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Hypothalamus

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(Redirected fromHypothalamic)
Area of the brain below the thalamus

Not to be confused withSubthalamus orHypophthalmus.

Hypothalamus
Location of the human hypothalamus
Location of the hypothalamus (cyan) in relation to the pituitary and to the rest of the brain
Details
Part ofBrain
Identifiers
Latinhypothalamus
MeSHD007031
NeuroLex IDbirnlex_734
TA98A14.1.08.401
A14.1.08.901
TA25714
FMA62008
Anatomical terms of neuroanatomy
Look up hypothalamus in Wiktionary, the free dictionary.

Thehypothalamus (pl.:hypothalami; from Ancient Greek ὑπό (hupó) 'under' and θάλαμος (thálamos) 'chamber') is a small part of thevertebratebrain that contains a number ofnuclei with a variety of functions. One of the most important functions is to link thenervous system to theendocrine system via thepituitary gland. The hypothalamus is located below thethalamus and is part of thelimbic system.[1] It forms thebasal part of thediencephalon. All vertebrate brains contain a hypothalamus.[2] In humans, it is about the size of analmond.[3]

The hypothalamus has the function of regulating certainmetabolicprocesses and other activities of theautonomic nervous system. Itsynthesizes and secretes certainneurohormones, calledreleasing hormones or hypothalamic hormones, and these in turn stimulate or inhibit the secretion ofhormones from the pituitary gland. The hypothalamus controlsbody temperature,hunger, important aspects of parenting andmaternal attachment behaviours,thirst,[4]fatigue,sleep,circadian rhythms, and is important in certain social behaviors, such as sexual and aggressive behaviors.[5][6]

Structure

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The hypothalamus is divided into four regions (preoptic, supraoptic, tuberal, mammillary) in a parasagittal plane, indicating location anterior-posterior; and three zones (periventricular, intermediate, lateral) in the coronal plane, indicating location medial-lateral.[7] Hypothalamic nuclei are located within these specific regions and zones.[8] It is found in all vertebrate nervous systems. In mammals,magnocellular neurosecretory cells in theparaventricular nucleus and thesupraoptic nucleus of the hypothalamus produceneurohypophysial hormones,oxytocin andvasopressin.[9] These hormones are released into the blood in theposterior pituitary.[10] Much smallerparvocellular neurosecretory cells, neurons of the paraventricular nucleus, releasecorticotropin-releasing hormone and other hormones into thehypophyseal portal system, where these hormones diffuse to theanterior pituitary.[citation needed]

Nuclei

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The hypothalamic nuclei include the following:[11][12]

List of nuclei, their functions, and the neurotransmitters, neuropeptides, or hormones that they utilize
RegionAreaNucleusFunction[13]
Anterior (supraoptic)PreopticPreoptic nucleus
Ventrolateral preoptic nucleusSleep
MedialMedial preoptic nucleus
  • Regulates the release of gonadotropic hormones from the adenohypophysis
  • Contains thesexually dimorphic nucleus, which releases GnRH, differential development between sexes is based upon in utero testosterone levels
  • Thermoregulation[14]
Supraoptic nucleus
Paraventricular nucleus
Anterior hypothalamic nucleus
Suprachiasmatic nucleus
LateralLateral nucleusSeeLateral hypothalamus § Function – primary source oforexin neurons that project throughout the brain and spinal cord
Middle (tuberal)MedialDorsomedial hypothalamic nucleus
Ventromedial nucleus
Arcuate nucleus
LateralLateral nucleusSeeLateral hypothalamus § Function – primary source oforexin neurons that project throughout the brain and spinal cord
Lateral tuberal nuclei
Posterior (mammillary)MedialMammillary nuclei (part ofmammillary bodies)
Posterior nucleus
LateralLateral nucleusSeeLateral hypothalamus § Function – primary source oforexin neurons that project throughout the brain and spinal cord
Tuberomammillary nucleus[17]
  • Cross-section of the monkey hypothalamus displays two of the major hypothalamic nuclei on either side of the fluid-filled third ventricle.
    Cross-section of the monkey hypothalamus displays two of the major hypothalamic nuclei on either side of the fluid-filled third ventricle.
  • Hypothalamic nuclei
    Hypothalamic nuclei
  • Hypothalamic nuclei on one side of the hypothalamus, shown in a 3-D computer reconstruction[18]
    Hypothalamic nuclei on one side of the hypothalamus, shown in a 3-D computer reconstruction[18]

Connections

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Further information:Lateral hypothalamus § Orexinergic projection system, andTuberomammillary nucleus § Histaminergic outputs

The hypothalamus is highly interconnected with other parts of thecentral nervous system, in particular the brainstem and itsreticular formation. As part of thelimbic system, it has connections to other limbic structures including theamygdala andseptum, and is also connected with areas of theautonomous nervous system.[citation needed]

The hypothalamus receives many inputs from thebrainstem, the most notable from thenucleus of the solitary tract, thelocus coeruleus, and theventrolateral medulla.[citation needed]

Most nerve fibres within the hypothalamus run in two ways (bidirectional).

