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Curr. Issues Mol. Biol., Volume 48, Issue 2 (February 2026) – 114 articles
Cover Story (view full-size image):
Genetic factors play a central role in obesity by regulating energy homeostasis. Monogenic non-syndromic obesity accounts for 2–3% of cases and is mainly caused by mutations in the leptin–melanocortin pathway. Genetic testing is recommended in children with early-onset severe obesity, hyperphagia, and suggestive family or clinical features. These mutations may follow autosomal recessive or dominant inheritance, with variable penetrance influenced by genetic and environmental factors. Currently, no approved targeted therapies exist for autosomal dominant forms, and variants of unverified significance often delay diagnosis. This review summarizes the genetic mechanisms, clinical features, and therapeutic perspectives of autosomal dominant monogenic obesity. View this paper
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