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Endocrinology Vol. 139, No. 5 2348-2355
Copyright © 1998 by The Endocrine Society


ARTICLES

Expression of Melanocortin-5 Receptor in Secretory Epithelia Supports a Functional Role in Exocrine and Endocrine Glands1

Manou van der Kraan, Roger A. H. Adan, Margaret L. Entwistle, Willem Hendrik Gispen, J. Peter H. Burbach and Jeffrey B. Tatro

Rudolf Magnus Institute for Neurosciences, Department of Medical Pharmacology, Utrecht University, 3508 TA Utrecht, The Netherlands; and the Division of Endocrinology, Diabetes, Metabolism, and Molecular Medicine, Department of Medicine, and the Tupper Research Institute, Tufts University School of Medicine and New England Medical Center Hospitals (M.L.E., J.B.T.), Boston, Massachusetts 02111

Address all correspondence and requests for reprints to: Dr. Roger A. H. Adan, Rudolf Magnus Institute for Neurosciences, Department of Medical Pharmacology, Utrecht University, P.O. Box 80040, 3508 TA Utrecht, The Netherlands. E-mail: R.A.H.Adan{at}med.ruu.nl


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Melanocortins ({alpha}MSH and ACTH-related peptides) influence the physiological functions of certain peripheral organs, including exocrine and endocrine glands. This study was designed to determine the identity and anatomical localization of the melanocortin receptors (MC-R) expressed in these organs in the rat. MC5-R messenger RNA was found in exocrine glands, including lacrimal, Harderian, preputial, and prostate glands and pancreas, as well as in adrenal gland, esophagus, and thymus, as demonstrated by ribonuclease protection assays. In exocrine glands, MC5-R messenger RNA expression was restricted to secretory epithelia. MC-R protein was likewise present in secretory epithelia of exocrine glands, as determined by 125I-labeled [Nle4,D-Phe7]{alpha}MSH ([125I]NDP-MSH) binding and autoradiography in tissue sections. Specific [125I]NDP-MSH binding was also observed in adrenal cortex, thymus, spleen, and esophageal and trachealis muscle. MC receptors in these sites are accessible to circulating MC-R agonists in vivo, as specific binding of [125I]NDP-MSH was observed in exocrine and adrenal glands after systemic injection in vivo. Taken together, these findings show that the MC5 receptor is commonly and selectively expressed in exocrine glands and other peripheral organs. Based on these findings and compelling evidence from other studies, a functional coherence is suggested between central and peripheral actions of melanocortins and melanocortin receptors in physiological functions, including thermoregulation, immunomodulation, and sexual behavior.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CLASSICALLY, the melanocortins {alpha}MSH and ACTH are known for their abilities to stimulate pigmentation and adrenal glucocorticoid secretion, respectively. Melanocortins can also affect the functions of a wide range of peripheral organs, including exocrine and endocrine glands and cells of the immune system (1, 2).

Previously, it was demonstrated that a radioiodinated melanocortin agonist, [Nle4,D-Phe7]{alpha}MSH (NDP-MSH), bound specifically in a number of putative peripheral target organs of rats and mice in vivo, particularly in the exocrine lacrimal and preputial glands (3). These findings implied the presence of melanocortin receptors in these organs. In the lacrimal gland, {alpha}MSH stimulates acinar secretion (4, 5), and high levels of adenylate cyclase-coupled melanocortin receptors were demonstrated in acinar cells by classical methods (6, 7). Furthermore, melanocortins have trophic and other actions in vivo on exocrine glands, including the preputial and prostate glands (8, 9, 10). Melanocortin receptors in these tissues of similar function might provide a common molecular substrate for a group of related biological actions of melanocortins.

Five different melanocortin receptor (MC-R) subtypes, designated MC1-R through MC5-R, have been cloned and characterized. The MC1 and MC2 receptors are believed to be the classical melanocytic {alpha}MSH and adrenocortical ACTH receptors, respectively (2, 11, 12). Expression of MC4-R appears to be restricted to the nervous system (13, 14), and messenger RNA (mRNA) encoding MC3-R is also principally present in the brain, although low levels of expression have been reported in placenta and gut tissues (15, 16, 17). MC5-R is the only MC-R subtype for which widespread mRNA expression has been detected among peripheral tissues (18, 19, 20), thus identifying this receptor as a candidate mediator of many previously recognized peripheral melanocortin actions.