Sexual dimorphism

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Several hypothalamic nuclei aresexually dimorphic; i.e., there are clear differences in both structure and function between males and females.[19] Some differences are apparent even in gross neuroanatomy: most notable is thesexually dimorphic nucleus within thepreoptic area,[19] in which the differences are subtle changes in the connectivity and chemical sensitivity of particular sets of neurons. The importance of these changes can be recognized by functional differences between males and females. For instance, males of most species prefer the odor and appearance of females over males, which is instrumental in stimulating male sexual behavior. If the sexually dimorphic nucleus is lesioned, this preference for females by males diminishes. Also, the pattern of secretion ofgrowth hormone is sexually dimorphic;[20] this is why in many species, adult males are visibly distinct sizes from females.

Responsiveness to ovarian steroids

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Other striking functional dimorphisms are in the behavioral responses toovarian steroids of the adult. Males and females respond to ovarian steroids in different ways, partly because the expression of estrogen-sensitive neurons in the hypothalamus is sexually dimorphic; i.e., estrogen receptors are expressed in different sets of neurons.[citation needed]

Estrogen andprogesterone can influence gene expression in particular neurons or induce changes incell membrane potential andkinase activation, leading to diverse non-genomic cellular functions. Estrogen and progesterone bind to their cognatenuclear hormone receptors, which translocate to the cell nucleus and interact with regions of DNA known ashormone response elements (HREs) or get tethered to anothertranscription factor's binding site.Estrogen receptor (ER) has been shown to transactivate other transcription factors in this manner, despite the absence of anestrogen response element (ERE) in the proximal promoter region of the gene. In general, ERs andprogesterone receptors (PRs) are gene activators, with increased mRNA and subsequent protein synthesis following hormone exposure.[citation needed]

Male and female brains differ in the distribution of estrogen receptors, and this difference is an irreversible consequence of neonatal steroid exposure.[citation needed] Estrogen receptors (and progesterone receptors) are found mainly in neurons in the anterior and mediobasal hypothalamus, notably:

Development

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Median sagittal section of brain of human embryo of three months

In neonatal life, gonadal steroids influence the development of the neuroendocrine hypothalamus. For instance, they determine the ability of females to exhibit a normal reproductive cycle, and of males and females to display appropriate reproductive behaviors in adult life.

  • If afemale rat is injected once with testosterone in the first few days of postnatal life (during the "critical period" of sex-steroid influence), the hypothalamus is irreversibly masculinized; the adult rat will be incapable of generating anLH surge in response to estrogen (a characteristic of females), but will be capable of exhibitingmale sexual behaviors (mounting a sexually receptive female).[23]
  • By contrast, amale rat castrated just after birth will befeminized, and the adult will showfemale sexual behavior in response to estrogen (sexual receptivity,lordosis behavior).[23]

In primates, the developmental influence ofandrogens is less clear, and the consequences are less understood. Within the brain, testosterone is aromatized (toestradiol), which is the principal active hormone for developmental influences. The humantestis secretes high levels of testosterone from about week eight of fetal life until five to six months after birth (a similar perinatal surge in testosterone is observed in many species), a process that appears to underlie the male phenotype. Estrogen from the maternal circulation is relatively ineffective, partly because of the high circulating levels of steroid-binding proteins in pregnancy.[23]

Sex steroids are not the only important influences upon hypothalamic development; in particular,pre-pubertal stress in early life (of rats) determines the capacity of the adult hypothalamus to respond to an acute stressor.[24] Unlike gonadal steroid receptors,glucocorticoid receptors are very widespread throughout the brain; in theparaventricular nucleus, they mediate negative feedback control ofCRF synthesis and secretion, but elsewhere their role is not well understood.

