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Endocrinology Vol. 139, No. 12 5006-5014
Copyright © 1998 by The Endocrine Society


ARTICLES

Discovery of a Novel Superpotent and Selective Melanocortin-4 Receptor Antagonist (HS024): Evaluation in Vitro and in Vivo1

Ants Kask, Felikss Mutulis, Ruta Muceniece, Rein Pähkla, Ilze Mutule, Jarl E. S. Wikberg, Lembit Rägo and Helgi B. Schiöth

Department of Pharmacology, University of Tartu (A.K., R.P., L.R.), Ulikooli 18, 50090 Tartu, Estonia; the Department of Medicinal Chemistry (F.M., I.M.) and the Laboratory of Pharmacology (R.M.), Institute of Organic Synthesis, Aizkraukles 21, LV-1006, Riga, Latvia; and the Department of Pharmaceutical Pharmacology, Uppsala University (F.M., R.M., I.M., J.E.S.W., H.B.S.), 751 24 Uppsala, Sweden

Address all correspondence and requests for reprints to: Dr. Helgi B. Schiöth, Department of Pharmaceutical Pharmacology, Biomedical Center, Box 591, 751 24 Uppsala, Sweden. E-mail: helgis{at}bmc.uu.se


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Several novel cyclic MSH analogs were synthesized, and their binding properties were tested on cells transiently expressing the human melanocortin-1 (MC1), MC3, MC4, and MC5 receptors. We discovered a novel substance (HS024) that showed about 20-fold selectivity and very high affinity (Ki = 0.29 nM) for the MC4 receptor. HS024 (cyclic [AcCys3,Nle4,Arg5,D-Nal7,Cys-NH211]{alpha}-MSH-(3–11)) has a 29-membered atom ring structure that includes an Arg in position 5. HS024 was found to antagonize an {alpha}MSH-induced cAMP response in cells expressing the human MC1, MC3, MC4, and MC5 receptor DNAs. HS024 also caused a dose-dependent increase in food intake, with a maximum response (4-fold increase) at a 1-nmol dose injected intracerebroventricularly in free feeding rats. We also tested SHU9119, a previously described nonselective MC receptor antagonist, and found HS024 and SHU9119 to have similar potencies for increasing food intake, although SHU9119 appeared to induce more serious side-effects. HS024 increased the food intake of free feeding rats to levels comparable to those in food-deprived rats, indicating that blockade of the MC4 receptor is a highly effective way to increase feeding. Moreover, we tested the effects of intracerebroventricular injections of HS024 in elevated plus-maze and open-field experiments on rats. In these tests, HS024 did not appear to affect emotionality or locomotor activity, suggesting that the MC4 receptor does not mediate the anxiogenic-like and locomotor effects related to the melanocortic peptides.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
TO DATE, five melanocortin (MC) receptor subtypes have been cloned (1, 2, 3, 4, 5). The first member of this family to be cloned was the previously well characterized MC1 receptor, which is expressed in melanocytes and melanoma cells and binds {alpha}MSH with high affinity. The MC1 receptor plays an important role in skin and fur pigmentation in a variety of vertebrates (6). The MC2 receptor (i.e. the ACTH receptor) has a well defined function in the regulation of steroid production in the adrenal gland. The MC3 receptor is found in the brain, placenta, and gut tissues (3, 7). The MC4 is found only in the central nervous system, where it is expressed in several different sites, including the cortex, thalamus, hypothalamus, brain stem, and spinal cord (4, 8). The MC4 and MC5 receptors have been studied in knock-out mice, and the MC4 receptor was shown to be involved in weight homeostasis (9), whereas the MC5 receptor was found to have a role in exocrine gland function (10).

The natural melanocortic peptides ({alpha}MSH, ßMSH, {gamma}MSH, and ACTH) each have a specific affinity profile for the MC receptor subtypes but are not selective for the different subtypes, with the exception that {alpha}MSH is selective for the MC1 receptor and ACTH is selective for the MC2 receptor (11, 12, 13). The MC2 receptor is distinguishable from the other MC receptors in that it does not bind the MSH peptides. The lack of selective compounds has hampered clarification of the physiological roles of the MC3, MC4, and MC5 receptors. Major progress was made with the development of the synthetic MSH analogs, SHU9119 (14), a nonselective MC3 and MC4 receptor antagonist, and HS014 (15), a selective MC4 receptor antagonist. SHU9119 and HS014 are antagonists for the MC3 and MC4 receptors but agonists for the MC1 and MC5 receptors. SHU9119 has been used in some important initial studies for elucidation of the roles of the neural MC3 and MC4 receptors (16, 17, 18), and the new analog HS014 was shown to increase the food intake of freely feeding rats (19, 20).

