Melanocortin 4 receptor

Source: Wikipedia, the free encyclopedia.
MC4R
Gene ontology
Molecular function
Cellular component
Biological process
Sources:Amigo / QuickGO
Ensembl
UniProt
RefSeq (mRNA)

NM_005912

NM_016977

RefSeq (protein)

NP_005903

NP_058673

Location (UCSC)Chr 18: 60.37 – 60.37 MbChr 18: 66.99 – 66.99 Mb
PubMed search[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

Melanocortin 4 receptor (MC4R) is a melanocortin receptor that in humans is encoded by the MC4R gene.[5][6][7] It encodes the MC4R protein, a G protein-coupled receptor (GPCR) that binds α-melanocyte stimulating hormone (α-MSH). In mouse models, MC4 receptors have been found to be involved in feeding behaviour, the regulation of metabolism, sexual behaviour, and male erectile function.[8][9][10]

Clinical significance

In 2009, two very large

SNPs located ~190 Kb downstream of MC4R in association with severe antipsychotic-induced weight gain. This locus overlapped with the region previously identified in the 2009 studies. The rs489693 polymorphism, in particular, sustained a statistically robust signal across three replication cohorts and demonstrated consistent recessive effects.[15] This finding was replicated again by another research group in the following year.[16] In accordance with the above, MC4 receptor agonists have garnered interest as potential treatments for obesity and insulin resistance,[17][18] while MC4 receptor antagonists have attracted interest as potential treatments for cachexia.[19] The structures of the receptor in complex with the agonist setmelanotide[20] and the antagonist SHU9119[21]
have been determined.

The MC4 receptor agonist

In 2008, MC4R mutations were reported to be associated with inherited human

codominance. It has a prevalence of 1.0–2.5% in people with body mass indices greater than 30, making it the most commonly known genetic defect predisposing people to obesity.[31]

In an exome-wide meta-analysis across three cohorts (UKB,GHS and MCPS), there were 16 genes for which there genetic variants was associated with BMI.

Among the 16 genes, the analysis identified two for which rare mutations are known to cause monogenic obesity: MC4R and

PCSK1 (proprotein convertase subtilisin/kexin type 1). One study provides genetic evidence linking  rare coding variation to BMI and obesity-related phenotypes.[citation needed
]

MC4R gene mutations are associated with early-onset severe obesity they effect of mutations on opacity in these two heterozygous coding genes among mutations in the MC4R gene (C293R and S94N) are:

• Rapid weight gains from early age (the most important feature).

• Development of severe obesity (BMI ≫97th percentile) at early ages, usually <3 years of age.

• Persistent food-seeking behavior, mostly reported from six months of age.

• Parental/siblings anthropometric data: suspect if relatives present normal anthropometric data.

• Tall stature/increased growth velocity (MC4R monogenic diabetes).[citation needed] There is limited treatment options for the most common form of monogenic obesity,  MC4R mutations symptoms can be treated with a Glucagon-like Peptide-1 Receptor Agonist liraglutide which cause weight loss by reducing appetite. They found that the effects of liraglutide 3.0 mg daily for 16 weeks causes weight reducing and glucose lowering and may be relevant treatment in the most common form of monogenic obesity.[citation needed]

Interactions

The MC4 receptor has been shown to

γ-MSH, and ACTH
.

Ca2+ as a cofactor for ligand binding

GPCRs can bind a wide variety of extracellular ligands including physiological cations. Biological and pharmacological studies have previously implicated both Zn2+ and Ca2+ in the function of multiple members of the melanocortin receptor family. There is Ca2+ in the agonist-bound structure. The researches hypothesize that Ca2+ stabilizes the ligand-binding pocket and functions as an endogenous cofactor for the binding of α-MSH to MC4 receptor. Ca2+ is likely to bind when the receptor is exposed to extracellular Ca2+ concentrations (~1.2 mM in the extracellular space of the central nervous system) but might not be bound intracellularly (Ca2+ concentration: 100 nm), thus suggesting a potential regulatory role for Ca2+ in α-MSH–binding dynamics.

Signaling along the phospholipase C pathway can significantly raise the intracellular Ca2+ concentration, and this may constitute positive feedback from signaling of MC4 receptor or other receptors that result in Ca2+ flux. This discovery highlights the plasticity and multipronged regulation and control of this receptor and will aid in next-generation structure-based drug design of therapeutics for MC4R-related obesity.

Ligands

Agonists

Non-selective

Selective

Antagonists

Non-selective

Selective

Unknown

Evolution

Paralogues[34]

See also

References

  1. ^ a b c GRCh38: Ensembl release 89: ENSG00000166603Ensembl, May 2017
  2. ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000047259Ensembl, May 2017
  3. ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. S2CID 24047677
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  7. ^ "Entrez Gene: MC4R melanocortin 4 receptor".
  8. S2CID 4304297
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  22. ^ "Bremelanotide Acetate Monograph for Professionals". Drugs.com.
  23. S2CID 43121906
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  34. ^ "GeneCards®: The Human Gene Database".

Further reading

External links

This article incorporates text from the United States National Library of Medicine, which is in the public domain.