Function

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Hormone release

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Endocrine glands in the human head and neck and their hormones

The hypothalamus has a centralneuroendocrine function, most notably by its control of theanterior pituitary, which in turn regulates various endocrine glands and organs.Releasing hormones (also called releasing factors) are produced in hypothalamic nuclei then transported alongaxons to either themedian eminence or theposterior pituitary, where they are stored and released as needed.[25]

Anterior pituitary

In the hypothalamic–adenohypophyseal axis, releasing hormones, also known as hypophysiotropic or hypothalamic hormones, are released from the median eminence, a prolongation of the hypothalamus, into thehypophyseal portal system, which carries them to the anterior pituitary where they exert their regulatory functions on the secretion of adenohypophyseal hormones.[26] These hypophysiotropic hormones are stimulated by parvocellular neurosecretory cells located in the periventricular area of the hypothalamus. After their release into the capillaries of the third ventricle, the hypophysiotropic hormones travel through what is known as the hypothalamo-pituitary portal circulation. Once they reach their destination in the anterior pituitary, these hormones bind to specific receptors located on the surface of pituitary cells. Depending on which cells are activated through this binding, the pituitary will either begin secreting or stop secreting hormones into the rest of the bloodstream.[27]

Secreted hormoneAbbreviationProduced byEffect
Thyrotropin-releasing hormone
(Prolactin-releasing hormone)
TRH, TRF, or PRHParvocellular neurosecretory cells of theparaventricular nucleusStimulatethyroid-stimulating hormone (TSH) release fromanterior pituitary (primarily)
Stimulateprolactin release fromanterior pituitary
Corticotropin-releasing hormoneCRH or CRFParvocellular neurosecretory cells of the paraventricular nucleusStimulateadrenocorticotropic hormone (ACTH) release fromanterior pituitary
Dopamine
(Prolactin-inhibiting hormone)
DA or PIHDopamine neurons of the arcuate nucleusInhibitprolactin release fromanterior pituitary
Growth-hormone-releasing hormoneGHRHNeuroendocrine neurons of theArcuate nucleusStimulategrowth-hormone (GH) release fromanterior pituitary
Gonadotropin-releasing hormoneGnRH or LHRHNeuroendocrine cells of thePreoptic areaStimulatefollicle-stimulating hormone (FSH) release fromanterior pituitary
Stimulateluteinizing hormone (LH) release fromanterior pituitary
Somatostatin[28]
(growth-hormone-inhibiting hormone)
SS, GHIH, or SRIFNeuroendocrine cells of thePeriventricular nucleusInhibitgrowth-hormone (GH) release fromanterior pituitary
Inhibit (moderately)thyroid-stimulating hormone (TSH) release fromanterior pituitary

Other hormones secreted from the median eminence includevasopressin,oxytocin, andneurotensin.[29][30][31][32]

Posterior pituitary

In the hypothalamic–pituitary–adrenal axis,neurohypophysial hormones are released from the posterior pituitary, which is actually a prolongation of the hypothalamus, into the circulation.

Secreted hormoneAbbreviationProduced byEffect
OxytocinOXY or OXTMagnocellular neurosecretory cells of the paraventricular nucleus andsupraoptic nucleusUterine contraction
Lactation (letdown reflex)
Vasopressin
(antidiuretic hormone)
ADH or AVPMagnocellular and parvocellular neurosecretory cells of the paraventricular nucleus, magnocellular cells in supraoptic nucleusIncrease in the permeability to water of the cells ofdistal tubule andcollecting duct in the kidney and thus allows water reabsorption and excretion of concentrated urine

It is also known thathypothalamic–pituitary–adrenal axis (HPA) hormones are related to certain skin diseases and skin homeostasis. There is evidence linking hyperactivity of HPA hormones to stress-related skin diseases and skin tumors.[33]

Stimulation

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The hypothalamus coordinates many hormonal and behavioural circadian rhythms, complex patterns ofneuroendocrine outputs, complexhomeostatic mechanisms, and important behaviours. The hypothalamus must, therefore, respond to many different signals, some of which are generated externally and some internally.Delta wave signalling arising either in the thalamus or in the cortex influences the secretion of releasing hormones;GHRH andprolactin are stimulated whilstTRH is inhibited.[citation needed]

The hypothalamus is responsive to:

Olfactory stimuli

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Olfactory stimuli are important forsexual reproduction andneuroendocrine function in many species. For instance, if a pregnant mouse is exposed to the urine of a 'strange' male during a critical period after coitus then the pregnancy fails (theBruce effect). Thus, during coitus, a female mouse forms a precise 'olfactory memory' of her partner that persists for several days. Pheromonal cues aid synchronization ofoestrus in many species; in women, synchronizedmenstruation may also arise from pheromonal cues, although the role of pheromones in humans is disputed.[citation needed]

