Abstract
Melanin-concentrating hormone (MCH) is a cyclic 19 amino acid orexigenic hypothalamic peptide. MCH is located in the lateral and dorsal hypothalamus, as well as in the zona incerta. In mammals MCH increases food intake, contributes to regulation of energy balance, temperature, reproductive function, endocrine homeostasis and biological rhythms. Several studies have proved the significance of MCH in obesity, diabetes and depression.
Although the peptide is well-characterized in mouse models, much less is known about its functions in avians. In birds the MCH system especially in the lateral and basal hypothalamus has important connections to the limbic system and it coordinates the vegetative and endocrine functions, as well as the emotional behaviour. Pharmacological modulation of MCH system could contribute to the therapy of eating disorders and improve agricultural efficiency regarding avians. Reviewing the current knowledge on MCH system in human, rodents and avians may stimulate a new wave of studies in the field.
1 Introduction
Food intake and energy homeostasis regulation is a complex process. Humoral and neuronal inputs from peripheral organs (i.e. gastrointestinal tract, adipose tissue) are integrated in well-defined brain regions. Hypothalamus and brainstem centres work up these information and decide on the enhancement or reduction of food intake. However, reflecting the complexity of regulation, higher order neocortical, subcortical and limbic areas are also involved (Figure 1.) [1]. To understand the precise mechanism of food intake regulation researchers established several animal models. Although, majority of these studies were carried out in mice, comprehensive analysis on avians are inevitable for phylogenetical and economic reasons.

Brain regions involved in food intake regulation (Human hemisphere, midsagittal view).
2 The melanin-concentrating hormone (MCH) system in human and rodents
Pre-melanin-concentrating hormone (PMCH) gene encodes a preprotein. Proteolytical process generates different proteins (i.e. MCH, neuropeptide-glutamic acid-isoleucine, or neuropeptide-glycine-glutamic acid). In mammals MCH is a 19 amino acid peptide, the N-terminus is extended by two additional amino acids, with a highly conserved loop structure. In the central nervous system (CNS), in rodents and human the PMCH mRNA sequences have a high degree of homology with 90% overall nucleotide identity (Figure 2).
![Figure 2 Phylogenetic tree based on the amino acids sequence of melanin-concentrating hormone (MCH). [Length of lines shows the degree of difference in 6 species compared to the sequence of mouse MCH].](/document/doi/10.1515/med-2018-0040/asset/graphic/j_med-2018-0040_fig_002.jpg)
Phylogenetic tree based on the amino acids sequence of melanin-concentrating hormone (MCH). [Length of lines shows the degree of difference in 6 species compared to the sequence of mouse MCH].
MCH is limited to the magnocellular neurons in the lateral hypothalamus and the zona incerta (Figure 3.). These neurons have monosynaptic connections throughout the brain, projecting to the cortex, amygdala, nucleus accumbens, olfactory tubercle and brainstem nuclei [2, 3]. Overexpression of MCH may enhance food intake, contributes to reduced glucose tolerance and provokes insulin resistance. In the last decade several research groups investigated the potential effects of MCH receptor (MCHR) antagonists on food intake regulation [4]. According to the results MCHR antagonists may be beneficial against obesity, anxiety and depression [3, 5]. A novel promising MCHR1 antagonist SNAP-7941 caused less food intake and body weight [6].

Melanin-concentrating hormone immunopositive (brown) cells on formalin fixed paraffin embedded rat brain slides, haematoxylin counterstain. At low magnification (Panel A – 40x) there are strong immunoreactions in the hypothalamic area (circle). At higher magnification (Panel B – 400x) the reaction is limited to the cytoplasm (arrow).
