The control of appetite and satiety has enjoyed a renewed focus largely bec
ause of the discovery of several peptide hormones that transmit important s
ignals to feeding centers in brain. Stimulatory (orexigenic) and inhibitory
(anorexigenic) neuropeptide systems have been identified and the importanc
e of hormonal input from the periphery has been established. However, the c
hemical mediators of cancer-induced anorexia have yet to be clearly identif
ied. Now, using a selective receptor antagonist, the crucial role of the en
dogenous alpha -melanocyte-stimulating hormone-melanocortin receptor system
in brain has been identified to be the point of convergence for the cytoki
ne-mediated anorexia and wasting.