Identification of a novel specific small-molecule melanocortin-2-receptor antagonist

The overproduction of adrenocorticotropic hormone (ACTH), in conditions such as Cushing’s disease and congenital adrenal hyperplasia (CAH), leads to significant morbidity. Current treatment with glucocorticoids does not adequately suppress plasma ACTH, resulting in excess adrenal androgen production...

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Main Authors: Rachel Forfar, Mashal Hussain, Puneet Khurana, Jennifer Cook, Steve Lewis, Dillon Popat, David Jackson, Ed McIver, Jeff Jerman, Debra Taylor, Adrian JL Clark, Li F Chan
Format: Article
Language:English
Published: Bioscientifica 2022-11-01
Series:Endocrine Connections
Subjects:
Online Access:https://ec.bioscientifica.com/view/journals/ec/11/12/EC-22-0338.xml
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author Rachel Forfar
Mashal Hussain
Puneet Khurana
Jennifer Cook
Steve Lewis
Dillon Popat
David Jackson
Ed McIver
Jeff Jerman
Debra Taylor
Adrian JL Clark
Li F Chan
author_facet Rachel Forfar
Mashal Hussain
Puneet Khurana
Jennifer Cook
Steve Lewis
Dillon Popat
David Jackson
Ed McIver
Jeff Jerman
Debra Taylor
Adrian JL Clark
Li F Chan
author_sort Rachel Forfar
collection DOAJ
description The overproduction of adrenocorticotropic hormone (ACTH), in conditions such as Cushing’s disease and congenital adrenal hyperplasia (CAH), leads to significant morbidity. Current treatment with glucocorticoids does not adequately suppress plasma ACTH, resulting in excess adrenal androgen production. At present, there is no effective medical treatment in clinical use that would directly block the action of ACTH. Such a therapy would be of great clinical value. ACTH acts via a highly selective receptor, the melanocortin-2 receptor (MC2R) associated with its accessory protein MRAP. ACTH is the only known naturally occurring agonist for this receptor. This lack of redundancy and the high degree of ligand specificity suggest that antagonism of this receptor could provide a useful therapeutic strategy in the treatment of conditions of ACTH excess. To this end, we screened an extensive library of low-molecular-weight drug-like compounds for MC2R antagonist activity using a high-throughput homogeneous time-resolved fluorescence cAMP assay in Chinese hamster ovary cells stably co-expressing human MC2R and MRAP. Hits that demonstrated MC2R antagonist properties were counter-screened against the β2 adrenergic receptor and dose–response analysis undertaken. This led to the identification of a highly specific MC2R antagonist capable of antagonising ACTH-induced progesterone release in murine Y-1 adrenal cells and having selectivity for MC2R amongst the human melanocortin receptors. This work provides a foundation for the clinical investigation of small-molecule ACTH antagonists as therapeutic agents and proof of concept for the screening and discovery of such compounds.
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spelling doaj.art-a3421e3c0a9b4225a1499774c9548e052022-12-22T04:34:57ZengBioscientificaEndocrine Connections2049-36142022-11-01111218https://doi.org/10.1530/EC-22-0338Identification of a novel specific small-molecule melanocortin-2-receptor antagonistRachel Forfar0Mashal Hussain1Puneet Khurana2Jennifer Cook3Steve Lewis4Dillon Popat5David Jackson6Ed McIver7Jeff Jerman8Debra Taylor9Adrian JL Clark10Li F Chan11Centre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Endocrinology, William Harvey Research Institute, Queen Mary University of London, London, UKCentre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Endocrinology, William Harvey Research Institute, Queen Mary University of London, London, UKCentre for Endocrinology, William Harvey Research Institute, Queen Mary University of London, London, UKCentre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Therapeutics Discovery, LifeArc, Accelerator Building, Open Innovation Campus, Stevenage, UKCentre for Endocrinology, William Harvey Research Institute, Queen Mary University of London, London, UKCentre for Endocrinology, William Harvey Research Institute, Queen Mary University of London, London, UKThe overproduction of adrenocorticotropic hormone (ACTH), in conditions such as Cushing’s disease and congenital adrenal hyperplasia (CAH), leads to significant morbidity. Current treatment with glucocorticoids does not adequately suppress plasma ACTH, resulting in excess adrenal androgen production. At present, there is no effective medical treatment in clinical use that would directly block the action of ACTH. Such a therapy would be of great clinical value. ACTH acts via a highly selective receptor, the melanocortin-2 receptor (MC2R) associated with its accessory protein MRAP. ACTH is the only known naturally occurring agonist for this receptor. This lack of redundancy and the high degree of ligand specificity suggest that antagonism of this receptor could provide a useful therapeutic strategy in the treatment of conditions of ACTH excess. To this end, we screened an extensive library of low-molecular-weight drug-like compounds for MC2R antagonist activity using a high-throughput homogeneous time-resolved fluorescence cAMP assay in Chinese hamster ovary cells stably co-expressing human MC2R and MRAP. Hits that demonstrated MC2R antagonist properties were counter-screened against the β2 adrenergic receptor and dose–response analysis undertaken. This led to the identification of a highly specific MC2R antagonist capable of antagonising ACTH-induced progesterone release in murine Y-1 adrenal cells and having selectivity for MC2R amongst the human melanocortin receptors. This work provides a foundation for the clinical investigation of small-molecule ACTH antagonists as therapeutic agents and proof of concept for the screening and discovery of such compounds.https://ec.bioscientifica.com/view/journals/ec/11/12/EC-22-0338.xmlmrapmc2radrenalgpcr antagonismdrug discovery
spellingShingle Rachel Forfar
Mashal Hussain
Puneet Khurana
Jennifer Cook
Steve Lewis
Dillon Popat
David Jackson
Ed McIver
Jeff Jerman
Debra Taylor
Adrian JL Clark
Li F Chan
Identification of a novel specific small-molecule melanocortin-2-receptor antagonist
Endocrine Connections
mrap
mc2r
adrenal
gpcr antagonism
drug discovery
title Identification of a novel specific small-molecule melanocortin-2-receptor antagonist
title_full Identification of a novel specific small-molecule melanocortin-2-receptor antagonist
title_fullStr Identification of a novel specific small-molecule melanocortin-2-receptor antagonist
title_full_unstemmed Identification of a novel specific small-molecule melanocortin-2-receptor antagonist
title_short Identification of a novel specific small-molecule melanocortin-2-receptor antagonist
title_sort identification of a novel specific small molecule melanocortin 2 receptor antagonist
topic mrap
mc2r
adrenal
gpcr antagonism
drug discovery
url https://ec.bioscientifica.com/view/journals/ec/11/12/EC-22-0338.xml
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