Gantz, Ira, and Tung M. Fong. The melanocortin system. Am J Physiol Endocrinol Metab 284: E468-E474, 2003; 10.1152/ajpendo. 00434.2002.-The melanocortin system consists of melanocortin peptides derived from the proopiomelanocortin gene, five melanocortin receptors, two endogenous antagonists, and two ancillary proteins. This review provides an abbreviated account of the basic biochemistry, pharmacology, and physiology of the melanocortin system and highlights progress made in four areas. In particular, recent pharmacological and genetic studies have affirmed the role of melanocortins in pigmentation, inflammation, energy homeostasis, and sexual function. Development of selective agonists and antagonists is expected to further facilitate the investigation of these complex physiological functions and provide an experimental basis for new pharmacotherapies.inflammation; obesity; pigmentation; sexual function; receptor THE MELANOCORTIN SYSTEM consists of 1) the melanocortin peptides ␣-, -, and ␥-melanocyte-stimulating hormone (␣-, -, ␥-MSH) and adrenocorticotropic hormone (ACTH), 2) a family of five seven-transmembrane G protein-coupled melanocortin receptors, and 3) the endogenous melanocortin antagonists agouti and agoutirelated protein (AGRP). In addition, two ancillary proteins, mahogany and syndecan-3, have been found that modulate the activity of the melanocortin peptides (melanocortins). This minireview is meant to introduce the melanocortin system to the unacquainted reader.The melanocortins are involved in an extraordinarily diverse number of physiological functions, including pigmentation, steroidogenesis, energy homeostasis, exocrine secretion, sexual function, analgesia, inflammation, immunomodulation, temperature control, cardiovascular regulation, and neuromuscular regeneration. On the basis of their prominent regulatory role in many of these functions, the development of melanocortin-based drugs is currently being considered, or is presently in the developmental phase, for the treatment of skin cancer and other cutaneous disorders, obesity, anorexia nervosa and cachexia, erectile dysfunction, inflammatory diseases, pain, and nerve injury. The physiological basis for considering melanocortins as central participants in some of the aforementioned processes will be discussed.The first portion of this minireview will present, largely in isolation, the various elements of the melanocortin system. These elements will then be discussed in the context of four physiological functions: pigmentation, inflammation, energy homeostasis, and sexual behavior. With the use of this approach, however, there is an inevitable overlap of organization.
COMPONENTS OF THE MELANOCORTIN SYSTEM
Proopiomelanocortin ProhormoneThe melanocortins are posttranslational products of the proopiomelanocortin (POMC) prohormone. This prohormone also gives rise to the opiate peptide -endorphin, hence the name pro-opio-melanocortin. Among the peptide products of that prohormone, the melanocortins are unified by the fact they contain the a...