquist  Neuron  Volume 36, Issue 2, Pages 199-211 (October 2002) DOI: 10.1016/S0896-6273(02)00969-8

Figure 1 A Summary Diagram Showing Major Pathways that Distribute Circadian, Homeostatic, and Sensory Afferent Feeding Inputs to the Brain Note the convergence of these drives at the level of the hypothalamus. AgRP, agouti-related protein; AIC, agranular insular cortex; ARC, arcuate hypothalamic nucleus; CART, cocaine and amphetamine regulated transcript; CGRP, calcitonin-gene related peptide; DMH, dorsomedial hypothalamic nucleus; GIC, granular insular cortex; ILC, infralimbic cortex; LHA, lateral hypothalamic area; NAc, nucleus accumbens; NPY, neuropeptide Y; NTS, nucleus of the solitary tract; PB, parabrachial nucleus; POMC, pro-opiomelanocortin; PVH parventricular hypothalamic nucleus; SCn, suprachiasmatic nucleus; SPZ, subparaventricular zone; VMH, ventromedial hypothalamic nucleus; VPpc, ventroposterior parvicellular thalamic nucleus. Neuron 2002 36, 199-211DOI: (10.1016/S0896-6273(02)00969-8)

Figure 2 A Summary Diagram Illustrating Major Output Pathways by which Feeding Is Regulated Note that the parventricular (PVH) and arcuate (ARC) hypothalamic nuclei and the lateral hypothalamic area (LHA) provide the main descending outputs that regulate autonomic, endocrine, and motor responses that contribute to feeding. Projections back to the cerebral cortex that might control specific behaviors originate from the lateral hypothalamic area and via a pathway from the nucleus accumbens (NAc) through the ventral pallidum (VP) and mediodorsal thalamus (MDT) to prefrontal cortical areas, including the agranular insular (AIC) and infralimbic (ILC) cortical fields. AVP, arginine vasopressin; CART, cocaine and amphetamine regulated transcript; CRH, corticotropin-releasing hormone; GABA, γ-amino butyric acid; MCH, melanin concentrating hormone; ORX, orexin; POMC, pro-opiomelanocortin; TRH, thyrotropin-releasing hormone. Neuron 2002 36, 199-211DOI: (10.1016/S0896-6273(02)00969-8)

Figure 3 A Summary Diagram Emphasizing the Relationship between the Nucleus Accumbens (NAc) and the Lateral Hypothalamic Area (LHA) Cortical areas conveying sensory and behavioral influences on feeding provide input to the NAc, whereas the LHA is the target of homeostatic and circadian influences. Note that the LHA has a strong input to the NAc from neurons containing melanin-concentrating hormone (MCH), which are believed to be excitatory for feeding. In addition to a direct projection to the LHA, the NAc also gives rise to a GABergic pathway, through the ventral pallidum (VP), which is also GABAergic, that disinhibits feeding. This mutually reinforcing relationship may, under appropriate conditions, provide much of the motivation for feeding. Neuron 2002 36, 199-211DOI: (10.1016/S0896-6273(02)00969-8)