Besides, the present findings highlight correlation of the altered adipose tissue expression of IL‐18R/IL‐18 with tissue inflammation and insulin resistance in obesity while the systemic changes in relation to inflammatory biomarkers such as TNF‐α, IL‐1β, IFN‐γ, IL‐18, CCL‐2, CCL‐5, and C‐reactive protein still remain unclear. The gene discussed is TNF; the disease is obesity due to melanocortin 4 receptor deficiency.