Helmholtz Munich and Technical University Munich, Munich, 85758 Germany.
Laboratory of Molecular Genetics, Howard Hughes Medical Institute, Rockefeller University, New York, NY 10065 USA.
Sci Transl Med. 2023 Nov 22;15(723):eadh4453. doi: 10.1126/scitranslmed.adh4453.
Remedies for the treatment of obesity date to Hippocrates, when patients with obesity were directed to "reduce food and avoid drinking to fullness" and begin "running during the night." Similar recommendations have been repeated ever since, despite the fact that they are largely ineffective. Recently, highly effective therapeutics were developed that may soon enable physicians to manage body weight in patients with obesity in a manner similar to the way that blood pressure is controlled in patients with hypertension. These medicines have grown out of a revolution in our understanding of the molecular and neural control of appetite and body weight, reviewed here.
治疗肥胖的方法可以追溯到希波克拉底时代,当时肥胖患者被指示“减少食物摄入,避免吃饱,开始在夜间跑步”。尽管这些建议基本上没有效果,但此后一直被重复。最近,开发出了非常有效的治疗方法,这些方法可能很快使医生能够以类似于控制高血压患者血压的方式来管理肥胖患者的体重。这些药物源自我们对食欲和体重的分子和神经控制的理解的革命,本文对此进行了综述。