CRF and urocortin peptides as modulators of energy balance and feeding behavior during stress

Early on, corticotropin-releasing factor (CRF), a hallmark brain peptide mediating many components of the stress response, was shown to affect food intake inducing a robust anorexigenic response when injected into the rodent brain. Subsequently, other members of the CRF signaling family have been identified, namely urocortin (Ucn) 1, Ucn 2, and Ucn 3 which were also shown to decrease food intake upon central or peripheral injection. However, the kinetics of feeding suppression was different with an early decrease following intracerebroventricular injection of CRF and a delayed action of Ucns contrasting with the early onset after systemic injection. CRF and Ucns bind to two distinct G-protein coupled membrane receptors, the CRF1 and CRF2. New pharmacological tools such as highly selective peptide CRF1 or CRF2 agonists or antagonists along with genetic knock-in or knock-out models have allowed delineating the primary role of CRF2 involved in the anorexic response to exogenous administration of CRF and Ucns. Several stressors trigger behavioral changes including suppression of feeding behavior which are mediated by brain CRF receptor activation. The present review will highlight the state-of-knowledge on the effects and mechanisms of action of CRF/Ucns-CRF1/2 signaling under basal conditions and the role in the alterations of food intake in response to stress.


INTRODUCTION
Hans Selye was the first to introduce the biological concept and term of stress based on similar macroscopic changes namely the development of gastric erosions, involution of the lymphatic organs and hypertrophy of the adrenal glands in response to the exposure to a variety of noxious chemical agents or physical constraint in rats (Selye, 1936(Selye, , 1976. Fourteen years later, Geoffrey Harris showed that various stressors induced the release of adrenocorticotropic hormone (ACTH) and provided the evidence for the release of a hypothalamic factor acting via hypophyseal portal vessels (De Groot and Harris, 1950;Harris, 1950). This concept was further supported by the purification of a hypothalamic factor stimulating ACTH release from the rat pituitary gland in 1955 (Guillemin and Rosenberg, 1955;Saffran et al., 1955). Therefore, this factor-which eluded its identification up to 1981-was named corticotropin-releasing factor (CRF) (Guillemin and Rosenberg, 1955;Saffran et al., 1955). From the beginning and with great foresight, Selye assumed that CRF would be "the first mediator that integrates the adaptive bodily response to stress" (Selye, 1976). After its identification and characterization by Vale's group as a 41 amino acid (aa) peptide (Vale et al., 1981), numerous studies unraveled pleiotropic stress-like actions induced by central injection of CRF beyond the mere activation of the hypothalamus-pituitary-adrenal gland axis. This includes the modulation of autonomic (sympathetic and sacral parasympathetic activation), visceral and immune functions but also behaviors (anxiogenic, reproductive and feeding) (Dunn and Berridge, 1990;De Souza, 1995;Heinrichs et al., 1997;Habib et al., 2000;Bale and Vale, 2004;. It is well known that acute exposure to various stressors such as visceral (physical) (Stengel et al., 2011), immune (Basa et al., 2003;Wang et al., 2006; and cognitive (psychological) (Rybkin et al., 1997;Kinzig et al., 2008;Calvez et al., 2011) stressors results in the suppression of food intake in rodents. This inhibitory effect is largely mediated by the recruitment of CRF signaling pathways in the brain. This is supported by the activation of CRF-containing neurons and pituitary ACTH release (Calvez et al., 2011;Wang et al., 2011a), the mimicry by brain injection of CRF or related peptides, urocortins, and its prevention by central injection of CRF receptor antagonists in rats (Koob and Heinrichs, 1999). Interestingly, models of chronic stress can have a dual effect on feeding and food preference in experimental animals and humans (Dallman, 2010). Social defeat stress led to an increase in daily food intake in mice giving rise to the recruitment of other/additional signaling systems under these conditions, while chronic exposure to a battery of physical/environmental stressors reduces food intake and body weight in rats (Lutter et al., 2008;Kumar et al., 2013).
