PMID- 16644689 OWN - NLM STAT- MEDLINE DCOM- 20060626 LR - 20211020 IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 55 IP - 5 DP - 2006 May TI - Tamoxifen-induced anorexia is associated with fatty acid synthase inhibition in the ventromedial nucleus of the hypothalamus and accumulation of malonyl-CoA. PG - 1327-36 AB - Fatty acid metabolism in the hypothalamus has recently been shown to regulate feeding. The selective estrogen receptor modulator tamoxifen (TMX) exerts a potent anorectic effect. Here, we show that the anorectic effect of TMX is associated with the accumulation of malonyl-CoA in the hypothalamus and inhibition of fatty acid synthase (FAS) expression specifically in the ventromedial nucleus of the hypothalamus (VMN). Furthermore, we demonstrate that FAS mRNA expression is physiologically regulated by fasting and refeeding in the VMN but not in other hypothalamic nuclei. Thus, the VMN appears to be the hypothalamic site where regulation of FAS and feeding converge. Supporting the potential clinical relevance of these observations, reanalysis of a primary breast cancer prevention study showed that obese women treated with TMX gained significantly less body weight over a 6-year period than obese women given placebo. The finding that TMX can modulate appetite through alterations in FAS expression and malonyl-CoA levels suggests a link between hypothalamic sex steroid receptors, fatty acid metabolism, and feeding behavior. FAU - Lopez, Miguel AU - Lopez M AD - Department of Clinical Biochemistry, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QR, U.K. FAU - Lelliott, Christopher J AU - Lelliott CJ FAU - Tovar, Sulay AU - Tovar S FAU - Kimber, Wendy AU - Kimber W FAU - Gallego, Rosalia AU - Gallego R FAU - Virtue, Sam AU - Virtue S FAU - Blount, Margaret AU - Blount M FAU - Vazquez, Maria J AU - Vazquez MJ FAU - Finer, Nick AU - Finer N FAU - Powles, Trevor J AU - Powles TJ FAU - O'Rahilly, Stephen AU - O'Rahilly S FAU - Saha, Asish K AU - Saha AK FAU - Dieguez, Carlos AU - Dieguez C FAU - Vidal-Puig, Antonio J AU - Vidal-Puig AJ LA - eng GR - G0400192/MRC_/Medical Research Council/United Kingdom GR - G9824984/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom GR - DK 19514/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 094ZI81Y45 (Tamoxifen) RN - 524-14-1 (Malonyl Coenzyme A) RN - 66796-54-1 (Pro-Opiomelanocortin) RN - EC 2.3.1.85 (Fatty Acid Synthases) SB - IM MH - Animals MH - Anorexia/*chemically induced/enzymology/metabolism MH - Body Weight/drug effects MH - Energy Intake/drug effects MH - Fatty Acid Synthases/*antagonists & inhibitors MH - Feeding Behavior/drug effects MH - Malonyl Coenzyme A/*metabolism MH - Pro-Opiomelanocortin/metabolism MH - Rats MH - Rats, Wistar MH - Tamoxifen/*pharmacology MH - Ventromedial Hypothalamic Nucleus/drug effects/*metabolism MH - Weight Loss/drug effects EDAT- 2006/04/29 09:00 MHDA- 2006/06/27 09:00 CRDT- 2006/04/29 09:00 PHST- 2006/04/29 09:00 [pubmed] PHST- 2006/06/27 09:00 [medline] PHST- 2006/04/29 09:00 [entrez] AID - 55/5/1327 [pii] AID - 10.2337/db05-1356 [doi] PST - ppublish SO - Diabetes. 2006 May;55(5):1327-36. doi: 10.2337/db05-1356.