In this study, we synthesized several new cyclic MSH analogs and discovered a novel substance, HS024, that is a selective MC4 antagonist with a 10-fold higher affinity for the MC4 receptor than HS014. Moreover, we tested the ability of HS024 to influence food intake in rats and compared it with those of SHU9119 and HS014. In addition to food consumption, we measured spillage behavior, which may be a useful index of toxicity-related changes in food intake (21). Orexigens, such as neuropeptide Y (NPY) and benzodiazepines, have previously shown anxiolytic-like and sedative effects. An increase in food intake may also be due to arousal or changes in general activity. Melanocortic peptides have been shown to affect some anxiety-related measures (22, 23, 24, 25). Accordingly, it may be anticipated that melanocortin receptor antagonists might also affect behavioral measures modified by fear. Therefore, we performed elevated plus-maze and open-field experiments on rats after intracerebroventricular (icv) injection of HS024 to assess potential anxiolytic/anxiogenic activity and locomotor effects of MC4 receptor blockade.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemicals
[Nle4,D-Phe7]{alpha}MSH (NDP-MSH) (26) was radioiodinated by the chloramine-T method and purified by HPLC. NDP-MSH, SHU9119, and all amino acid derivatives were purchased from Neosystem (Strasbourg, France).

Peptide synthesis
The novel peptides tested in this study were synthesized in our laboratory using the solid phase approach and then purified by HPLC. The correct mol wt of the peptides were confirmed by mass spectrometry. The peptide sequences were assembled using the Pioneer PerSeptive Biosystems peptide synthesis system. F-moc (9-fluorenylmethoxycarbonyl)-amino acid derivatives were used in coupling steps. When pentafluorophenyl esters were used, the synthesis cycle was as follows: 1) the F-moc group was removed by 20% piperidine in N,N-dimethylformamide (DMF; 5 min); 2) to form a new peptide, bound side-chain-protected F-moc-amino acid pentafluorophenyl ester (4 eq.) and 1-hydroxy-7-azabenzotriazole (4 eq.) were dissolved in DMF and circulated through the column for 30–60 min; and 3) to cap residual amino groups, the support was treated with 0.3 M Ac2O (acetic anhydride) in DMF for 5 min. If free acids were used, then in step 2, side-chain-protected F-moc-amino acid (4 eq.), O-[7-azabenzotriazol-1-yl]1,1,3,3-tetramethyluronium hexafluorophosphate (4 eq.), and N,N-diisopropylethylamine (4 eq.) were applied. For deprotection, a reagent mixture (trifluoroacetic acid-phenol-anisole-1,2-ethanedithiol-water, 82:2:2:2:2; 2.5 h) was used. The raw peptides formed were purified by HPLC (10 x 250-mm column, Vydac RP C18, 90A, 201HS1010; eluent, 20–35% MeCN (acetonitrile) in water and 0.1% trifluoroacetic acid; detection at 240 nm).

Expression of receptor clones
The human MC1 and human MC5 receptors (1, 5) were cloned into the expression vector pRc/CMV (Invitrogen, San Diego, CA). The human MC3 and human MC4 receptors, cloned into the expression vector pCMV/neo, were gifts from Dr. Ira Gantz (3, 4). For receptor expression, COS-1 (CV-1 origin, simian virus 40) cells were grown in DMEM with 10% FCS. Eighty percent confluent cultures were transfected with the DNA mixed with liposomes in serum-free medium (for details, see Ref. 12). After transfection, the serum-free medium was replaced by serum-containing medium, and the cells were cultivated for about 48 h. Cells were then scraped off, centrifuged, and used for radioligand binding.