The present review will describe first the state-of-knowledge on the distribution of the CRF signaling systems including CRF receptors, CRF, and urocortins in the brain and in the periphery and the effects and mechanisms of central and peripheral injection of CRF and Ucns on food intake. Lastly, the role of CRF receptor signaling pathways in the modulation of food intake under conditions of stress will be highlighted.
Besides the widespread expression of CRF and related peptides initially found in the central nervous system and thought to be restricted to this site, as commonly observed for other peptides, CRF and urocortins were also detected in visceral organs, namely the lung, heart, spleen, adipose tissue, gonads (Boorse and Denver, 2006;Wypior et al., 2011), pancreas (Li et al., 2003;van der Meulen et al., 2012) and the gastrointestinal tract (Kozicz and Arimura, 2002;Taché and Perdue, 2004;Taché and Bonaz, 2007;Yuan et al., 2012b) including the enteric nervous system (Liu et al., 2006;Kimura et al., 2007). The past decade witnessed an increasing knowledge on the peripheral expression and regulation of CRF and urocortin signaling systems and recognition of their implication in health and disease (Yuan et al., 2010;Buckinx et al., 2011;Overman et al., 2012;Diaz and Smani, 2013;Onorati et al., 2013).

CRF RECEPTORS
CRF ligands bind to CRF 1 and/or CRF 2 receptors consisting of 415 aa and 411 aa, respectively, that are encoded from two distinct genes belonging to the B1 subfamily of seven-transmembrane G-protein coupled receptors encompassing seven membranespanning α-helices and an extracellular domain (Perrin and Vale, 1999). Both receptors share 70% identity within their species homologue. The most variable component is the binding domain that encompasses the N-terminal and the three extracellular coils that share only 40% homology between the two receptor subtypes. In their N-terminal extracellular region, CRF receptors contain several potential points of N-glycosylation along with several Cys residues that form disulfide bonds closely associated with their functionality (Zmijewski and Slominski, 2010;Liapakis et al., 2011). Various partial or total exon deletions or insertions in the CRF gene -in some cases associated with a shift in the open reading frame -generate multiple isoforms of CRF 1 and CRF 2 receptors (Pisarchik and Slominski, 2001;Wu et al., 2007Wu et al., , 2011Zmijewski and Slominski, 2010). Among the nine human CRF 1a−i variants, CRF 1, also named CRF 1a , is the main functional receptor. The CRF 1b isoform is also called pro-CRF 1 , and this is the only variant coded by all 14 exons, leading to a 29-aa insertion into the first intracellular loop which impairs agonist binding and signaling activity compared to CRF 1a (Markovic and Grammatopoulos, 2010). The other isoforms CRF 1c−i have the exon 6 spliced out and in addition there are either cryptic exons (1h), or the skipping of single (1c, 1d, and 1f) or multiple exons (1e and 1g) Slominski, 2001, 2004;Wu et al., 2011). The latest splice variant identified, CRF 1i has a deletion of exon 4 and is functional. This was shown by the increased phosphorylation of the extracellular signal regulated kinase ½ (ERK1/2) in response to Ucn 1 assessed in CRF 1i transfected human embryonic kidney (HEK) cells (Wu et al., 2011). Other soluble isoforms such as CRF 1e and CRF 1h may play a modulatory role as their expression in transfected COS cells either decreased or amplified the CRF 1α -coupled cAMP production induced by Ucn 1 (Pisarchik and Slominski, 2004).
