Indication

Obesity due to proprotein convertase subtilisin/kexin type 1 (PCSK1) deficiency

Obesity due to proprotein convertase subtilisin/kexin type 1 (PCSK1) deficiency is an ultra-rare, autosomal recessive neuroendocrine disorder caused by biallelic loss-of-function variants in the *PCSK1* gene. Read more about Obesity due to proprotein convertase subtilisin/kexin type 1 (PCSK1) deficiency

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About Obesity due to proprotein convertase subtilisin/kexin type 1 (PCSK1) deficiency.

Obesity due to proprotein convertase subtilisin/kexin type 1 (PCSK1) deficiency is an ultra-rare, autosomal recessive neuroendocrine disorder caused by biallelic loss-of-function variants in the *PCSK1* gene.

The gene encodes prohormone convertase 1/3 (PC1/3), an endoprotease crucial for processing peptide hormone and neuropeptide precursors within the neuroendocrine system and central appetite-regulating pathways, including proopiomelanocortin (POMC) and proinsulin.

Impaired maturation of these regulatory peptides disrupts central satiety signaling within the hypothalamic melanocortin pathway, resulting in severe early-onset hyperphagia and rapid, progressive obesity that typically manifests in early childhood following neonatal generalized enteropathy and failure to thrive.

Affected pediatric and adult patients frequently present with a complex systemic endocrinopathy, characterized by marked hyperproinsulinemia, central hypoadrenalism, hypogonadotropic hypogonadism, central hypothyroidism, and diabetes insipidus.

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