Protein / target

Melanocortin receptor 4

MC4RP32245Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
4
Approved medicines
22
Clinical trials
Small-molecule tractable
Druggability
Advanced Clinical

Protein at a glance

Biological role

Melanocyte-stimulating hormone receptor activity

Primary system

Nervous system

Strongest disease association

Abnormality of the skeletal system

Genetic evidence · score 0.96

Therapeutic maturity

Clinically validated target

4 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Advanced Clinical

Clinical development

4 approved · 1 in clinical development

22 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

G protein-coupled receptor that binds melanocyte-stimulating hormones (alpha- and beta-MSH) and corticotropin/ACTH, which are peptide products of the POMC precursor (PubMed:12646665, PubMed:14764818, PubMed:25163632, PubMed:32327598, PubMed:33858992, PubMed:8392067). Functions as a central component of the leptin-melanocortin pathway, which is essential for maintaining energy homeostasis (PubMed:32327598, PubMed:33858992). Upon activation, couples to G(s) protein, stimulating adenylate cyclase and the cAMP-dependent signaling pathway, which promotes anorexogenic signaling in the hypothalamus and contributes to a negative energy balance (PubMed:12588803, PubMed:14764818, PubMed:25163632, PubMed:33858992). Regulates food intake: activation by agonists suppresses appetite, whereas the antagonist Agouti-related protein/AGRP precludes agonist-induced signaling, thereby stimulating appetite (PubMed:9311920, PubMed:29311635). Modulates the firing activity of neurons in paraventricular nucleus (PVN) of the hypothalamus via alpha-MSH and AGRP regulation of inwardly rectifying potassium channel KCNJ13 closure, independently of G(s) signaling (PubMed:32327598). In the PVN, also interacts with opsin 3/OPN3, which couples to G(i/o) proteins to inhibit MC4R-mediated cAMP signaling, thereby promoting food intake (PubMed:39951488). In intestinal epithelial cells, contributes to inhibition of hepatic glucose production via nesfatin-1/NUCB2, leading to increased cAMP levels and glucagon-like peptide 1 (GLP-1) secretion (PubMed:39562740). Interaction with MGRN1 displaces the G(s) protein, further decreasing MC4R signaling activity (PubMed:19737927). Also activated by gamma-MSH, though with low potency (PubMed:8392067)

Subcellular location

Cell membraneCell projection, cilium membrane
Domains and Gene Ontology detail (18)

Gene Ontology

  • Ccytoplasm
  • Cmembrane
  • Cnon-motile cilium membrane
  • Cplasma membrane
  • Fcorticotropin receptor activity
  • Fmelanocortin receptor activity
  • Fmelanocyte-stimulating hormone receptor activity
  • Fneuropeptide binding
  • Fubiquitin protein ligase binding
  • Padenylate cyclase-activating G protein-coupled receptor signaling pathway
  • Padenylate cyclase-modulating G protein-coupled receptor signaling pathway
  • Pfeeding behavior

332 aa · 37 kDa

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

G protein-coupled signallingUniProt · GOTranscriptional regulationReactome
View supporting evidence

G protein-coupled signalling

  • ·G protein-coupled receptor that binds melanocyte-stimulating hormones (alpha- and beta-M…
  • ·adenylate cyclase-activating G protein-coupled receptor signaling pathway
  • ·adenylate cyclase-modulating G protein-coupled receptor signaling pathway

Transcriptional regulation

  • ·Transcriptional and post-translational regulation of MITF-M expression and activity
View underlying pathways (3)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

POMCAGRPLEPFTOGNASTMEM18NPYKCTD15GHRLLEPRMC4R

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

setmelanotide
Narrow target profileApprovedAgonist

Melanocortin receptor 4 agonist

Appears in clinical studies involving obesity disorder, Obesity, Bardet-Biedl syndrome, Bardet-Biedl syndrome

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

Abnormality of the skeletal system0.96

Genetic · overall 0.73

obesity disorder0.91

Genetic · overall 0.79

obesity due to melanocortin 4 receptor deficiency0.82

Genetic · overall 0.69

type 2 diabetes mellitus0.79

Genetic · overall 0.51

Obesity0.78

Genetic · overall 0.74

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

sexual dysfunction0.80

Clinical · overall 0.49

Bardet-Biedl syndrome0.77

Clinical · overall 0.49

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

diabetes mellitus0.48

Genetic

metabolic syndrome0.46

Animal model

overnutrition0.43

Genetic

Show all associations
obesity disorder0.79
Obesity0.74
Abnormality of the skeletal system0.73
obesity due to melanocortin 4 receptor deficiency0.69
type 2 diabetes mellitus0.51
sexual dysfunction0.49
Bardet-Biedl syndrome0.49
diabetes mellitus0.48
metabolic syndrome0.46
overnutrition0.43

Open Targets ranks 636 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 5 total

BREMELANOTIDEApproval

erectile dysfunction · sexual dysfunction · sexual dysfunction

BREMELANOTIDE ACETATEApproval

mental disorder · sexual dysfunction · physiological sexual disorder

SETMELANOTIDE ACETATEApproval

obesity disorder

SETMELANOTIDEApproval

obesity disorder · Obesity · Bardet-Biedl syndrome

PF-00446687Phase 2

sexual dysfunction · erectile dysfunction

Tractability

SM · Advanced ClinicalSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMPR · Small Molecule BinderOC · Approved Drug

Safety liabilities

weight gain

Clinical trials

22

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (16)

ACTIVE_NOT_RECRUITING · via setmelanotide · NCT06772597

NOT_YET_RECRUITING · via setmelanotide · NCT07496463

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

obesity disorderWell supported
0.98
agreement 0.891.00
Genetic44%Clinical32%Animal model18%Literature7%Genetic literaturedup

Open Targets aggregate 0.79 · 4 independent evidence families · 1 not counted as duplicate

Abnormality of the skeletal systemWell supported
0.96
agreement 0.841.00
Genetic100%

Open Targets aggregate 0.73 · 1 independent evidence family

ObesityWell supported
0.96
agreement 0.861.00
Genetic41%Clinical33%Animal model19%Literature8%Genetic literaturedup

Open Targets aggregate 0.74 · 4 independent evidence families · 1 not counted as duplicate

obesity due to melanocortin 4 receptor deficiencyWell supported
0.91
agreement 0.791.00
Genetic60%Animal model29%Literature11%

Open Targets aggregate 0.69 · 3 independent evidence families

type 2 diabetes mellitusWell supported
0.81
agreement 0.680.95
Genetic85%Literature15%

Open Targets aggregate 0.51 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

2

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. New publication2024-09-13
    Lead-in calorie restriction enhances the weight-lowering efficacy of incretin hormone-based pharmacotherapies in mice.

    Molecular metabolism · 2024 · 7 citations · Europe PMC · via setmelanotide

  2. Regulatory approval2021-07-16

    Approval: Imcivree (EMA)

    ema · regulatory · ema · via setmelanotide

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.