With regards to the CRF 2 , three functional splice variants 2a, 2b, and 2c (also originally named 2α, 2β, and 2γ) derived from alternative splicing exist in humans, while in other mammals only two isoforms, CRF 2a and CRF 2b are expressed (Hauger et al., 2003;Hillhouse and Grammatopoulos, 2006). These isoforms differ structurally in their N-terminal extracellular domains (Hauger et al., 2003). The 34-aa N-terminal extracellular region of the CRF 2a is replaced by 61 aa in the CRF 2b and 20 aa in the CRF 2c , while the C-terminus is common to all CRF 2 receptor splice variants Dautzenberg et al., 2004;Wu et al., 2007). Sequence comparison indicated high homology between rat and mouse CRF 2a (94%) and mouse and human (92%) (Dautzenberg et al., 2004). The presence of CRF 2a in amphibian species suggests an earliest occurrence of this splice variant during vertebrate evolution, while the CRF 2b is less conserved and appears to be evolutionarily younger and is found only in mammals (Dautzenberg et al., 2001). Recently, Chen et al. reported a novel CRF 2a splice variant in the mouse brain that includes the first extracellular domain of the CRF 2a receptor and acts as a soluble binding protein (sCRF 2a ), thereby modulating the accessibility and signaling (Chen et al., 2005). In the rat esophagus, CRF 2b wild-type transcript is predominantly expressed and in addition, several new CRF 2 splice variants including six CRF 2a isoforms were identified Yuan et al., 2012b).
Similar to CRF, the CRF 1 receptor displays a wide distribution throughout the brain. In rats, the CRF 1 is densely and widely expressed in the forebrain, in the septal region and amygdala (Justice et al., 2008), whereas basal expression is low in the hypothalamus but up-regulated under conditions of stress and also by CRF as a feed-forward mechanism (Bonaz and Rivest, 1998;Imaki et al., 2001;Konishi et al., 2003). Contrasting with the wide distribution of the CRF 1 , expression of the CRF 2 is mainly found in the lateral septum, amygdala and hypothalamic nuclei including the SON and VMH, dorsal raphe, area postrema and nucleus tractus solitarius (Bittencourt and Sawchenko, 2000;Chen et al., 2012). Both, CRF 1 (laminae III-VIII) and CRF 2 mRNA (laminae III-X) were also detected in the mouse spinal cord (Korosi et al., 2007). In the periphery, the CRF 1 was detected in the anterior and intermediate lobe of the pituitary gland (Turnbull and Rivier, 1997) and in the gastrointestinal tract more prominently in colonic endocrine, neuronal and immune cells (Chatzaki et al., 2004;Yuan et al., 2007Yuan et al., , 2012a, while CRF 2 was found in the stomach including the luminal surface of the crypts and in blood vessels of the submucosal layer (Chatzaki et al., 2004;Yuan et al., 2012b).
Following the identification of CRF receptors, the characterization of binding affinities to endogenous ligands showed that the CRF 1 and CRF 2 receptors display distinct affinities to CRF and urocortins Hauger et al., 2003;Hillhouse and Grammatopoulos, 2006). CRF displays a 10-to 40-fold higher affinity for the CRF 1 than the CRF 2 receptor, whereas Ucn 1 binds with equal affinity to both CRF receptors thereby displaying a 100-fold higher affinity to the CRF 2 receptor compared to CRF (Grace et al., 2007). It is important to note that so far no endogenous selective ligand for the CRF 1 has been identified. In contrast to CRF and Ucn 1, Ucn 2, and Ucn 3 show high selectivity for the CRF 2 (Grace et al., 2007). In contrast to the CRF 1 receptor isoforms, binding characteristics of the CRF receptor splice variants, CRF 2a , CRF 2b , and CRF 2c are almost identical with high affinity for Ucn 1, Ucn 2, and Ucn 3, and lower affinity for r/hCRF (Kostich et al., 1998;Ardati et al., 1999;Suman-Chauhan et al., 1999;Lewis et al., 2001). However, the isoforms of CRF 2a show distinct pharmacological profiles; the mouse sCRF 2a receptor has very low affinity for Ucn 2 and Ucn 3, while binding to Ucn 1 (Ki 6.6 nM), and, to a lesser extent, to CRF (23 nM), and inhibits the cAMP and ERK1/2-p42,44 responses to Ucn 1 and CRF (Chen et al., 2005). In contrast, rat CRF 2a−tr binds with low affinity to CRF (Kd 12.7 nM) and does not bind to Ucn 1 (Miyata et al., 1999).