Binding studies
The transfected cells were washed with binding buffer (11) and distributed into 96-well nonculture-coated plates that were centrifuged, and the binding buffer was removed. The cells were then immediately incubated in the well plates for 2 h at 37 C with 0.05 ml binding buffer in each well containing a constant concentration of [125I]NDP-MSH and appropriate concentrations of competing unlabeled ligand. After incubation, the cells were washed with 0.2 ml ice-cold binding buffer and detached from the plates with 0.2 ml 0.1 N NaOH. Radioactivity was counted (Wizard automatic {gamma}-counter, Wallac, Turku, Finland), and data were analyzed with a software package suitable for radioligand binding data analysis (Wan System AB, Umea, Sweden). Data were analyzed by fitting to formulas derived from the law of mass action by the method generally referred to as computer modeling. The Kd values for [125I]NDP-MSH for the MC receptors were taken from previous studies (11, 12). The binding assays were performed in duplicate wells and repeated three times. Untransfected COS-1 cells did not show any specific binding for [125I]NDP.

cAMP assay
The transfected cells, cultivated in the same medium as the COS cells (see above), were harvested and incubated for 30 min at 37 C with 0.05 ml serum-free DMEM in each tube containing 0.5 mM isobutylmethylxanthine and appropriate concentrations of {alpha}MSH or HS024. After incubation with the indicated drugs, cAMP was extracted with perchloric acid at a final concentration of 0.4 M. After centrifugation, the protein-free supernatants were neutralized with 5 M KOH-1 M Tris (Tris-(hydroxymethyl)aminomethane). Neutralized cAMP extract (0.05 ml) or a cAMP standard (dissolved in distilled water) was added to a 96-well microtiter plate. The cAMP content was then estimated essentially according to the method described by Nordstedt and Fredholm (27) by adding to each well [3H]cAMP (0.14 pmol; ~11,000 cpm; SA, 54 Ci/mmol; Amersham, Arlington Heights, IL) and bovine adrenal binding protein and incubating at 4 C for 150 min. Standards containing nonlabeled cAMP were also assayed concomitantly with the samples. The incubates were thereafter harvested by filtration on Whatman GF/B filters (Clifton, NJ) using a semiautomatic Brandel cell harvester (Bethesda, MD). Each filter was rinsed with 3 ml 50 mM Tris-HCl, pH 7.4. The filters were punched out, put into scintillation vials with scintillation fluid, and counted. The cAMP assays were performed in duplicate wells and repeated three times.

Animals and surgery
Adult male Wistar rats (National Laboratory Animal Center, Kuopio, Finland), weighing 330–380 g at the time of surgery, were housed individually in hanging wire mesh (45 x 37 x 19 cm) or polypropylene cages (rats used in elevated plus-maze and open-field tests) with free access to food and water at controlled temperature (20 ± 1 C) and light (12-h light, 12-h dark cycle; lights on at 0800 h). The rats had free access to food pellets (R35 or R70, Lactamin, Stockholm, Sweden) and tap water. Rats were anesthetized with chloral hydrate (350 mg/kg·10 ml, ip) and secured in a stereotaxic instrument where a 11-mm-long 23-gauge stainless steel cannula was lowered to within 1.5 mm of the ventricle and anchored to the skull with two screws and dental acrylic. With the tooth bar 3.0 mm above interaural zero, implantation coordinates were 0.7 posterior to bregma, 1.4 mm lateral, and 3.2 mm below the skull at the point of entry. After surgery, the cannula was closed with a stylet. Rats were handled and weighed during the recovery period (7 days) to minimize nonspecific stress. Substances were dissolved in saline and administered by a 31-gauge stainless steel injector (Plastic One, Inc., Roanoke, VA) projecting 1.5 mm below the tip of the guide cannulas. The injector was connected to the gas-tight 50-µl Hamilton syringe (Reno, NV) by polyethylene tubing (id, 0.58 mm; od, 1.27 mm). Drugs were infused by infusion pump (World Precision Instruments, Sarasota, FL) at a speed of 10 µl/min. The movement of an air bubble inside the polyethylene tubing confirmed the drug flow. The needle was left in place for 15 sec, then the cannula was closed with a stylet, and rats were returned to the home cage. All injections were carried out between 1200–1600 h every third day and were given in randomized order in a such way that none of the rats received the same dose of peptide twice.

Feeding experiments
On the day of the experiment, the food was removed from wire baskets, and the rats were injected icv with SHU9119 (0.3, 1.0, 3.0, and 6 nmol) and HS024 (0.1, 0.3, and 1.0 nmol) and returned to the home cage. Seven preweighted pellets (~20 g) were presented on clean plastic petri dishes. Food intake was measured to the nearest 0.01 g 1, 2, 3, and 4 h after the icv injection by weighing remaining pellets and spillage using a Mettler (Stockholm, Sweden) PB3002 balance.

