Human
obesity has been linked to genetic factors and single nucleotide
polymorphisms (SNPs). Melanocortin-4 receptor (MC4R) SNPs have been
associated with up to 6% frequency in morbidly obese children and
adults. A potential therapy for individuals possessing such genetic
modifications is the identification of molecules that can restore
proper receptor signaling and function. These compounds could serve
as personalized medications improving quality of life issues as well
as alleviating diseases symptoms associated with obesity including
type 2 diabetes. Several hMC4 SNP receptors have been pharmacologically
characterized in vitro to have a decreased, or a lack of response,
to endogenous agonists such as α-, β-, and γ2-melanocyte stimulating hormones (MSH) and adrenocorticotropin
hormone (ACTH). Herein we report the use of a mixture based positional
scanning combinatorial tetrapeptide library to discover molecules
with nM full agonist potency and efficacy to the L106P, I69T, I102S,
A219V, C271Y, and C271R hMC4Rs. The most potent compounds at all these
hMC4R SNPs include Ac-His-(pI)DPhe-Tic-(pNO2)DPhe-NH2, Ac-His-(pCl)DPhe-Tic-(pNO2)DPhe-NH2, Ac-His-(pCl)DPhe-Arg-(pI)Phe-NH2, and Ac-Arg-(pCl)DPhe-Tic-(pNO2)DPhe-NH2, revealing new ligand pharmacophore models
for melanocortin receptor drug design strategies.