From studies on humans and model animals, it appears that the genes implicated in the monogenic type of obesity may also carry mutations that stand out from the polygenic background (LEP, PCSK1, LEPR, POMC, MC4R, SIM1, NTRK2, BDNF, SH2B1, MRAP2, KSR2, ADCY3). The gene discussed is MC4R; the disease is obesity due to melanocortin 4 receptor deficiency.