Elevated plus-maze and open-field
Rats were tested in an elevated plus-maze test 20 min after icv injection of HS024 (0.02 and 0.1 nmol) or vehicle. Tests were conducted in quiet, separate rooms. The elevated plus-maze was made of polypropylene (walls pale yellow, floor black) and consisted of 2 open arms measuring 50 x 10 cm, and 2 closed arms that were of the same size but had 40-cm high end and side walls. The arms were connected by a central area measuring 10 x 10 cm, and the maze was 65 cm above the floor. Behavior was observed by a trained observer blind to treatment conditions. Before testing, rats were placed in a novel environment (clean empty polypropylene cage) for 5 min; this has been shown to increase the sensitivity of the elevated plus-maze test (28). Rats were then placed in the central area of the maze facing 1 of the open arms. The number of entries into open and closed arms, the time spent on open arms, and line crossings on open part were recorded over a 4-min testing period. An arm entry was defined as all 4 paws into an arm. Immediately after the plus-maze testing, the rats were tested on an open field. The open field was a wooden arena (100 x 100 cm with 40-cm-high side walls) painted dark gray. Black lines divided the arenas into 16 equal squares. The number of squares visited (with all 4 feet on 1 square) and the number of rearing was registered in a 4-min test. The elevated plus-maze and open-field were cleaned with a dampened cloth and dried with paper towels between sessions.

Verification of injection sites
Upon completion of the study, the rats were overdosed with chloral hydrate (600 mg/kg), and fast green dye was infused to mark the injection site. The brains were removed, and the distribution of the dye was examined. Only the animals with uniform distribution of the dye in the ventricles were included in the data analysis.

Statistical evaluation
All results are expressed as the mean ± SEM. The cumulative food intake data were analyzed by one-way ANOVA for repeated measures; elevated plus-maze test and open-field data were evaluated by factorial ANOVA. Where appropriate, a post-hoc analysis were carried out using the least significant difference (LSD) test.

Animal ethics
Experimental procedures were approved by the ethics committee of animal experiments at the University of Tartu and were carried out in accordance with guidelines of the European Community.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We designed and synthesized several new cyclic MSH analogs. The structure of the novel substances are aligned with {alpha}MSH, NDP-MSH, MTII, SHU9119, and HS014 in Fig. 1Go. The human DNAs for the MC1, MC3, MC4, and MC5 receptors were transiently and independently expressed in COS-1 cells for competitive receptor binding using [125I]NDP-MSH as radioligand. The expression levels of the different receptor subtypes were similar (data not shown). The Ki values for the different peptides resulting from calculations of the competition curves of binding with [125I]NDP-MSH are summarized in Table 1Go. For comparison, we also included in Table 1Go the Ki values of {alpha}MSH, NDP-MSH, MTII, SHU9119, and HS014, values that we recently reported (15, 29) from tests using the same methodology as that used in the present study.



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Figure 1. Alignment of {alpha}MSH, NDP-MSH, MTII, SHU9119, and HS014 to the new analogs evaluated in this study. All peptides have an acetyl group on the N-terminus and an amide group on the C-terminus. The amino acid residues that make up the ring closure in the cyclic compounds are shown underlined in italics. Norleucine is denoted Nle, and ß-(2-naphthyl)-D-alanine is denoted D-Nal.

 

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Table 1. K1 values (mean ± SEM) obtained from competition curves, for MSH analogs on MC1, MC3, MC4, and MC5 receptor-transfected COS cells

 
In our previous study (15), we found that substances with a disulfide bridge between Cys residues in positions 4 and 11 (such as HS014) are clearly selective for the MC4 receptor. One substance of this series, HS007, possessed an Arg in position 5 and showed preference for the MC3 receptor. In the same report, another ring structure was described for a peptide termed HS010. This new ring included nine amino acids by the addition of an extra Nle (norleucine) in position 4, making a ring containing a total of 29 atoms when the atoms of the Cys-Cys bridge are also counted. Compared with HS014, which includes eight amino acid residues, the ring size is three atoms larger. Similarly to HS007, HS010 was slightly selective for the MC3 receptor.

However, when we combined the chemical properties of HS007 (Arg5) and HS010 (Nle4) in HS024, we found a substance that is highly potent and selective for the MC4 receptor. HS024 has an 11-fold higher affinity for the MC4 receptor compared with HS014 and also a slightly higher affinity for the MC4 receptor compared with SHU9119. HS024 has similar selectivity as HS014 for the MC4 receptor relative to the MC3 receptor. The primary structure of HS024 is shown in Fig. 2Go. The competition curves for HS024 at the different MC receptor subtypes are shown in Fig. 3Go.



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Figure 2. Primary structure of the MC4 receptor selective analog HS024. The amino acid residues are numbered according to the sequence of {alpha}MSH (see also Fig. 1Go).

