The melanocortin-2 receptor (MC2R), also known as the adrenocorticotropic hormone (ACTH) receptor, plays an important role in regulating and maintaining adrenocortical function, specifically steroidogenesis. Mutations of the MC2R gene have also been identified in humans with familial glucocorticoid deficiency. However, the molecular basis of MC2R responsible for ligand binding and signaling remains unclear. In this study, both truncated ACTH peptides and site-directed mutagenesis studies were utilized to determine the molecular basis of MC2R responsible for ACTH binding and signaling. Our results indicate that ACTH1-16 is the minimal peptide required for MC2R binding and signaling and mutations of the conserved amino acid residues E80 in transmembrane domain 2 (TM2), D107 in TM3, F178 in TM4, F235, H238 in TM6 and F258 in TM7 significantly reduced ACTH binding affinity and signaling, which is similar to other MCRs. Furthermore, mutations of unique amino acids D104 and F108 in TM3, and F168 and F178 in TM4, significantly decreased ACTH binding and signaling. In conclusion, our results suggest that the residues in TM2, TM3 and TM6 of hMC2R share similar binding sites with other MCRs but the residues identified in TM4, TM7 of hMC2R are unique for ACTH binding. Our study suggests that hMC2R may have a broad binding pocket in which both conserved and unique amino acid residues are involved, which may be the reason why α-MSH was not able to bind hMC2R. Keywords stress; POMC; MC2R; agonist; GPCR The melanocortin-2 receptor (MC2R), also known as the adrenocorticotropic hormone (ACTH) receptor, plays an important role in the regulation of adrenal cortisol secretion (9). Mutations of the hMC2R have been identified in a potentially fatal disease called familial glucocorticoid deficiency (FGD) in which affected individuals are deficient in cortisol and likely to succumb to hypoglycemia or overwhelming infection in infancy or childhood if they are not treated (8,10,16,35,39,40,44,49,50,52,(58)(59)(60). Over expression of this receptor is also found in adrenal adenomas or hyperplasia associated with glucocorticoid overproduction (Cushing syndrome) (1,22,37,38).Extensive studies had been performed to determine the molecular basis of ACTH in receptor function in the last two decades but the results are not consistent. In early years, ACTH1-14, ACTH11-19 and ACTH11-24 were reported to increase corticosterone levels in the isolated adrenal cell system and ACTH11-24 plays an important role in adipocyte function (14,24,42,45). However, ACTH1-14 was also reported not able to bind MC2R (48). The explanation for these variations is that different methods of adrenal cell preparation and separate receptors may be involved in these peptide activities (53). Further studies of some ACTH peptide truncations indicated that ACTH1-17 is the minimal peptide required for ligand binding and signaling (14,24,42,45). However, detailed structure-function of ACTH responsible for MC2R binding and signaling is still unclear.Cloning of melanoco...