Other genes investigated in the context of metabolism and obesity include: tumor necrosis factor (TNF), hypoxia-inducible factor 3a (HIF3A), neuropeptide Y (NPY), insulin receptor substrate 1 (IRS1), mitochondrial transcription factor A (TFAM), interleukin 6 (IL6), lymphocyte antigen 86 (LY86) and glucose transport 4 (GLUT4) (10, 63). The gene discussed is NPY; the disease is obesity due to melanocortin 4 receptor deficiency.