MCH has two G-coupled receptors, MCHR1 and MCHR2. MCHR1 is 353 amino acids long, has seven transmembrane domains, an aspartic acid–arginine–tyrosine (DRY) motif at the end of the third intracellular loop and three potential glycosylation sites at the N-terminus (Figure 4.). MCHR1 gene is localized on chromosome 22q13.3. The receptor is highly conserved among mammals, sequence homology between human and mouse is 95%; while between human and rat is 96%. When MCH binds to the receptor it suppresses the forskolin-stimulated cAMP activation and increases intracellular Ca2+ level [2, 7].

Structure of melanin-concentrating hormone receptor 1 (MCHR1).
MCHR1 can couple to Gi, G0 and Gq proteins, however the interaction is stronger with Gi and Gq. It stimulates protein kinase C (PKC), phospholipase C (PLC) and other extracellular-signal-regulated kinase pathways (Figure 5.). In the CNS it has diverse effects. Gi-coupled receptors are known to inhibit voltage-gated Ca2+ channels (VGCCs) and to activate K+-inward rectifying channels. MCH inhibit Ca2+ currents through the N-, P-, and with lesser degree the L-types of VGCCs in the neurons of lateral hypothalamus [2].
![Figure 5 Signalling pathways of melanin-concentrating hormone receptor 1 (MCHR1) (left panel) and MCHR2 (right panel). MCH binding to receptors leading to G protein coupling (Gs, Gi, Gq). While, Gi activation causing decreased amount of cAMP (red arrows), Gq resulting in increased mitogen-activated protein kinase (MAPK) activity (blue arrows) via Ras and elevation of intracellular calcium level (mediated by inositol trisphosphate (IP3) and phospholipase C (PLC) activation). This cascade induces changes in cell proliferation and gene transcription. [Protein kinase A=PKA; protein kinase C=PKC; diacylglycerol=DAG; MAPK kinase=MEK] (Adapted from Presse et al. [24])](/document/doi/10.1515/med-2018-0040/asset/graphic/j_med-2018-0040_fig_005.jpg)
Signalling pathways of melanin-concentrating hormone receptor 1 (MCHR1) (left panel) and MCHR2 (right panel). MCH binding to receptors leading to G protein coupling (Gs, Gi, Gq). While, Gi activation causing decreased amount of cAMP (red arrows), Gq resulting in increased mitogen-activated protein kinase (MAPK) activity (blue arrows) via Ras and elevation of intracellular calcium level (mediated by inositol trisphosphate (IP3) and phospholipase C (PLC) activation). This cascade induces changes in cell proliferation and gene transcription. [Protein kinase A=PKA; protein kinase C=PKC; diacylglycerol=DAG; MAPK kinase=MEK] (Adapted from Presse et al. [24])
MCHR1 is highly expressed in the cerebral cortex, basal ganglia, hypothalamus, and brainstem. Interestingly, the highest expression is observed in extrahypothalamic areas anterior olfactory nucleus, piriform cortex and olfactory tubercle. High level of MCHR1 is found in the shell of the nucleus accumbens, an area involved in reward-related behaviour. Furthermore, MCHR1 is highly expressed in the amygdala and hippocampus suggesting its role in the regulation of emotions (i.e. fear or anxiety) and memory. In addition, it has an influence on general mood and arousal levels [2, 5, 7].
MCHR2 receptors are 340 amino acids long, located on the long arm of chromosome 6 (6q16.2-6q21). The homology between MCHR1 and MCHR2 is only 38 %. Surprisingly, rats do not have MCHR2 receptor, whereas it is found in guinea pigs, rabbits, in ferrets, dogs, monkeys and humans. MCHR2 activation increases the intracellular Ca2+ level and it couples to Gq-proteins [2].
