Receptor protein in the brain controls the body’s fat ‘rheostat’

Our bodies have mechanisms to balance the amount of energy we take in, through food consumption, and the amount of energy we use. When we lose weight, the brain increases hunger and signals the body to conserve energy. If we are using less energy, the brain sends signals to reduce food intake. This so-called energy homeostasis, or balance, is controlled in part by another receptor protein that Cone’s research group discovered, the melanocortin 4 receptor (or MC4R).



Just like a rheostat on the wall determines how much energy goes into a light bulb, rheostasis in this case sets the upper or lower boundaries for how far the energy balance can shift before the MC4R protein will take action to restore the balance. When the body experiences some sort of metabolic stress that shifts energy levels — fasting or eating a high-fat diet, for example — MC3R ensures that the balance of energy and fat in the body does not drift too far in either direction.



This role in rheostasis makes MC3R a promising new drug target for treating obesity.



“When we eat less and exercise more to lose weight, our bodies sense when the energy balance has tipped below the established lower boundary and try to adjust by using less energy and increasing appetite, to return to homeostasis. This lower boundary is what makes it difficult to keep weight off,” explains lead study author Masoud Ghamari-Langroudi, M.D., Ph.D., of the Vanderbilt University School of Medicine.



“A drug that targets MC3R has the potential to work as a diet aid, by reducing the rigidity of that lower boundary,” Cone says. “In many ways, it’s an ideal drug target because it could enable people to keep the weight off when they improve eating and exercise habits.

The protein also plays a role in regulating changes in the body’s energy balance that occur as part of the normal life cycle. During both pregnancy and menopause, for example, females experience an increase in the amount of fat reserves stored in the body. While at Vanderbilt, Rachel Lippert, Ph.D., made the unusual discovery that mice lacking the MC3R protein gain less weight than they should during pregnancy, and gain more weight than normal mice during a mouse model of menopause.



These seemingly contradictory effects are why the protein perplexed researchers for so long. Cone and his colleagues discovered both MC3R and MC4R in mouse brains in the mid-1990s. The researchers, along with other laboratories around the world, fairly quickly determined MC4R’s role in maintaining the setpoint for energy homeostasis. A lack of MC4R is now known to be the most common cause of syndromic obesity in humans.



Scientists did not understand why the MC3R protein, in contrast, sometimes led to excessive weight loss and other times to excessive weight gain. 



“And now,” Cone says, “we finally we have an answer.”