Five switches

The five receptors

MC1R through MC5R — five G-protein-coupled receptors that read one signal in five different tissues. Learn these five and the whole field falls into place: pigment, cortisol, appetite, inflammation, and secretion.

By melanocortin.com editorialLast updated 2026

The genius of the system is thrift — one signal, read five ways, so a single family of hormones can watch over skin, stress, hunger, and repair at once.

Everything in this field routes through five receptors. Same messenger, five different rooms — and in each room a different job: the colour switch in skin, the cortisol trigger in the adrenal gland, the appetite brake in the brain. It is the shortest path into the whole system, because every drug and every disease here comes back to one of these five.

What the five have in common

The melanocortin receptors are close cousins — a tight subfamily of class-A (rhodopsin-like) G-protein-coupled receptors. Three features are shared across all five, and they are worth holding in mind before the differences:[1]

  • One activation key. The melanocortin peptides cut from POMC all carry the same central His-Phe-Arg-Trp motif, and that four-residue core is what physically switches the receptor on. It is why a single hormone family can address five receptors — and why drugs copy that exact sequence.[1]
  • One main wire. Activated, each receptor couples to the stimulatory G-protein Gs, raising the second messengercyclic AMP inside the cell. The downstream effect differs only because different cells are listening — a melanocyte makes pigment, an adrenal cell makes cortisol.[1]
  • A recurring need for help. Several of these receptors depend on small accessory proteins (MRAP and MRAP2) to fold, reach the surface, or tune their output. MC2R cannot function at all without MRAP; MRAP2 modulates the appetite receptors.[2]

The system also builds in its own off switches. Where most receptor families are pushed only by agonists, the melanocortins have dedicated endogenous antagonists: agouti signalling protein (ASIP) blocks MC1R to lighten skin and coat, and agouti-related peptide (AgRP) opposes MC3R and MC4R to drive hunger — the latter acting as a true inverse agonist that pushes the receptor below its resting activity.[1]

The five at a glance

Same chemistry, five destinations. This is the whole family on one screen — each receptor links to its full reference page.

ReceptorWhere it actsMain jobKey ligandsWhen it failsApproved drug
MC1RSkin & hair (melanocytes); immune cellsSets pigment — protective eumelanin vs. pale pheomelaninα-MSH, ACTH; ASIP blocksRed hair, fair skin, ↑ melanoma riskAfamelanotide
MC2RAdrenal cortexCortisol output at the bottom of the stress axisACTH onlyFamilial glucocorticoid deficiency— (needs MRAP to work)
MC3RHypothalamus; gut, heart, immune cellsEnergy partitioning; timing of growth & pubertyα-, β-, γ-MSH, ACTH; AgRP blocksLater puberty, reduced lean mass
MC4RHypothalamus & wider CNSThe appetite & body-weight rheostatα-MSH; AgRP is an inverse agonistCommonest single-gene cause of severe obesitySetmelanotide, bremelanotide
MC5RExocrine glands (sebaceous, lacrimal); immune cellsExocrine secretion — sebum and lipidsα-MSH, ACTHDefective sebum (mouse); human role emerging

Explore each receptor

Each has a full reference page — the mechanism, the human genetics, and the drugs that target it. Or trace which ligands hit which receptor in the interactive explorer.

Common questions

How many melanocortin receptors are there?

Five: MC1R, MC2R, MC3R, MC4R and MC5R. All are G-protein-coupled receptors that respond to melanocortin peptides derived from POMC, but each is expressed in different tissues and controls a different job — pigment, cortisol, energy partitioning, appetite and exocrine secretion respectively.

What do the melanocortin receptors have in common?

They share a common activation mechanism: melanocortin peptides carry the same core His-Phe-Arg-Trp sequence that switches the receptors on, and all five couple mainly to the Gs protein and raise the second messenger cyclic AMP. What differs is where each receptor sits and what that cAMP signal is wired to do.

Which melanocortin receptors are drug targets?

Two are targeted by approved drugs today: MC1R (afamelanotide, for a rare light-sensitivity disorder) and MC4R (setmelanotide for rare obesity, and bremelanotide for low sexual desire). MC3R and MC5R are studied but have no approved drug, and MC2R is targeted only indirectly through the ACTH stress axis.

Why does one hormone control such different things?

Because the same messenger is read by five different receptors in five different places. Evolution reused one signalling chemistry — a POMC-derived peptide activating a Gs-coupled receptor — and wired it to pigment in the skin, cortisol in the adrenal gland, and appetite in the brain. That is why a drug aimed at one receptor can have effects that look unrelated, such as skin darkening from an appetite agent.

References

  1. 1.Cone RD. Studies on the physiological functions of the melanocortin system. Endocr Rev. 27(7):736–49. 2006. link ↗
  2. 2.Ramachandrappa S, Gorrigan RJ, Clark AJL, Chan LF. The melanocortin receptors and their accessory proteins. Front Endocrinol (Lausanne). 4:9. 2013. link ↗
  3. 3.Harno E, Gali Ramamoorthy T, Coll AP, White A. POMC: the physiological power of hormone processing. Physiol Rev. 98(4):2381–2430. 2018. link ↗