Haploinsufficiency of the melanocortin-4 receptor (MC4R) results in melanocortin obesity syndrome, the most common monogenic cause of severe early onset obesity in humans. The syndrome, which produces measurable hyperphagia, has focused attention on the role of MC4R in feeding behavior and macronutrient intake. Studies show that inhibition of MC4R signaling can acutely increase the consumption of high-fat foods. The current study examines the chronic feeding preferences of mice with deletion of one or both alleles of the MC4R to model the human syndrome. Using twochoice diet paradigms with high-fat or high-carbohydrate foods alongside normal chow, we show, paradoxically, that deletion of one allele has no effect, whereas deletion of both alleles of the MC4R actually decreases preference for palatable high-fat and high-sucrose foods, compared with wild-type mice. Nonetheless, we observed hyperphagic behavior from increased consumption of the low-fat standard chow when either heterozygous or homozygous mutant animals were presented with dietary variety. Thus, decreased MC4R signaling in melanocortin obesity syndrome consistently yields hyperphagia irrespective of the foods provided, but the hyperphagia appears driven by variety and/or novelty, rather than by a preference for high-fat or high-carbohydrate foodstuffs.food preference | food intake | reward F ood preference in humans is highly complex, involving cultural, sociological, psychological, and physiological factors. Physiological inputs to food preference include both homeostatic and hedonic drives, with the latter referring to the effects of sensory and reward pathways that control the desire to consume highly palatable energy-dense foods (1). Profound hyperphagia has been demonstrated in several of the monogenic obesity syndromes (2), and it is important to determine the mechanisms that drive hyperphagia, including the relative contributions of homeostatic versus hedonic drives and their impact on food preference.Melanocortin obesity syndrome, resulting from null or hypomorphic mutations in one allele of the melanocortin-4 receptor (MC4R), is the most common monogenic cause of severe early onset obesity in humans (3, 4). The obese phenotype is due in large part to hyperphagia, which has been documented in humans (3) and in mouse (4, 5) and rat (6) models of the syndrome. Data also suggest that central melanocortin signaling may specifically regulate the consumption of dietary fats. The lethal yellow (A y /a) agouti mouse, in which ectopic expression of the agouti protein is presumed to block the central melanocortin-3 receptor (MC3R) and MC4R, shows a preference for fat consumption that is not seen in wild-type (WT) C57BL/6J mice on a three-choice macronutrient diet of carbohydrate, fat, or protein (7). Intracerebroventricular (ICV) administration of agouti-related protein (AgRP), an endogenous CNS antagonist of the MC3R and MC4R, preferentially increases acute consumption of high-fat chow in a two-choice paradigm providing high-fat and low-fat chow in Lo...