The nucleus of the solitary tract (NTS) is a key gateway for meal-related signals entering the brain from the periphery. However, the chemical mediators crucial to this process have not been fully elucidated. We reveal that a subset of NTS neurons containing cholecystokinin (CCK^NTS) is responsive to nutritional state and that their activation reduces appetite and body weight in mice. Cell-specific anterograde tracing revealed that CCK^NTS neurons provide a distinctive innervation of the paraventricular nucleus of the hypothalamus (PVH), with fibers and varicosities in close apposition to a subset of melanocortin-4 receptor (MC4R^PVH) cells, which are also responsive to CCK. Optogenetic activation of CCK^NTS axon terminals within the PVH reveal the satiating function of CCK^NTS neurons to be mediated by a CCK^NTS→PVH pathway that also encodes positive valence. These data identify the functional significance of CCK^NTS neurons and reveal a sufficient and discrete NTS to hypothalamus circuit controlling appetite.

DOI: http://dx.doi.org/10.7554/eLife.12225.001