 


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Figure 3. Competition curves of HS024 obtained for COS-1 cells transfected with the MC1 ({blacksquare}), MC3 (•), MC4 ({blacktriangleup}), or MC5 ({diamondsuit}) receptor clones, obtained by using a fixed concentration of [125I]NDP-MSH and varying concentrations of the nonlabeled competing peptide. All experiments were performed in duplicate and repeated three times.

 
Addition of the C-terminal part of ßMSH (Pro12-Pro13-Lys14-Asp15) to the cyclic [Cys4,Cys11]{alpha}MSH-(4–11) analog (HS964) generated HS014, which led to an increase in both the affinity and the selectivity for the MC4 receptor (15). The addition of (Pro12-Pro13-Lys14-Asp15) to HS024 resulted in HS032, which barely affected the affinity for the MC4 receptor and lowered the selectivity. The addition of two residues (Tyr1-Pro2) from the N-terminal of ßMSH to HS024, resulting in HS031, gave lower affinity for all of the MC receptors. HS031 was also virtually nonselective.

In addition to these "tailed" substances, we made single amino acid substitutions in HS024 at positions 4, 5, 6, and 9. When the basic hydrophilic His6 was replaced by the acidic hydrophilic Glu6 (in HS052), affinity was lost for all of the MC receptors, in particular for the MC4 receptor. HS052 is practically nonselective. Substitution of the basic hydrophilic Arg5 with the structurally related residue Lys5 (HS053) resulted in slightly lower affinity for the MC1 and MC3 receptors (<2-fold), but brought about a considerable loss in affinity for the MC4 and MC5 receptors (16- and 88-fold, respectively). Replacement of the nonpolar hydrophobic residue Nle4 by the polar and neutral Asn4 (HS055) slightly improved binding to the MC3 receptor and slightly lowered the affinity for the MC4 and the MC5 receptors. However, this change in the structure of the peptide resulted in a more than 28-fold increase in the affinity for the MC1 receptor. Tic (1,2,3,4-L-tetrahydroisoquinoline-3-carboxylic acid) is a nonpolar hydrophobic amino acid similar to Trp. Tic, however, has a more rigid conformation than Trp. When Trp was exchanged for Tic in position 9 (HS024->HS057), the affinity was reduced for all of the MC receptors, especially MC3 (190-fold), MC4 (3400-fold), and MC5 (370-fold) receptors. However, the affinity of HS057 for the MC1 receptor was only 2-fold lower than that of HS024.

We selected HS024 for further investigations and tested the cAMP responses to {alpha}MSH and HS024 in COS-1 cells expressing the human MC1, MC3, MC4, and MC5 receptors (see Fig 4Go). As shown in Fig. 4Go, {alpha}MSH stimulated accumulation of cAMP at all receptor types. COS-1 cells that had not been transfected with any of the MC receptors did not respond to {alpha}MSH (data not shown). HS024, in concentrations up to 100 µM, did not affect the cAMP levels of any of the MC receptor-expressing cells. Instead, 0.1 µM HS024 completely blocked the cAMP increase induced by {alpha}MSH for all four MC receptors (Fig. 4Go).



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Figure 4. Generation of cAMP in response to {alpha}MSH ({blacksquare}), HS024 (•), or {alpha}MSH plus 0.1 µM HS024 ({blacktriangleup}) for the MC1, MC3, MC4, and MC5 receptors in transfected COS-1 cells. Each point represents the average ± SEM (n = 6).

 
We subsequently examined whether HS024 influenced food intake in free feeding rats after its icv injection. For comparison, we also tested SHU9119. The results of the feeding studies are shown in Fig. 5Go together with our earlier results for HS014 using the same methodological approach (19). The injection of either HS024 or SHU9119 induced behavioral activation in the rat, followed by increased ingestion of its regular food. As shown in Fig. 5Go, HS024 produced strong dose-dependent stimulation of feeding. The drug, time, and interaction effects were, respectively: F(3,29) = 15.62, P < 0.0001; F(3,87) = 194.77, P < 0.0001; and F(9,87) = 6.21, P < 0.0001. Food intakes differed at 1, 2, 3, and 4 h (F(3,29) = 3.76, 14.25, 13.13, and 15.76, respectively; P < 0.05). Individual comparisons with LSD tests indicated that at 1 h, only 1 nmol HS024 increased food intake, whereas at 2, 3, and 4 h, all doses of HS024 increased food intake (Fig. 5Go).