FOOD INTAKE INHIBITORY ACTIONS OF BRAIN CRF AND Ucns
It is well documented that members of the CRF family and more prominently Ucns injected into the brain ventricle suppress food intake in various species (Zorrilla et al., 2003;Wang et al., 2011b) and increase energy expenditure (Richard et al., 2002). In ad libitum fed rats, intracerebroventricular (icv) injection of CRF (Spina et al., 1996), Ucn 1 (Spina et al., 1996;Yakabi et al., 2011), Ucn 2 , and Ucn 3  decreases dark phase food intake. At the lowest icv doses, Ucn 1 and Ucn 2 decrease food intake without inducing conditioned taste aversion or visceral illness (Benoit et al., 2000;Inoue et al., 2003;Zorrilla et al., 2004). It is to note that icv Ucn 1 is more potent in suppressing food intake compared to CRF (Spina et al., 1996), and Ucn 2 is 10-fold more potent than Ucn 3 in reducing food intake (Pelleymounter et al., 2004). Kinetic studies also showed differences in the time course of food intake suppression induced by icv injection of the CRF-related peptides. CRF, a preferential CRF 1 agonist, induces a rapid onset and short-term reduction of the re-feeding response to an overnight food deprivation in mice and rats Pelleymounter et al., 2004), while the dark phase food intakereducing effect of icv Ucn 2 or Ucn 3 is delayed (onset >3 h) and long lasting in rats (Inoue et al., 2003;Zorrilla et al., 2004). Conversely, in CRF 1 deficient mice, icv Ucn 1 still induces a delayed onset suppression of food intake while the early phase is no longer observed (Bradbury et al., 2000). Similar to the acute effects, under chronic conditions observed in mice overexpressing CRF there is also a curtailing of the re-feeding response to a fast (Stengel et al., 2009).
Analysis of changes in feeding patterns associated with the decreased food intake indicates that Ucn 2 injected icv reduced the size of the meal (increased satiation) and the rate of ingestion, whereas meal frequency was not altered in rats (Inoue et al., 2003). In addition, Ucn 3 injected icv, and even more potently, when microinjected into the PVN and VMH, increased inter-meal interval (induction of satiety), whereas meal size was reduced (induction of satiation) at the highest dose only (Fekete et al., 2007). In the medial amygdala, Ucn 3 was shown to promote nibbling (smaller but more frequent meal) (Fekete et al., 2007), indicating the distinct modulation of feeding patterns by Ucn 2 and Ucn 3 and the influence of brain sites of action.
The physiological relevance of the brain CRF 2 signaling pathways in the regulation of feeding pattern and body weight is supported by reports that CRF 2 knockout mice showed increased nocturnal food intake of normal chow (Tabarin et al., 2007) and consumed more high fat food compared to their wild type littermates (Bale et al., 2003). In addition, mice with a site specific knockdown of CRF 2 in the VMH using small hairpin RNA exhibit increased food intake under basal and stimulated conditions by an overnight fast (Chao et al., 2012). This supports a role of CRF 2 in the VMH to curtail the cessation of eating. There is also evidence that continuous icv infusion of the CRF 2 antagonist antisauvagine-30 over 13 days increased food intake by 5% in normal rats (Cullen et al., 2001), while chronic injection of a CRF 1 antagonist had no effect (Ohata et al., 2002). However mice lacking Ucn 1 (Vetter et al., 2002) or Ucn 2 (Chen et al., 2006) have a normal spontaneous food intake which may merely emphasize the compensatory mechanisms by other endogenous peptide members of the CRF family as genetic deficient Ucn 3 showed elevated basal feeding and increased nocturnal food intake after overnight fasting compared with the wild-type littermates (Chao et al., 2012).
