Food intake is regulated by a complex interaction of central and peripheral
pathways. A range of neuropeptides affects feeding either through actions
at the gastrointestinal/hepatic level or in the central nervous system. Cir
culating signals such as leptin and insulin modulate and interact with thes
e neuropeptide systems to control energy balance. The roles of the melanoco
rtin MC4 receptor pathway, agouti-related protein, melanocyte concentrating
hormone, cocaine-amphetamine-regulated transport, neuropeptide Y, and ente
rostatin in the control of food intake and macronutrient selection are desc
ribed.