Obesity is a major health hazard that is caused by a combination of genetic and behavioral factors. Several models of obesity have been described in mice that have defects in the production of peptide hormones, in the function of cell membrane receptors, or in a transcription factor required for neuronal cell development. We have been investigating the function of a family of genes (POTE and ANKRD26) that encode proteins that are associated with the inner aspect of the cell membrane and that contain both ankyrin repeats and spectrin helices, motifs known to interact with signaling proteins in the cell. To assess the function of ANKRD26, we prepared a mutant mouse with partial inactivation of the Ankrd26 gene. We find that the homozygous mutant mice develop extreme obesity, insulin resistance, and an increase in body size. The obesity is associated with hyperphagia with no reduction in energy expenditure and activity. The Ankrd26 protein is expressed in the arcuate and ventromedial nuclei within the hypothalamus and in the ependyma and the circumventricular organs that act as an interface between the peripheral circulation and the brain. In the enlarged hearts of the mutant mice, the levels of both phospho-Akt and mTOR were elevated. These results show that alterations in an unidentified gene can lead to obesity and identify a molecular target for the treatment of obesity.Akt signaling ͉ coiled-coil motif ͉ insulin resistance ͉ hyperphagia ͉ POTE ancestor W e have been studying a family of primate-specific genes termed POTE, which are expressed in many cancers and embryonic stem cells, but only in a few normal adult tissues: prostate, ovary, and testis (1-3). The POTE genes entered the primate genome Ϸ20-40 Mya and appear to be under strong selective pressure because they evolved rapidly into 13 closely related paralogs located on 8 different chromosomes (4, 5). They encode proteins that contain three domains: an amino-terminal cysteine-rich domain followed by ankyrin repeats and spectrinlike helices. Different paralogs contain different numbers of each of these components. In addition, an actin retroposon has been inserted in-frame in several family members, indicating that the gene is rapidly evolving in primates (6). The POTE genes evolved from a precursor gene, ANKRD26, which is located at 10p12.1 in humans and at chromosome 6 (qF1) in the mouse (5). The ANKRD26 gene also contains ankyrin repeats and spectrin helices but is missing the amino-terminal cysteine-rich domain of POTE (5).EST database analysis of both the human and mouse genomes (www.ncbi.nlm.nih.gov/UniGene/clust.cgi?ORG ϭ Hs&CID ϭ 361041) shows that ANKRD26 RNA is present in many normal tissues, but no function for this gene has been described. To gain information about a possible function for Ankrd26, we produced a mutant (MT) mouse in which the Ankrd26 gene is inactivated by insertion of a -galactosidase cDNA. We report here that the homozygous Ankrd26 mutant mice have a very distinct phenotype consisting of extreme obesity and an increase in ...