Low cholesterol levels and cardiovascular risk in obesity due to MC4R deficiency

Low cholesterol levels and cardiovascular risk in obesity due to MC4R deficiency

Nature Medicine, Published online: 28 October 2025; doi:10.1038/s41591-025-04039-1

We found that adults carrying melanocortin 4 receptor (MC4R) mutations had lower levels of low-density lipoprotein cholesterol, lower triglyceride levels and reduced cardiovascular disease risk than adults without mutations, despite severe obesity. We show that brain MC4Rs regulate lipid metabolism in humans, highlighting potential therapeutic approaches for cardiovascular risk reduction.

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Low cholesterol levels and cardiovascular risk in obesity due to MC4R deficiency

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