RT Journal Article T1 Hypothalamus-liver talks: whispers in the language of metabolism A1 Ferreira, Vitor A1 Fernández González, Iara A1 Vattathara, Jane Jose A1 Rodríguez Díaz, Amanda A1 Fernández Sanmartín, Paola A1 Diéguez González, Carlos K1 Hypothalamus K1 Liver disease K1 Obesity K1 Diabetes K1 Insulin K1 Amylin K1 Glucagon K1 GLP-1 K1 FGF21 AB Closely associated with the exponential increase of obesity and sedentary life, liver-related disorders are a major global health concern. Recent data suggest that the global prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) among adults is of 32% and 5.1% for alcohol-related liver disease, with hepatic disorders contributing to 4% of global mortality, accounting for approximately 2 million deaths annually. Over the past two decades, the hypothalamus has emerged as a central hub in regulating whole body metabolic and energy homeostasis. Nevertheless, the interactome between the hypothalamus and the liver in the progression of liver metabolic dysfunctions, as well as its potential as a therapeutic target, remains poorly understood. In this review, we provide a comprehensive overview of the current knowledge regarding the hypothalamus-liver crosstalk, with a particular emphasis on the mechanisms underlying it. We explore how signals transmitted by different hormones can modulate these interactions, shedding light on their functional implications for hepatic regulation and systemic homeostasis through central signals. PB Springer YR 2026 FD 2026-03-19 LK https://hdl.handle.net/10347/46879 UL https://hdl.handle.net/10347/46879 LA eng NO Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. The research group has received support from: Ministerio de Ciencia e Innovación co-funded by the FEDER Program of EU (CD: PID2023-149533NB-I00). CiMUS, and the researchers, were supported by the Xunta de Galicia (2020– 2023, ED431G/05; ED431C 2025/24). CIBER de Fisiopatología de la Obesidad y Nutrición is an initiative of ISCIII. VF is a recipient of a Juan de la Cierva contract (JDC2023-051969-I, AEI, Spain). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. DS Minerva RD 6 may 2026