This report was presented at a Physiological Society Themed Meeting on Orchestration of metabolism in health and disease, which took place at the University of Oxford, UK, 9–11 September 2008.
The role of peptide YY in appetite regulation and obesity
Article first published online: 2 JAN 2009
© 2009 The Authors. Journal compilation © 2009 The Physiological Society
The Journal of Physiology
Volume 587, Issue 1, pages 19–25, January 2009
How to Cite
Karra, E., Chandarana, K. and Batterham, R. L. (2009), The role of peptide YY in appetite regulation and obesity. The Journal of Physiology, 587: 19–25. doi: 10.1113/jphysiol.2008.164269
- Issue published online: 2 JAN 2009
- Article first published online: 2 JAN 2009
- (Received 2 October 2008; accepted after revision 18 November 2008; first published online 8 December 2008)
The last decade has witnessed a marked increase in our understanding of the importance of gut hormones in the regulation of energy homeostasis. In particular, the discovery that the gut hormone peptide YY 3–36 (PYY3–36) reduced feeding in obese rodents and humans fuelled interest in the role of PYY3–36 in body weight regulation. Pharmacological and genetic approaches have revealed that the Y2-receptor mediates the anorectic effects of PYY3–36 whilst mechanistic studies in rodents identified the hypothalamus, vagus and brainstem regions as potential sites of action. More recently, using functional brain imaging techniques in humans, PYY3–36 was found to modulate neuronal activity within hypothalamic and brainstem, and brain regions involved in reward processing. Several lines of evidence suggest that low circulating PYY concentrations predispose towards the development and or maintenance of obesity. Subjects with reduced postprandial PYY release exhibit lower satiety and circulating PYY levels that correlate negatively with markers of adiposity. In addition, mice lacking PYY are hyperphagic and become obese. Conversely, chronic PYY3–36 administration to obese rodents reduces adiposity, and transgenic mice with increased circulating PYY are resistant to diet-induced obesity. Moreover, there is emerging evidence that PYY3–36 may partly mediate the reduced appetite and weight loss benefits observed post-gastric bypass surgery. Taken together these findings, coupled with the retained responsiveness of obese subjects to the effects of PYY3–36, suggest that targeting the PYY system may offer a therapeutic strategy to help treat obesity.