Several potential mechanisms could participate in icv Ucnsinduced anorexia. Central injection of CRF and Ucns potently suppressed gastric emptying  and induces hyperglycemia (Brown et al., 1982;Chen et al., 2010). Both effects are known to reduce feeding. Delayed gastric emptying by slowing meal transit leads to accrual of food in the stomach and consecutively to gastric satiety signaling to the brain (Phillips and Powley, 1996) while elevated glucose exerts a direct action on glucose sensing of hypothalamic neurons regulating food intake (Levin, 2006;Cha et al., 2008). There is also evidence Ucn 1 icv suppressed circulating acyl ghrelin (Yakabi et al., 2011), the only known peripherally produced and centrally acting orexigenic hormone (Hosoda et al., 2002;Stengel and Taché, 2012). Moreover, Ucn 1 microinjected into the PVN increased plasma levels of leptin (Kotz et al., 2002), a potent appetite suppressant (Keen-Rhinehart et al., 2013). Future studies are needed to evaluate the relative influence of these hormonal and functional alterations.
Besides the reduction in food intake, accumulated evidence indicates that activation of brain CRF and Ucns signaling pathways increases energy expenditure (Richard et al., 2002;Kuperman and Chen, 2008). Sympathetically-regulated heat production in brown adipose tissue (BAT) and lipid metabolism contributes to the non-shivering thermogenic component of energy expenditure and body weight regulation in rodents (Landsberg et al., 1984). The icv injection of Ucns increases oxygen consumption in rats as assessed by indirect calorimetry and elevates body temperature resulting in increased energy expenditure (De Fanti and Martinez, 2002;Telegdy and Adamik, 2008). Microinjection studies showed that CRF sites of action to increase sympathetic nerve activity to interscapular BAT leading to BATmediated thermogenesis and energy expenditure are located in the medial preoptic area and dorsomedial hypothalamus unlike the PVN or VMH (Egawa et al., 1990;Cerri and Morrison, 2006;Chao et al., 2012). However, during food restriction, Ucn 1 microinjected into the PVN increases thermogenic capacity by elevating uncoupling protein-1 mRNA levels in BAT (Kotz et al., 2002). The peptide at this site also changes energy substrate utilization as shown by reduction of the respiratory quotient (QR) under basal or NPY-or ghrelin-stimulated conditions (Currie et al., 2001). The CRF 2 seems to play a major role in the effects on energy expenditure as mice lacking the CRF 1 showed a greater reduction in body weight following a 7-day icv infusion of Ucn 1 compared to their wild type littermates (Bradbury et al., 2000). Additionally, the hyperthermic response to icv Ucn 2 and Ucn 3 was blocked by selective CRF 2 receptor antagonists while CRF 1 blockade had no effect (Telegdy et al., 2006). Moreover, selective depletion of CRF 2 in the VMH reduced lipolysis and increased white fat (Chao et al., 2012).

FOOD INTAKE INHIBITORY ACTIONS OF PERIPHERAL CRF AND Ucns
In addition to the central actions of CRF and Ucns, peripheral (intraperitoneal, ip) injection of Ucns reduced food intake in several species (Asakawa et al., 1999;Weisinger et al., 2000;Wang et al., 2001;Tanaka et al., 2009) and repeated administration also lowered body weight gain in mice (Asakawa et al., 1999). The anorexigenic effect of Ucn 1 on re-feeding food intake was stronger than that of cholecystokinin (CCK), leptin, and also CRF in mice (Asakawa et al., 1999;Wang et al., 2001;Tanaka et al., 2009). Interestingly, a synergistic interaction between ip injected Ucn 1 and CCK-8 to reduce the feeding response to a fast and liquid gastric emptying has been reported in mice (Gourcerol et al., 2007). The demonstration that Ucn 1 injected peripherally displays a similar potency as after icv injection supports a peripherally initiated mode of action (Cullen et al., 2001;Sinnayah et al., 2003;Pelleymounter et al., 2004). However, it is to note that systemic doses at which the preferential CRF 1 agonist CRF, and potent CRF 1 /CRF 2 agonist, Ucn 1 decrease food intake are associated with conditioned taste aversion and diarrhea (Fekete et al., 2011), which are not observed at the lower anorexigenic doses of Ucn 1 given icv (Benoit et al., 2000;Inoue et al., 2003;Zorrilla et al., 2004).