Blood-borne stimuli

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Peptide hormones have important influences upon the hypothalamus, and to do so they must pass through theblood–brain barrier. The hypothalamus is bounded in part by specialized brain regions that lack an effective blood–brain barrier; thecapillaryendothelium at these sites is fenestrated to allow free passage of even large proteins and other molecules. Some of these sites are the sites of neurosecretion - theneurohypophysis and themedian eminence. However, others are sites at which the brain samples the composition of the blood. Two of these sites, the SFO (subfornical organ) and the OVLT (organum vasculosum of the lamina terminalis) are so-calledcircumventricular organs, where neurons are in intimate contact with both blood andCSF. These structures are densely vascularized, and contain osmoreceptive and sodium-receptive neurons that controldrinking,vasopressin release, sodium excretion, and sodium appetite. They also contain neurons with receptors forangiotensin,atrial natriuretic factor,endothelin andrelaxin, each of which important in the regulation of fluid and electrolyte balance. Neurons in the OVLT and SFO project to thesupraoptic nucleus andparaventricular nucleus, and also to preoptic hypothalamic areas. The circumventricular organs may also be the site of action ofinterleukins to elicit both fever and ACTH secretion, via effects on paraventricular neurons.[citation needed]

It is not clear how all peptides that influence hypothalamic activity gain the necessary access. In the case ofprolactin andleptin, there is evidence of active uptake at thechoroid plexus from the blood into thecerebrospinal fluid (CSF). Some pituitary hormones have a negative feedback influence upon hypothalamic secretion; for example,growth hormone feeds back on the hypothalamus, but how it enters the brain is not clear. There is also evidence for central actions ofprolactin.[citation needed]

Findings have suggested thatthyroid hormone (T4) is taken up by the hypothalamicglial cells in theinfundibular nucleus/median eminence, and that it is here converted intoT3 by the type 2 deiodinase (D2). Subsequent to this, T3 is transported into thethyrotropin-releasing hormone (TRH)-producingneurons in theparaventricular nucleus.Thyroid hormone receptors have been found in theseneurons, indicating that they are indeed sensitive to T3 stimuli. In addition, these neurons expressedMCT8, athyroid hormone transporter, supporting the theory that T3 is transported into them. T3 could then bind to the thyroid hormone receptor in these neurons and affect the production of thyrotropin-releasing hormone, thereby regulating thyroid hormone production.[35]

The hypothalamus functions as a type ofthermostat for the body.[36] It sets a desired body temperature, and stimulates either heat production and retention to raise the blood temperature to a higher setting or sweating andvasodilation to cool the blood to a lower temperature. Allfevers result from a raised setting in the hypothalamus; elevated body temperatures due to any other cause are classified ashyperthermia.[36] Rarely, direct damage to the hypothalamus, such as from astroke, will cause a fever; this is sometimes called ahypothalamic fever. However, it is more common for such damage to cause abnormally low body temperatures.[36]

Steroids

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The hypothalamus contains neurons that react strongly to steroids andglucocorticoids (the steroid hormones of theadrenal gland, released in response toACTH). It also contains specialized glucose-sensitive neurons (in thearcuate nucleus andventromedial hypothalamus), which are important forappetite. The preoptic area contains thermosensitive neurons; these are important forTRH secretion.[citation needed]

Neural

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Oxytocin secretion in response to suckling or vagino-cervical stimulation is mediated by some of these pathways;vasopressin secretion in response to cardiovascular stimuli arising from chemoreceptors in thecarotid body andaortic arch, and from low-pressureatrial volume receptors, is mediated by others. In the rat, stimulation of thevagina also causesprolactin secretion, and this results inpseudo-pregnancy following an infertile mating. In the rabbit, coitus elicitsreflex ovulation. In the sheep,cervical stimulation in the presence of high levels of estrogen can inducematernal behavior in a virgin ewe. These effects are all mediated by the hypothalamus, and the information is carried mainly by spinal pathways that relay in the brainstem. Stimulation of the nipples stimulates release of oxytocin and prolactin and suppresses the release ofLH andFSH.[citation needed]

Cardiovascular stimuli are carried by thevagus nerve. The vagus also conveys a variety of visceral information, including for instance signals arising from gastric distension or emptying, to suppress or promote feeding, by signalling the release ofleptin orgastrin, respectively. Again, this information reaches the hypothalamus via relays in the brainstem.[citation needed]

