BRAIN CONTROLS EATING
Since the early twentieth century, we have known that damage to the base of the brain can influence food intake and body weight. One critical region is the ventromedial hypothalamus. Bilateral lesions of this area (i.e. two-sided, damaging both the left and right) in animals leads to hyperphagia (overeating) and obesity (see Rolls, 1999). By contrast, Anand and Brobeck (1951) discovered that bilateral lesions (that is, damage) of the lateral hypothalamus can lead to a reduction in feeding and body weight. Evidence of this type led, in the 1950s and 1960s, to the view that food intake is controlled by two interacting ‘centres’ – a feeding centre in the lateral hypothalamus and a satiety centre in the ventromedial hypothalamus. But problems arose with this dual centre hypothesis. Lesions of the ventromedial hypothalamus were found to act indirectly by increasing the secretion of insulin by the pancreas, which in turn reduces plasma glucose concentration, resulting in feeding. This has been demonstrated by cutti ng the vagus nerve, which disconnects the brain from the pancreas, preventing ventromedial hypothalamic lesions from causing hypoglycaemia, and therefore preventing the consequent overeating. So the ventromedial nucleus of the hypothalamus is now thought of as a region that can influence the secretion of insulin and, indirectly, affect body weight, but not as a satiety centre per se. On the other hand, the hypothesis that damage to the lateral hypothalamus produces a lasting decrease in food intake and body weight has been corroborated by injecting focal neurotoxins (agents that kill brain cells in a very specific manner, such as ibotenic acid), into rats. These damage the local cell bodies of neurons but not the nerve fibres passing nearby. Rats with lateral hypothalamus lesions also fail to respond to experimental interventions that normally cause eating by reducing the availability of glucose (Clark et al., 1991).
Since the early twentieth century, we have known that damage to the base of the brain can influence food intake and body weight. One critical region is the ventromedial hypothalamus. Bilateral lesions of this area (i.e. two-sided, damaging both the left and right) in animals leads to hyperphagia (overeating) and obesity (see Rolls, 1999). By contrast, Anand and Brobeck (1951) discovered that bilateral lesions (that is, damage) of the lateral hypothalamus can lead to a reduction in feeding and body weight. Evidence of this type led, in the 1950s and 1960s, to the view that food intake is controlled by two interacting ‘centres’ – a feeding centre in the lateral hypothalamus and a satiety centre in the ventromedial hypothalamus. But problems arose with this dual centre hypothesis. Lesions of the ventromedial hypothalamus were found to act indirectly by increasing the secretion of insulin by the pancreas, which in turn reduces plasma glucose concentration, resulting in feeding. This has been demonstrated by cutti ng the vagus nerve, which disconnects the brain from the pancreas, preventing ventromedial hypothalamic lesions from causing hypoglycaemia, and therefore preventing the consequent overeating. So the ventromedial nucleus of the hypothalamus is now thought of as a region that can influence the secretion of insulin and, indirectly, affect body weight, but not as a satiety centre per se. On the other hand, the hypothesis that damage to the lateral hypothalamus produces a lasting decrease in food intake and body weight has been corroborated by injecting focal neurotoxins (agents that kill brain cells in a very specific manner, such as ibotenic acid), into rats. These damage the local cell bodies of neurons but not the nerve fibres passing nearby. Rats with lateral hypothalamus lesions also fail to respond to experimental interventions that normally cause eating by reducing the availability of glucose (Clark et al., 1991).
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