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Deep brain stimulation for obesity: past, present, and future targets
Derrick A Dupré1, Nestor Tomycz1, Michael Y Oh1
1Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Neurosurgical Focus
|June 2, 2015
Summary
Deep brain stimulation (DBS) shows promise for obesity treatment by modulating brain activity related to calorie intake and expenditure. Research explores current and novel DBS targets to enhance its effectiveness in managing obesity.
Area of Science:
- Neuroscience
- Metabolic Disorders
- Medical Technology
Background:
- Obesity is a complex metabolic disorder with significant public health implications.
- Current obesity treatments have limitations, necessitating novel therapeutic approaches.
- Deep brain stimulation (DBS) is an emerging neuromodulation technique with potential for treating obesity.
Observation:
- DBS for obesity has been explored in both animal models and human studies.
- Preliminary results suggest DBS can influence energy balance by modulating brain activity.
- The brain's role in regulating caloric intake and energy expenditure makes it a key target.
Findings:
- This review examines the historical context of DBS for obesity.
- Current and potential DBS targets within the brain are described.
- Novel stimulation parameters are discussed for improved efficacy.
Implications:
- Modulating brain activity via DBS offers a potential strategy for obesity amelioration.
- Further research into DBS targets and parameters could optimize treatment outcomes.
- DBS may provide a new avenue for addressing the global obesity epidemic.
Keywords:
BMI = body mass indexDA = dopamineDBS = deep brain stimulationHFS = high-frequency stimulationLHA = lateral hypothalamic areaLHb = lateral habenulaNAc = nucleus accumbensOCD = obsessive-compulsive disorderOFC = orbitofrontal cortexON = orexinergic neuronPFC = prefrontal cortexSCC = subcallosal cingulate cortexVMH = ventromedial hypothalamusVS = ventral striatumVTA = ventral tegmental areaaddictioncompound obesitydeep brain stimulationeating disordersfunctional neurosurgeryincentive salience