In addition, hypothalamic function is responsive to—and regulated by—levels of all three classicalmonoamine neurotransmitters,noradrenaline,dopamine, andserotonin (5-hydroxytryptamine), in those tracts from which it receives innervation. For example, noradrenergic inputs arising from the locus coeruleus have important regulatory effects uponcorticotropin-releasing hormone (CRH) levels.[citation needed]

Control of food intake

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Peptide hormones and neuropeptides that regulate feeding[37]
Peptides that increase
feeding behavior
Peptides that decrease
feeding behavior
GhrelinLeptin
Neuropeptide Y(α,β,γ)-Melanocyte-stimulating hormones
Agouti-related peptideCocaine- and amphetamine-regulated transcript peptides
Orexins (A,B)Corticotropin-releasing hormone
Melanin-concentrating hormoneCholecystokinin
GalaninInsulin
Glucagon-like peptide 1

The extremelateral part of theventromedial nucleus of the hypothalamus is responsible for the control offood intake. Stimulation of this area causes increased food intake. Bilaterallesion of this area causes complete cessation of food intake. Medial parts of the nucleus have a controlling effect on the lateral part. Bilateral lesion of the medial part of the ventromedial nucleus causeshyperphagia and obesity of the animal. Further lesion of the lateral part of the ventromedial nucleus in the same animal produces complete cessation of food intake.

There are different hypotheses related to this regulation:[38]

  1. Lipostatic hypothesis: This hypothesis holds thatadiposetissue produces ahumoral signal that is proportionate to the amount of fat and acts on the hypothalamus to decrease food intake and increase energy output. It has been evident that ahormoneleptin acts on the hypothalamus to decrease food intake and increase energy output.
  2. Gutpeptide hypothesis:gastrointestinal hormones like Grp,glucagons,CCK and others claimed to inhibit food intake. The food entering the gastrointestinal tract triggers the release of these hormones, which act on the brain to produce satiety. The brain contains both CCK-A and CCK-B receptors.
  3. Glucostatic hypothesis: The activity of the satiety center in the ventromedial nuclei is probably governed by theglucose utilization in the neurons. It has been postulated that when their glucose utilization is low and consequently when the arteriovenous blood glucose difference across them is low, the activity across the neurons decrease. Under these conditions, the activity of the feeding center is unchecked and the individual feels hungry. Food intake is rapidly increased by intraventricular administration of2-deoxyglucose therefore decreasing glucose utilization in cells.
  4. Thermostatic hypothesis: According to this hypothesis, a decrease in body temperature below a given set-point stimulates appetite, whereas an increase above the set-point inhibits appetite.

Fear processing

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The medial zone of hypothalamus is part of a circuitry that controls motivated behaviors, like defensive behaviors.[39] Analyses ofFos-labeling showed that a series of nuclei in the "behavioral control column" is important in regulating the expression of innate and conditioned defensive behaviors.[40]

Antipredatory defensive behavior

Exposure to a predator (such as a cat) elicits defensive behaviors in laboratory rodents, even when the animal has never been exposed to a cat.[41] In the hypothalamus, this exposure causes an increase inFos-labeled cells in the anterior hypothalamic nucleus, the dorsomedial part of the ventromedial nucleus, and in the ventrolateral part of the premammillary nucleus (PMDvl).[42] The premammillary nucleus has an important role in expression of defensive behaviors towards a predator, since lesions in this nucleus abolish defensive behaviors, like freezing and flight.[42][43] The PMD does not modulate defensive behavior in other situations, as lesions of this nucleus had minimal effects on post-shock freezing scores.[43] The PMD has important connections to the dorsalperiaqueductal gray, an important structure in fear expression.[44][45] In addition, animals display risk assessment behaviors to the environment previously associated with the cat. Fos-labeled cell analysis showed that the PMDvl is the most activated structure in the hypothalamus, and inactivation withmuscimol prior to exposure to the context abolishes the defensive behavior.[42] Therefore, the hypothalamus, mainly the PMDvl, has an important role in expression of innate and conditioned defensive behaviors to a predator.

