Obesity negatively impacted sWAT-MSC secretome: the anti-oxidant (GCL, Prdx5, Prdx6) and tissue development (Ang, Angptl4, Fstl3, Pgf) activities were lost, while factors promoting osteoporosis and negative vessel remodeling were acquired. The gene discussed is ANGPTL4; the disease is obesity due to melanocortin 4 receptor deficiency.