The reduction of food intake by ip Ucn 1 is CRF 2 mediated as the selective CRF 2 antagonists, antisauvagine-30 and astressin 2 -B blunted the reduction of food intake, whereas selective CRF 1 antagonists did not (Weisinger et al., 2000;Wang et al., 2001Wang et al., , 2011b. In line with this finding, fasted mice lacking the CRF 2 did not show a reduction of re-feeding food intake following ip injected Ucn 1 (Wang et al., 2011b). The mechanisms through which peripheral Ucn 1 exerts its anorexigenic effect do not involve capsaicin sensory afferents, unlike ip CCK-8 tested under the same conditions in mice (Wang et al., 2001). It was also shown that the slowing of gastric emptying associated with ip Ucn 1 accounts only for 35% of the reduction of food intake induced by Ucn 1 (Wang et al., 2001). It may be speculated that Ucn 1 acts through CRF 2 densely expressed in appetite-/taste aversion-regulating brain structures outside the blood brain barrier, namely the area postrema (Sakai and Yamamoto, 1997;Bittencourt and Sawchenko, 2000) shown to be activated by systemic injection of Ucn 1 (Wang et al., 2000). This contention will need to be further ascertained.
With regards to Ucn 2 and Ucn 3, both peptides induce a rapid in onset and CRF 2 mediated reduction of re-feeding food intake after a fast and also dampen ad libitum dark phase food intake with a potency of Ucn 2 > Ucn 3 in rodents (Wang et al., 2001(Wang et al., , 2011bGourcerol et al., 2007;Tanaka et al., 2009;Fekete et al., 2011). In contrast to ip Ucn 1, Ucn 2 given ip at an anorexigenic dose did not induce signs of taste aversion or malaise (Fekete et al., 2011). Of interest, there is a synergistic interaction between ip CCK-8 and Ucn 2 to reduce the re-feeding response to a fast in mice which was also observed at the level of vagal activity recorded from the gastric afferents in an in vitro preparation (Gourcerol et al., 2007). This functional and electrophysiological evidence combined with the expression of CRF 2 in rat nodose ganglia (Mercer et al., 1992;Lawrence et al., 2002) point toward a role of vagal signaling in the mediation of ip Ucn 2 anorexic action that will need to be ascertained using vagal deafferentation.
Additional insight into the characterization of the food intakereducing effects of peripheral administration of Ucns came from studies detailing changes in meal patterns. Using the micropellet technique, ip injection of Ucn 1 reduces the meal frequency (as a characteristic of satiety), whereas the size of the meal (as a characteristic of satiation) was less robustly altered during the re-feeding period following a 24-h fast in rats (Fekete et al., 2011). Under the same conditions, ip injection of Ucn 2 only reduced meal frequency while not altering meal size (Fekete et al., 2011). These data were recently extended to mice following ip injection of Ucn 2 using an automated episodic food intake monitoring system for solid food: Ucn 2 reduced meal size and duration (induction of satiation) but also increased meal frequency (reduction of satiety) in overnight fasted mice (Wang et al., 2011b). Interestingly, when injected ip in freely fed animals at the beginning of the dark phase, Ucn 2 only affected satiation (reduction of meal size), whereas satiety (indicated by the number of meals) was not altered (Wang et al., 2011b) giving rise to a differential modulation of light and dark phase feeding by Ucn 2.

