“…Functionally, ARC POMC neurons release MC4R agonist alpha-melanocyte stimulating hormone (α-MSH), leading to reduced food intake and increased energy expenditure ( Kim et al, 2000 ; Atasoy et al, 2012 ; Zhan et al, 2013 ; Dodd et al, 2015 ), whereas ARC AgRP neurons release the MC4R inverse agonist AgRP, leading to the opposite physiological outcomes ( Aponte et al, 2011 ; Atasoy et al, 2012 ). MC4R mutations represent the most prevalent form of monogenic obesity ( Farooqi et al, 2003 ) and both animal models and human patients carrying loss-of-function MC4R mutations exhibit early-onset obesity caused by hyperphagia and reduced energy expenditure ( Bolze and Klingenspor, 2009 ; Kuhnen et al, 2019 ; Rene et al, 2021 ).…”