Where it comes from
- Made in
- Pituitary corticotrophs, hypothalamic POMC neurons, and the intermediate lobe
- Sent out by
- With ACTH; in rodents, a high-salt diet raises it
- Acts on
- Kidney and sympathetic nerves (sodium balance)
- Adrenal cortex (growth)
- Hypothalamus (energy balance)
What it does
In medicine
- None of its own, and no assay in routine use; the melanocortin medicines act on MC1R and MC4R rather than MC3R
- People carrying loss-of-function MC3R variants enter puberty later and are shorter and leaner in childhood, with lower IGF-1 1
Beyond the body’s own use
- No gamma-MSH product exists and none is in trial; the interest has moved to its receptor
- The salt-handling story is a rodent one: mice without MC3R become salt-sensitive and hypertensive, and nothing equivalent has been shown in people 2
- The human finding that holds is about growth and puberty, and it suggests MC3R decides where calories go while MC4R decides how many are taken in 1
- MC3R-selective agonists and antagonists exist as laboratory tools only, and no clinical use has been proposed for them
Sources
This card describes what a medicine is for and what the evidence says; it recommends nothing. Talk to your clinician about anything you read here.