INVOLVEMENT OF BRAIN CRF SIGNALING PATHWAYS IN THE ANOREXIGENIC RESPONSE TO STRESS
Accumulated evidence supports a role of brain activation of CRF signaling pathways in initiating the hypophagia and weight loss induced by various types of stressors. This was established using pharmacological approaches and to a lesser extent, genetic deletion of CRF ligand or receptors in rodents. Earlier studies showed that icv or 3rd ventricular injection of the non-selective CRF 1 /CRF 2 , antagonist, α-helical CRF 9−41 before exposure to stressors prevented the decreased food intake observed after acute exposure to restraint (Krahn et al., 1986;Shibasaki et al., 1988;Smagin et al., 1999), 40 min forced exercise (Rivest and Richard, 1990) or emotional stress induced by a communication box paradigm (Hotta et al., 1999) while having no effect on food intake under non-stressful conditions (Hotta et al., 1999). The CRF antagonist injected into the 3rd ventricle also blocked repeated restraint-induced weight loss (Smagin et al., 1999). Subsequent studies to elucidate the importance of each CRF receptor subtype in the stress-related decrease in food intake indicated that either CRF receptor subtype alone or in combination can be involved in the hypophagia depending upon the modality of the stressors. Evidence so far supports that the relative ability of selective CRF receptor subtype antagonists to block stress-related anorexia is critically dependent upon specific brain sites activated and related CRF ligands and receptor subtypes recruited by different stressors. For instance, emotional stress triggered by the communication box paradigm, foot shock and 1-h restraint was reported to involve both CRF 1 and CRF 2 receptors in rats as shown by partial or complete reversal induced by either icv injection of CRF 2 antagonist, antisauvagine-30 or peripheral administration of the CRF 1 antagonist, CRA 1000 (Hotta et al., 1999;Sekino et al., 2004). In mice, novelty/group separation stress-induced reduction of food intake was curtailed by icv pretreatment with the CRF 1 antagonist, NBI-127914 while the potent CRF 2 antagonist, astressin 2 -B had no effect (Saegusa et al., 2011). Brain site specific targeting by CRF antagonists indicates that the CRF 1 antagonist, NBI-27914 microinjected into the basolateral amygdala, unlike central amygdala, prevented emotional stress (rat exposed to predator)-induced decreased food intake and increased grooming while astressin 2 -B had no effect (Jochman et al., 2005). By contrast, the CRF 2 antagonist, antisauvagine-30 microinjected into the lateral septum or posterior division of the bed nucleus of the stria terminalis prevented acute restraint-induced anorexia while the selective CRF 1 antagonist, antalarmin had no effect in rats (Ohata and Shibasaki, 2011). There is also evidence that CRF 2 knockout mice showed an abbreviated inhibition of food intake induced by restraint stress while not being involved in the early orexigenic response (Tabarin et al., 2007).
Of (patho)physiological relevance is the demonstration that mutation in the CRF 2 gene (Val411Met) was associated with an early onset of severe obesity (Challis et al., 2004). Moreover, several studies observed an association with a portion of chromosome 7 also coding the CRF 2 gene (7p15-7p21) and body mass index (Wu et al., 2002), type 2 diabetes mellitus (Wiltshire et al., 2001) and also fat-free body mass (Chagnon et al., 2000). Future studies are needed to corroborate these findings and investigate the consequences of these associations.

SUMMARY
In summary, activation of CRF 2 by Ucns reduced feeding after central as well as peripheral injection without provoking behavioral arousal or anxiogenic effects as observed for the anorexigenic action induced by the activation CRF-CRF 1 signaling pathways. Brain sites of action of Ucns involve the lateral septum, PVN, VMH, medial amygdala, dorsal raphe and nucleus tractus solitarius. Both, CRF 1 and CRF 2 receptor activation contributes to the reduction of food intake associated with exposure to various stressors. Their respective involvement is stressors and brain sites specific mostly in relation with endogenous CRF ligands and receptors recruited under the condition of stress. Still little is known whether peripheral Ucn-CRF 2 signaling plays a role in the food intake response to visceral stressors. More research is needed using site specific knockout or overexpression of CRF receptors in order to address this issue and investigate the impact on food intake and body weight.