Completed Diabetes, Hormones & Metabolism Genetics & Molecular Biology

Fundamental mechanisms controlling human energy homeostasis

In plain English

AI plain-English summary

The human brain's appetite control centre is failing in people with severe obesity, and this project will map exactly how those neural circuits break down. Obesity and its consequences—type 2 diabetes, heart disease, and several cancers—create a massive health burden, yet the fundamental biological wiring that balances food intake against energy expenditure remains poorly understood. This research targets that gap by studying people at both extremes of weight: those with severe obesity and those who remain naturally thin. Using genetic data and stem-cell-derived human brain cells, the team will trace the molecular networks that converge on leptin-melanocortin signalling, a key pathway that tells the brain whether the body has enough energy stored. This is fundamental science with no immediate clinical product. The goal is to identify precise control points within human energy homeostasis—specific molecules or cellular steps that could one day be targeted by drugs. If successful, the work would provide a molecular roadmap for developing therapies that restore normal appetite regulation, rather than simply managing obesity's downstream effects. Similar fundamental mapping of metabolic pathways has previously enabled treatments for rare genetic obesity disorders.

View original technical description
Obesity and associated diseases such as type 2 diabetes, cardiovascular disease and some cancers represent a significant health burden. My overall aim is to identify new therapeutic strategies for severe obesity. Using extensive genetic and clinical data on unique cohorts of individuals at both extremes of the weight distribution (severe obesity and thinness), we will comprehensively map the molecular networks that maintain energy homeostasis and their disruption in disorders of weight regulation. Building on our previous work, we will focus on dissecting cellular mechanisms that converge on leptin-melanocortin signalling using human stem-cell derived hypothalamic neurons. In human studies, we will characterise the effects of specific pathways on eating behaviour, energy expenditure and substrate utilisation. By uncovering the fundamental mechanisms that control human energy homeostasis, our goal is to identify and validate control points that can be targeted to improve outcomes in obesity associated diseases.

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Researchers

Ismaa Sadaf Farooqi (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

Mechanisms in Disorders of Energy Balance
Bilateral BBSRC-SFI: The role of hypothalamic neuropeptide network in regulating tissue sizes in response to diet energy content and composition
Molecular characterization in human neurons of genes associated with severe obesity identified from consanguineous pedigrees.
Mapping the neuronal functional architecture underlying appetite control in humans at the extremes of bodyweight
Sympathetic Neural Networks protecting against Obesity

Original classification

Principal Research Fellowship (New)

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