Social defeat

Likewise, the hypothalamus has a role insocial defeat: nuclei in medial zone are also mobilized during an encounter with an aggressive conspecific. The defeated animal has an increase in Fos levels in sexually dimorphic structures, such as the medial pre-optic nucleus, the ventrolateral part of ventromedial nucleus, and the ventral premammilary nucleus.[6] Such structures are important in other social behaviors, such as sexual and aggressive behaviors. Moreover, the premammillary nucleus also is mobilized, the dorsomedial part but not the ventrolateral part.[6] Lesions in this nucleus abolish passive defensive behavior, like freezing and the "on-the-back" posture.[6]

Learning arbitrator

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Recent research has questioned whether the lateral hypothalamus's role is only restricted to initiating and stopping innate behaviors and argued it learns about food-related cues. Specifically, that it opposes learning about information what is neutral or distant to food. According this view, the lateral hypothalamus is "a unique arbitrator of learning capable of shifting behavior toward or away from important events".[46]

Additional images

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  • Human brain left dissected midsagittal view
    Human brain left dissected midsagittal view
  • Location of the hypothalamus
    Location of the hypothalamus

See also

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References

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  1. ^Boeree CG."The Emotional Nervous System".General Psycholoty. Retrieved18 April 2016.
  2. ^Lemaire LA, Cao C, Yoon PH, Long J, Levine M (April 2021)."The hypothalamus predates the origin of vertebrates".Science Advances.7 (18): eabf7452.Bibcode:2021SciA....7.7452L.doi:10.1126/sciadv.abf7452.PMC 8081355.PMID 33910896.
  3. ^Ishii M, Iadecola C (November 2015)."Metabolic and Non-Cognitive Manifestations of Alzheimer's Disease: The Hypothalamus as Both Culprit and Target of Pathology".Cell Metabolism.22 (5):761–776.doi:10.1016/j.cmet.2015.08.016.PMC 4654127.PMID 26365177.
  4. ^"NCI Dictionary of Cancer Terms".National Cancer Institute.
  5. ^Saper CB, Scammell TE, Lu J (October 2005). "Hypothalamic regulation of sleep and circadian rhythms".Nature.437 (7063):1257–1263.Bibcode:2005Natur.437.1257S.doi:10.1038/nature04284.PMID 16251950.S2CID 1793658.
  6. ^abcdMotta SC, Goto M, Gouveia FV, Baldo MV, Canteras NS, Swanson LW (March 2009)."Dissecting the brain's fear system reveals the hypothalamus is critical for responding in subordinate conspecific intruders".Proceedings of the National Academy of Sciences of the United States of America.106 (12):4870–5.Bibcode:2009PNAS..106.4870M.doi:10.1073/pnas.0900939106.PMC 2660765.PMID 19273843.
  7. ^Singh V (2014).Textbook of Clinical Neuroanatomy (2nd ed.). Elsevier Health Sciences. p. 134.ISBN 9788131229811.
  8. ^Inderbir Singh (September 2011).Textbook of Anatomy: Volume 3: Head and Neck, Central Nervous System. JP Medical Ltd. pp. 1101–.ISBN 978-93-5025-383-0.
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  10. ^Melmed S, Polonsky KS, Larsen PR, Kronenberg HM (2011).Williams Textbook of Endocrinology (12th ed.). Saunders. p. 107.ISBN 978-1437703245.
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  12. ^"Emotion and the limbic system".utdallas.edu. Lucien T. "Tres" Thompson,The University of Texas at Dallas. Retrieved7 February 2020.
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  16. ^Wang Z, Zhong YH, Jiang S, Qu WM, Huang ZL, Chen CR (14 March 2022)."Case Report: Dysfunction of the Paraventricular Hypothalamic Nucleus Area Induces Hypersomnia in Patients".Frontiers in Neuroscience.16: 830474.doi:10.3389/fnins.2022.830474.PMC 8964012.PMID 35360167.
  17. ^Malenka RC, Nestler EJ, Hyman SE (2009). "Chapter 6: Widely Projecting Systems: Monoamines, Acetylcholine, and Orexin". In Sydor A, Brown RY (eds.).Molecular Neuropharmacology: A Foundation for Clinical Neuroscience (2nd ed.). New York: McGraw-Hill Medical. pp. 175–176.ISBN 9780071481274.Within the brain, histamine is synthesized exclusively by neurons with their cell bodies in the tuberomammillary nucleus (TMN) that lies within the posterior hypothalamus. There are approximately 64000 histaminergic neurons per side in humans. These cells project throughout the brain and spinal cord. Areas that receive especially dense projections include the cerebral cortex, hippocampus, neostriatum, nucleus accumbens, amygdala, and hypothalamus.  ... While the best characterized function of the histamine system in the brain is regulation of sleep and arousal, histamine is also involved in learning and memory ... It also appears that histamine is involved in the regulation of feeding and energy balance.
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