The melanocortin receptors are a centrally and peripherally
expressed
family of Class A GPCRs with physiological roles, including pigmentation,
steroidogenesis, energy homeostasis, and others yet to be fully characterized.
There are five melanocortin receptor subtypes that, apart from the
melanocortin-2 receptor (MC2R), are stimulated by a shared set of
endogenous agonists. Until 2020, X-ray crystallographic and cryo-electron
microscopic (cryo-EM) structures of these receptors were unavailable,
and the investigation of their mechanisms of action and putative ligand–receptor
interactions was driven by site-directed mutagenesis studies of the
receptors and targeted structure–activity relationship (SAR)
studies of the endogenous and derivative synthetic ligands. Synthetic
derivatives of the endogenous agonist ligand α-MSH have evolved
into a suite of powerful ligands such as NDP-MSH (melanotan I), melanotan
II (MTII), and SHU9119. This suite of tool compounds now enables the
study of the melanocortin receptors and serves as scaffolds for FDA-approved
drugs, means of validating stably expressing melanocortin receptor
cell lines, core ligands in assessing cryo-EM structures of active
and inactive receptor complexes, and essential references for high-throughput
discovery and mechanism of action studies. Herein, we review the history
and significance of a finite set of these essential tool compounds
and discuss how they are being utilized to further the field’s
understanding of melanocortin receptor physiology and greater druggability.