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Figure 5. Cumulative food intake at 1, 2, and 4 h in free feeding rats after icv injection of vehicle (n = 8), SHU9119 (0.3, 1.0, 3.0, and 6.0 nmol; n = 5–6/group), HS024 (0.1, 0.33, and 1.0 nmol; n = 8–9/group), and HS014 (data from Ref. 19). Drug or vehicle was injected icv in a volume of 5.0 µl immediately before the test. Data are presented as the mean ± SEM. *, P < 0.05, significantly different from vehicle treatment (by LSD test after significant ANOVA).

 
SHU9119 also had a significant effect on food intake, as shown in Fig. 5Go. The drug, time, and interaction effects as determined by repeated measures ANOVA were, respectively: F(4,25) = 5.89, P < 0.005; F(3,75) = 53.67, P < 0.001; and F(12,75) = 4.13, P < 0.001. Factorial ANOVA indicated that food intake was different at 1, 2, 3, and 4 h (F(4,25) = 3.29, 3.44, 6.27, and 7.02, respectively; P < 0.005). Individual post-hoc comparisons indicated that 1 nmol SHU9119 increased food intake at all points of measurement and that a 0.3 nmol dose of SHU9119 increased food intake at 3 and 4 h (P < 0.05). The two highest doses of SHU9119 tested (3 and 6 nmol) did not affect food intake significantly at any point of measurement.

As shown in Fig. 5Go, the effects of HS024 and SHU9119 on food intake were similar in magnitude. The dose-response curve for SHU9119 was bell-shaped; maximal stimulation of feeding occurred at 1 nmol SHU9119. HS024 also stimulated food intake, with a maximal increase in feeding at 1 nmol. We did not test higher doses of HS024, as some rats treated with 0.3 (1 of 9) and 1.0 nmol (1 of 10) of HS024 developed exopthalamus and episodes of rotation along the long axis of the body (barrel-rolling). This repetitive motor disturbance also developed in SHU9119-treated rats [3 nmol (1 of 7) and 6 nmol (3 of 5; 2 of these 3 rats died]. The effects of HS014 are also shown in Fig. 5Go for comparison (data taken from Ref. 19). All rats treated with HS014 at 10 nmol (n = 4) developed fear-like reactions and thereafter became sedated for approximately 20 min. However, the rats treated with HS014 did not develop barrel-rolling.

Spillage behavior during the feeding experiments was increased by all three drugs (Fig. 6Go). Spillage was significantly increased by HS024 (0.33 and 1.0 nmol) and SHU9119 (0.33, 1.0, and 3.0 nmol) as well as by HS014 (1.0 and 3.3 nmol) [previously unpublished data from our earlier experiments (19)]. When the data were expressed as the percentage of spillage from cumulative food intake after the fourth hour (% spillage/CFI), we found that SHU9119 had a significant effect on this parameter (F(4.22) = 2.89, P < 0.05). Individual comparisons with LSD tests indicated that 1 and 3 nmol SHU9119 increased the % spillage/CFI. Notably, the 3.0-nM dose of SHU9119 increased spillage, but this dose did not increase cumulative food intake. HS024 did not significantly affect % spillage/CFI. Only one animal of four displayed increased spillage under the maximum HS014 dosage (10 nmol; data not shown).



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Figure 6. Cumulative food spillage after icv injection of SHU9119 (A), HS024 (B), and HS014 (C), and the percent of spillage relative to the amount of food eaten by 4 h of testing after icv administration of SHU9119, HS024, and HS014 (D). For further specifications, see Fig. 5Go.

 
We also performed elevated plus-maze and open-field test on rats after icv injection of HS024. The studies were carried out essentially in the same manner as we have previously described using NPY-related peptides and the NPY Y1 receptor antagonist BIBP3226, which showed anxiolytic-like and anxiogenic-like effects, respectively (30, 31). The elevated plus-maze test was carried out 20 min after drug administration. We did not detect any differences in maze exploration between the saline-treated and HS024-treated (0.02 and 0.1 nmol) rats. The percentage of open arm entries (relative to total arm entries) and the percentage of time spent on open arms of the maze are shown in Table 2Go. The open-field test was carried out immediately after the elevated plus-maze test, and no differences in horizontal and vertical activity were detected (Table 2Go). The number of fecal boli deposited was increased at 0.02 nmol HS024 in the elevated plus-maze test. In the open-field test, where the defecation score has been shown to correlate with emotionality (32), the number of fecal boli was unaffected.