In the ob/ob mouse model, the PMCH expression increases two-to three-fold with fasting. Leptin treatment blunts the fasting-induced increase of PMCH mRNA in both the wild type and ob/ob mice. The intracerebroventricular administration of 5 μg MCH to rats led to rapid increase of chow consumption. Compared with control group, MCH-treated animals eat two-three-fold more over a six-hour period. Feeding can also be induced by injection of MCH directly into the paraventricular nucleus. Repetitive intramuscular injection of MCH into rats over a one-week period did not lead to obesity, whereas chronic infusion into the lateral ventricle led to both hyperphagia and weight gain [2, 8, 9]. These studies experimentally confirmed that MCH is essential to fasting response, but unbalanced expression contributes to positive energy balance leading to health problems.
Furthermore, the cytokine receptor interleukin-6 alfa (IL-6Rα) is co-expressed with MCH and orexin in human and mouse hypothalamus in the hypothalamic, perifornical, dorsal and posterior areas, dorsomedial nucleus and in the zona incerta. In addition, MCH and orexin positive neurons contain IL-6Rα, suggesting that immune mechanisms may also be involved in the orchestration of energy balance. [10].
The ventromedial nucleus of hypothalamus (VMH) is a satiety centre and a main target of leptin which inhibits feeding, increases energy expenditure and finally causes weight loss [11].
The lateral hypothalamic area (LHA) is the feeding centre. It has an important role in mediating hyperphagia which is induced by hypoglycaemia [12].
The Dorsomedial hypothalamic nucleus (DMH) has connection to VMH and the LHA and it integrates the information from these nuclei [13].
The ventromedial aspect of the arcuate nucleus, which produces the orexigenic peptides neuropeptide Y (NPY) and agouti-related peptide (AGRP), contains glutamic acid decarboxylase (GAD) and vesicular gamma-aminobutyric acid (GABA) transporter (VGAT). Surprisingly, in the LHA orexin-producing neurons express vesicular glutamate transporter 1 (VGLUT1) or VGLUT2, but not GAD, whereas some MCH cells contain GAD [14,15,16]. The hypothalamus is the primary CNS region to control energy balance, but is also associated with thirst, reproduction, temperature, hormonal balance and biological rhythms. Lesions of lateral hypothalamus produce aphagia, adipsia and weight loss. As a compensatory mechanism MCH expression increases during fasting and encourages food intake [2, 15,16,17,18].
Experimentally MCH administration leads to rapid and robust feeding response, while chronic infusions results in mild obesity. MCH expression changes in states of altered energy balance, such as fasting and obesity. Silencing either PMCH or MCHR genes leads to a lean phenotype [2]. As we discussed MCH antagonists inhibit both feeding and diet-induced obesity [3,4,5].
In mammals, the widespread projections of MCH neurons in the lateral and basal hypothalamus suggest the complex role of peptide in the regulation of feeding behaviour, fluid intake, stress response, reproduction, arousal and sensory-motor integration [19].
3 The MCH system in avians
In avians, the diencephalon is highly developed and implicated in numerous physiological processes. A phylogenetic novelty is the very accurate thermoregulation centre located in bird’s hypothalamus, which is important to maintain the continuously high body temperature of avians. The diencephalon is divided into three parts like in the other vertebrates i.e. the thalamus, hypothalamus and epithalamus. The hypothalamus is a part of the reticular formation. It contains different secretory neurons which have roles in the neuroendocrine regulation [20].
Cardot et al. detected MCH immunopositivity in five species’ brain: Leghorn cocks, Guinea hens, quails, goslings and ducks [21]. Neuronal perikarya were strongly positive in hypothalamus mainly in the periventricular hypothalamic nucleus in all species except the cocks, where only few perikarya showed immunoreactivity. Fibres and nerve terminals were very thin and sparse, especially in ducks and quails. In LHA immunopositivity were found in the periventricular nucleus, the ventricular nucleus and the dorsomedial nucleus. A lot of fibers had positive immunoreaction in the medial area of the thalamus. Although most of them were thin, some were long and unramified.
