Since its discovery in 1982, neuropeptide Y (NPY) has been shown to ha
ve numerous effects mediated by a growing number of NPY receptors in b
oth the CNS and peripheral nervous system. Perhaps best appreciated is
the role of NPY in the control of systemic blood pressure, together w
ith its effects on feeding, anxiety and memory. However, recent eviden
ce increasingly supports an important role for NPY in mediating analge
sia and hyperalgesia by distinct central and peripheral mechanisms. In
this review we concentrate on this important aspect of NPY pharmacolo
gy and consider mechanisms controlling the expression of NPY and its r
eceptors. In addition, we also present the more recent data describing
the other possible roles for NPY. NPY agonists and antagonists may be
useful in the treatment of conditions as varied as anorexia, epilepsy
, anxiety, depression, hypertension and heart failure.