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Table 2. Effect of the selective MC4 receptor antagonist HS024 (0.02 and 0.1 nmol, icv) on the exploratory activity of the rat in the elevated plus-maze and open field tests

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cyclic [Cys4,Cys10]{alpha}MSH analogs (33, 34) were found to be long acting, enzymatically stable, and highly potent in frog skin-tanning assays and other pigment dispersion assays using amphibians (for review, see Ref. 35). These assay systems relate to the amphibian MC1 receptors, which are shown to behave somewhat differently from the mammalian MC1 receptors. Further development of the 23-atom membered ring structure of cyclic [Cys4,Cys10]{alpha}MSH resulted in another 23-atom membered group of cyclic analogs possessing another distinct ring closure, namely the so-called lactam analogs, which include MTII (36). MTII is selective for the MC1 receptor, and it was suggested that 23 membered rings are optimal for activity of MSH analogs in relation to the MC1 receptor. Substitution of Phe7 for ß-(2-naphthyl)-D-alanine in MTII resulted in SHU9119, the first antagonist for the MC3 and MC4 receptors (14). In a joint study by ourselves and Dr. Hruby, we found that SHU9119 is virtually nonselective for the MC1, MC3, MC4, and MC5 receptors (29), in line with earlier data (14). We recently found a novel compound, HS014, which has a 26-membered ring structure with a disulfide ring closure (15). HS014 has an approximately 20-fold higher affinity for the MC4 receptor than for the MC3 receptor. In the same study we observed that a compound with a 29-membered ring structure had preference for the MC3 receptor. Another compound with an Arg residue in position 5 also seemed to have a preference for the MC3 receptor. In our present study we combined these chemical properties and synthesized HS024. HS024, however, somewhat surprisingly turned out to be superpotent for the MC4 receptor (>3000-fold higher affinity than the natural hormone {alpha}MSH) and showed similar as HS014 selectivity for the MC4 receptor above the MC3 receptor. Addition of a C-terminal tail to HS024, which had proven to be successful in the development of HS014, only slightly enhanced the affinity and reduced selective binding for the MC4 receptor. Addition of an N-terminal tail to HS024 did not enhance the affinity and eradicated the MC4 receptor selectivity. However, this was not very surprising, as we recently showed that the N-terminal part of the linear NDP-MSH is not important for the binding of the MC4 receptor, whereas it is important for the MC3 and MC5 receptors (37). Replacement of specific residues within the ring structure of HS024 did not improve the selectivity or the affinity for the MC4 receptor. Thus, we selected HS024 for further analysis.

In the cAMP assay, HS024 was shown to be an antagonist for the MC3 and MC4 receptors, similar to what has been reported for SHU9119 and HS014. However, in contrast to these latter peptides, HS024 was also an antagonist for the MC1 and MC5 receptors. There are no reports of potent antagonists for the MC1 and MC5 receptors apart from the findings of Jayawickreme et al. (38), who showed 153N-6 to be an antagonist of pigmentation in dermal melanophores of amphibians. However, 153N-6 appears not to be an antagonist for the human MC1 receptor (39) (Schiöth, H. B., et al., unpublished results).

In the present study, both HS024 and SHU9119 increased food intake in free feeding rats. Our data for SHU9119 are in general agreement with those from studies performed by Seeley et al. (18) that reported an increase in food intake after icv administration of 1 nmol SHU9119. In the same study, 0.5 nmol SHU9119 did not increase food intake, but this dose antagonized the suppressive effects of leptin on food intake (18). In the present study, 0.3 nmol SHU9119 increased food intake; the effect was statistically significant 3 h after injection. Interestingly, SHU9119 (6 nmol) did not affect daytime food intake in mice (17). We confirm that at this dose, SHU9119 does not affect feeding in rats, whereas lower doses significantly stimulate feeding. The failure of higher doses of MC receptor antagonists to modify food intake may be related to sedation and toxicity. It has been shown that the first MC4-selective antagonist HS014 increased food intake in free feeding rats (19, 20). The potency of HS024 at the MC4 receptor, as determined in binding assays, is very similar to that of SHU9119, whereas HS014 is about 10 times less potent. This order of potency was also observed in the feeding assays. One nanomole of SHU9119 or HS024 caused maximal stimulation of feeding, whereas higher doses caused side-effects. The maximal effect of HS014 was also observed at 1 nmol.