Regarding the brainstem, innervation by MCH positive neurons was observed in all species in the rostral part of the pons and metencephalon, along the fourth ventricle, in the locus coeruleus, the locus subcoeruleus, the oral pontine reticular nucleus and the linear caudal nucleus. In the medulla oblongata some immunopositive fibers were detected in the medial vestibular nucleus, in the raphe nucleus, the posterior area of the caudal pontine reticular nucleus and the vestibular nuclei. In birds the MCH system, especially in the lateral and basal hypothalamus, has an important role in the limbic system and it coordinates the vegetative and endocrine functions as well as the emotional behaviour [21]. The non-mammalian vertebrates studies have identified several mammalian MCHR1/MCHR2-like receptors. According to the predictions seven mammalian MCHR-like receptor exist (MCHR1-MCHR7) in different species such as zebrafish or coelacanths [22]. However, our knowledge on MCHRs in avians is limited due to the absence of experimental studies. In a recent paper Cui et al. have identified a MCHR1-like receptor (chicken-MCHR4) and a pseudo MCHR2 in chickens [23]. The cMCHR4 is activated by chicken MCH (cMCH) and induces different signalling pathways. They found that cMCHR4 is not orthologous to human MCHR1. As in human, the discovered receptor is also coupled to G-proteins. Regarding anatomical localisation the cMCH expresses predominantly in the hypothalamus, while cMCHR4 expresses widely in the brain. These findings suggest that MCH is highly conserved within vertebrates. Distribution of cMCHR4 can explain the complex regulatory role of MCH system in birds. In addition, fasting increases cMCH mRNA level in chicken hypothalamus indicating its essential function in controlling avian energy balance [23].
4 Conclusion
MCH is highly conservative neuropeptide in mammals and avians, which plays a crucial role in the regulation of food intake and affectivity. A development of selective MCH system modulators could become promising therapeutic options in the treatment of obesity and obesity-related diseases (i.e. diabetes) or depression. Furthermore, in agriculture the enhancement of endogenous MCH levels in livestock may contribute to higher and more economical meat yield. However, detailed morphological and physiological analysis of MCH system in different species is essential to examine the potential effects of novel pharmacological agents on energy homeostasis.
Acknowledgements
Supported by the National Brain Research Program, Hungary 2017-1.2.1-NKP-2017-00002; GINOP-2.3.2-15-2016-00043; AGR_PIAC_13-1-2013-0008(TH); ÚNKP-17-3 New National Excellence Program of the Ministry of Human Capacities and EFOP-3.6.3-VE-KOP-16-2017-00009 (JB).
Conflict of interest
Conflict of interest statement: Authors state no conflict of interest.
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Abbreviations
- AGRP
Agouti-related peptide
- cAMP
Cyclic adenosine monophosphate
- cMCH
Chicken melanin-concentrating hormone
- CNS
Central nervous system
- DMH
Dorsomedial hypothalamic nucleus
- DRY
Aspartic acid-arginine-tyrosine
- GABA
Gamma-aminobutyric acid
- GAD
Glutamic acid decarboxylase
- IL-6Rα
Interleukin 6 receptor α
- LHA
Lateral hypothalamic area
- MCH
Melanin-concentrating hormone
- MCHR
Melanin-concentrating hormone receptor
- NPY
Neuropeptide Y
- PKC
Protein kinase C
- PLC
Phospholipase C
- VGAT
Vesicular GABA transporter
- VGCC
Voltage-gated Ca2+ channels
- VGLUT
Vesicular glutamate transporter
- VMH
Ventromedial nucleus of hypothalamus
© 2018 János Bencze et al., published by De Gruyter
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
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- Genetic testing: ethical aspects
- Intervention for physician burnout: A systematic review
- The melanin-concentrating hormone system in human, rodent and avian brain
- Clinical effects of piribedil in adjuvant treatment of Parkinson’s Disease: A meta-analysis
- Identification of a novel BRAF Thr599dup mutation in lung adenocarcinoma
- Adrenal incidentaloma – diagnostic and treating problem – own experience
