Abstract:The hypothalamus is an important organ for controlling food intake and energy balance, which is critical for the obesity development. Hypothalamic inflammation can result in hypothalamic leptin and insulin resistance, as well as impair signaling pathways that regulate energy homeostasis, which may be the initiator of energy regulation imbalance and obesity. Foxo1 is a nuclear transcription factor expressed abundantly in AgRP and POMC neurons in the hypothalamic arcuate nucleus and has a critical role in hypothalamic inflammation and central insulin resistance;however, its molecular mechanism is still unknown. It is suggested that Foxo1 might be a key regulator of energy balance in the hypothalamus and it would be a novel therapeutic target for obesity. This review summarizes the relationship between Foxo1 and hypothalamic inflammation, as well as its role in the occurrence and progression of obesity.