stimulating hormone (␣-MSH), a 13-amino acid peptide produced in the brain and pituitary gland, is a regulator of appetite and body weight, and its production is regulated by leptin, a factor that affects bone mass when administered centrally. ␣-MSH acts via melanocortin receptors. Humans deficient in melanocortin receptor 4 (MC4-R) have increased bone mass, and MC4-R has been identified in an osteoblast-like cell line. Thus ␣-MSH may act directly on the skeleton, a question addressed by the present studies. In primary cultures of osteoblasts and chondrocytes, ␣-MSH dose dependently (Ն10 Ϫ9 M) stimulated cell proliferation. In bone marrow cultures, ␣-MSH (Ͼ10 Ϫ9 M) stimulated osteoclastogenesis. Systemic administration of ␣-MSH to mice (20 injections of 4.5 g/day) decreased the trabecular bone volume in the proximal tibiae from 19.5 Ϯ 1.8 to 15.2 Ϯ 1.4% (P ϭ 0.03) and reduced trabecular number (P ϭ 0.001). Radiographic indexes of trabecular bone, assessed by phase-contrast X-ray imaging, confirmed the bone loss. It is concluded that ␣-MSH acts directly on bone, increasing bone turnover, and, when administered systemically, it decreases bone volume. The latter result may also be contributed to by ␣-MSH effects elsewhere, such as the adipocyte, pancreatic -cell, or central nervous system. osteoblast; osteoclast; chondrocyte; systemic administration BODY WEIGHT IS AN IMPORTANT DETERMINANT of bone mineral density (24,41,42,53,55) and is one of the most important risk factors for osteoporotic fractures (1,19,21,33,36,48,62,73). The two major components of body weight, fat mass and lean mass, probably each contribute to these relationships, but in a number of studies fat mass has been shown to have a substantial, independent effect on both bone density (35,51,53,55,56,67) and fracture rates (38, 62). The effects of fat mass on skeletal load may contribute to this relationship, although they do not explain it in non-weightbearing sites (55). Similarly, estrogen production in the adipocyte may contribute to these relationships in postmenopausal women, but it does not explain the relationship between fat mass and bone density before menopause (59). It is therefore of interest to assess the skeletal impact of hormonal factors that either regulate fat mass or are influenced by it. For these reasons, there has been a recent focus of attention on the roles of insulin, amylin, leptin, and preptin on skeletal metabolism (54). However, there are a number of other hormones that could contribute to these relationships, one of which is ␣-melanocyte-stimulating hormone (␣-MSH).␣-MSH is a 13-amino acid peptide derived from proopiomelanocortin (POMC) and produced in the brain and pituitary gland. It is a key factor in the central regulation of appetite and body weight, and its precursor, POMC mRNA, is regulated by leptin (18), a factor recently shown to have substantial effects on bone mass when administered into the central nervous system (16). ␣-MSH acts via the melanocortin receptors, and it has recently been reported that humans...