In addition, Coue’ et al demonstrated that in human skeletal muscle GC-A expression positively correlates with insulin sensitivity whereas the expression of the NP clearance receptor is inversely related to this metabolic parameter.[26] Moreover, chronic infusion of BNP improved glucose tolerance and peripheral insulin sensitivity in a rodent model of obesity and diabetes. Here, NPPB is linked to obesity due to melanocortin 4 receptor deficiency.