“…It is thought to explain 2-6% of extremely obese childhood and adolescent cases (Farooqi et al, 2003;Hinney et al, 2003Hinney et al, , 2006Santini et al, 2004;Wang & Tao, 2011). The MC4R is a membrane-bound G-protein-coupled receptor that activates adenylate cyclase; in response to the α-melanocyte-stimulating hormone (α-MSH), MC4R induces production of cAMP (Stutzmann et al, 2008;Caruso et al, 2013). The expression of MC4R is restricted to the brain, where it is found in hypothalamic nuclei involved in food intake regulation (Mountjoy et al, 1994).…”