Our present data support the hypothesis that MC4 receptors exert a tonic inhibitory influence on the ingestion of nutrients, as indicated in previous reports (9, 17, 19, 20). It is interesting to note that HS024 and SHU9119 were able to induce food intake in free feeding rats to levels comparable to those in rats deprived of food for 24 h (40). The rats treated with 1 nmol SHU9119 and HS024 had consumed about 6–8 g food by the fourth hour of testing. This effect is similar to that of icv injections of NPY (40, 41) and recently discovered orexins/hypocretins (42, 43), which both appear to be the most potent natural stimulants of feeding yet described. The data indicate that the sole blockage of the MC4 receptor is a highly effective way to induce feeding.

Spillage was increased dose dependently by all drugs tested. In general, the spillage increased concomitantly with increases in food intake. Interestingly, however, 3 nmol SHU9119 increased the spillage but not the food intake. This finding might indicate that there is a conflict between the motivation and the ability to eat after the administration of SHU9119. It can be speculated that these effects are related to actions on MC5 receptors and reduction in saliva production, as MC5 knock-out animals have been shown to have defective function of exocrine glands (10). The difference between SHU9119 and the other substances may be related to the lack of selectivity of SHU9119 for the MC4 receptor. An increase in spillage could also be taken as a general index of toxicity (21).

Ligands activating MC receptor subtypes (ACTH and {alpha}MSH) have been shown to inhibit punished responding in the Vogel conflict test (25), and microinjection of {alpha}MSH into the medial preoptic area has been shown to increase anxiety and aggressive behavior (22). These data indicate that MC receptors may be involved in the regulation of emotional behavior. We, therefore, performed elevated plus-maze tests that can be used to screen for compounds with anxiolytic/anxiogenic-like activity. We selected the dose of HS024 that produced half-maximal stimulation of feeding (0.1 nmol) and evaluated the effects of HS024 on anxiety-related measures using the elevated plus-maze test. HS024 (0.02 and 0.1 nmol) did not affect elevated plus-maze exploration. Thus, it can be concluded that HS024 does not affect anxiety-related behavior at the doses tested. This is not unexpected, as upon exposure to a novel environment, several other neurotransmitters are released in addition to POMC-related peptides. Numerous studies suggest that CRF may play a central role in the stress response (reviewed in Ref. 44). A nonselective antagonist of CRF receptors, {alpha}hCRF-(9–41) has anxiolytic-like effects in the elevated plus-maze test (45). {alpha}hCRF-(9–41) has also been shown to block the anxiogenic-like effects of the pharmacological manipulations of other neurotransmitter systems, including cholecystokinin-ergic (46) and NPY-ergic systems (30). These findings indicate that CRF is an important mediator of the fear reaction, and therefore, the sole blockage of the MC4 receptors may be insufficient to modify behavior in the elevated plus-maze paradigm.

Several compounds that influence food intake also modulate locomotor activity. The doses of NPY and benzodiazepines that are sedative and suppress open-field activity increase food intake (47), whereas the drugs that decrease food consumption may affect locomotion or produce anxiogenic-like effects. Open-field behavior was not affected by HS024. These findings suggest that MC4 receptors are not directly involved in locomotion and emotional behavior and that the increase in food intake seen after icv injection of HS024 differs in this regard from ingestive responses evoked by NPY or benzodiazepines.

High doses of HS024 and SHU9119 produced a repetitive motor disturbance called barrel-rolling. These effects seemed to be most severe for SHU9119, culminating in the death of two of five rats treated with the highest dose, whereas no lethality was observed for the other substances. The reasons for this are unknown. One can speculate that the motor disturbances are related to direct modulation of calcium metabolism, as agouti peptide, which acts as an antagonist at melanocortin receptor subtypes, has been shown to elevate the intracellular free Ca2+ concentration (48), and Ca2+ antagonists are effective in animal models of epilepsy (49).

In conclusion, we have developed a very potent selective MC4 antagonist that may be a valuable tool for evaluation of the role of MC4 receptors in physiological processes, including feeding behavior, and this substance may be used as a prototype for agents for treatment of eating disorders associated with anorexia. Moreover, our data indicate that selective MC4 receptor blockage does not affect locomotion or emotional behavior.


    Footnotes
 
1 This work was supported by grants from the Swedish Medical Research Council (04X-05957), the Swedish Society for Medical Research, and the Estonian Science Foundation (Grant 3267); the Ants ja Maria Silvere ning Sigfried Panti Mälestusstipendium Foundation (to A.K.); and the Swedish Institute (to I.M.). Back

Received May 11, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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