- Common illnesses in tropical Asia and significance of medical volunteering
- Genetic risk in insurance field
- Genetic testing and professional responsibility: the italian experience
- The mechanism of mitral regurgitant jets identified by 3-dimensional transesophageal echocardiography
- Control of blood pressure and cardiovascular outcomes in type 2 diabetes
- Pseudomesotheliomatous primary squamous cell lung carcinoma: The first case reported in Turkey and a review of the literature
- Diagnostic efficacy of serum 1,3-β-D-glucan for invasive fungal infection: An update meta-analysis based on 37 case or cohort studies
- GPER was associated with hypertension in post-menopausal women
- Metabolic activity of sulfate-reducing bacteria from rodents with colitis
- Association of miRNA122 & ADAM17 with lipids among hypertensives in Nigeria
- The efficacy and safety of enoxaparin: a meta-analysis
- Cuffed versus uncuffed endotracheal tubes in pediatrics: a meta-analysis
- Thresholding for medical image segmentation for cancer using fuzzy entropy with level set algorithm
- Sleep deprivation in Intensive Care Unit – systematic review
- Benefits of computed tomography in reducing mortality in emergency medicine
- Ipragliflozin ameliorates liver damage in non-alcoholic fatty liver disease
- Limits of professional competency in nurses working in Nicu
- MDA-19 suppresses progression of melanoma via inhibiting the PI3K/Akt pathway
- The effect of smoking on posttraumatic pseudoarthrosis healing after internal stabilization, treated with platelet rich plasma (PRP)
- Partial deletion of the long arm of chromosome 7: a case report
- Meta-analysis of PET/CT detect lymph nodes metastases of cervical cancer
- High Expression of NLRC5 is associated with prognosis of gastric cancer
- Is monitoring mean platelet volume necessary in breast cancer patients?
- Resectable single hepatic epithelioid hemangioendothelioma in the left lobe of the liver: a case report
- Epidemiological study of carbapenem-resistant Klebsiella pneumoniae
- The CCR5-Delta32 genetic polymorphism and HIV-1 infection susceptibility: a meta-analysis
- Phenotypic and molecular characterisation of Staphylococcus aureus with reduced vancomycin susceptibility derivated in vitro
- Preliminary results of Highly Injectable Bi-Phasic Bone Substitute (CERAMENT) in the treatment of benign bone tumors and tumor-like lesions
- Analysis of patient satisfaction with emergency medical services
- Guillain-Barré syndrome and Low back pain: two cases and literature review
- HELLP syndrome complicated by pulmonary edema: a case report
- Pharmacokinetics of vancomycin in patients with different renal function levels
- Recurrent chronic subdural hematoma: Report of 13 cases
- Is awareness enough to bring patients to colorectal screening?
- Serum tumor marker carbohydrate antigen 125 levels and carotid atherosclerosis in patients with coronary artery disease
- Plastic treatment for giant pseudocyst after incisional hernia mesh repair: a case report and comprehensive literature review
- High expression levels of fascin-1 protein in human gliomas and its clinical relevance
- Thromboembolic complications following tissue plasminogen activator therapy in patients of acute ischemic stroke - Case report and possibility for detection of cardiac thrombi
- The effects of gastrointestinal function on the incidence of ventilator-associated pneumonia in critically ill patients
- A report of chronic intestinal pseudo-obstruction related to systemic lupus erythematosus
- Risk model in women with ovarian cancer without mutations
- Direct oral anticoagulants and travel-related venous thromboembolism
- How bispectral index compares to spectral entropy of the EEG and A-line ARX index in the same patient
- Henoch-schonlein purpura nephritis with renal interstitial lesions
- Cardiovascular risk estimated by UKPDS risk engine algorithm in diabetes
- CD5 and CD43 expression are associate with poor prognosis in DLBCL patients
- Combination of novoseven and feiba in hemophiliac patients with inhibitors