The present studies were designed to identify the subtype of MC-R that may mediate the actions of melanocortins in exocrine glands and several other putative peripheral target tissues of the rat and to determine the anatomical localization within these tissues. The studies focused on organs previously found to exhibit specific NDP-MSH binding (3) and extended to several additional targets of interest, such as the prostate gland, lymphoid organs, and skeletal muscle. The results show that the MC5-R subtype is commonly and selectively expressed in these tissues in the rat. The findings support a potential role of MC5-R in epithelial cell function in exocrine and endocrine glands and support a direct immunomodulatory role of melanocortins in lymphoid organs. Indeed, while this work was in progress, Chen et al. reported the expression of functional MC5-R in exocrine glands of the mouse and exocrine dysfunction after targeted genetic disruption of the MC5-R gene (21). In accordance with those findings, the present studies suggest a functional role for MC5-R in exocrine glands as well as adrenal cortex and certain other tissues in the rat.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Ribonuclease (RNase) protection assay
Male Wistar rats (150–200 g) were used. All experimental procedures were approved by the ethical committees on animal experiments of the local authorities. Total RNA was isolated from various tissues using acid guanidinium thiocyanate/phenol/chloroform extraction as described by Chomczynski and Sacchi (22). Antisense 32P-labeled RNA probes ([{alpha}-32P]CTP; 800 Ci/mmol; ICN, Costa Mesa, CA) were transcribed in vitro from the following templates: a 312-bp rat MC3-R complementary DNA (cDNA) fragment (from +592 to +904 bp relative to translation initiation), a 180-bp rat MC4-R cDNA fragment (from +426 to +606 bp), a 198-bp rat MC5-R cDNA fragment (from +402 to +600 bp), and a 55-bp rat glyceraldehyde-3-phosphate dehydrogenase (GAPDH) cDNA fragment (from +178 to +233 bp). Total RNA samples (35 µg) were incubated overnight at 50 C with 5,000 cpm antisense MC-R probe and 50,000 cpm antisense GAPDH probe. After digestion with RNase Cocktail (Ambion, Houston, TC; diluted to a final concentration of 40 µg/ml RNase A and 800 U/ml RNase T1), the samples were analyzed by electrophoresis on a denaturing 6% polyacrylamide gel and autoradiographed.

In situ hybridization
Cryostat sections (20 µm) on polylysine-coated slides were fixed in 4% paraformaldehyde in PBS for 5 min, washed, pretreated with 0.25% acetic anhydride in 0.1 M triethanolamine, and dehydrated in graded ethanol. 35S-Labeled antisense and sense RNA probes ([{alpha}-35S]UTP; 800 Ci/mmol; ICN) were transcribed from the MC receptor cDNA templates described in the previous section. The sections were hybridized overnight at 55 C with 106 cpm probe in buffer containing 50% formamide and 2 x SSC (standard saline citrate). Slides with adjacent sections were hybridized with sense probe to determine the specificity of hybridization. After hybridization, the sections were washed in 50% formamide-2 x SSC at 65 C, treated with RNase A (20 µg/ml) for 20 min at 37 C, washed in 50% formamide-2 x SSC at 65 C and 0.1 x SSC at room temperature, and dehydrated. The slides were coated with liquid autoradiography emulsion (NTB-2, Eastman Kodak, Rochester, NY) and exposed for 2–4 weeks. After development, the sections were counterstained with cresyl violet.

In vitro [125I]NDP-MSH binding and autoradiography
In vitro tissue binding and autoradiography were performed as previously described (6), using the synthetic agonist [125I]NDP-MSH, which binds with high affinity to MC1-R, MC3-R, MC4-R, and MC5-R. The results for each organ studied represent a total of three to seven rats, except for esophagus (n = 1). Briefly, tissues were rapidly removed, frozen on dry ice, and stored at -80 C. Serial 8-µm cryostat sections were prepared, mounted, and dried under vacuum at 4 C. NDP-MSH was radioiodinated (6, 23), and binding incubations were performed as described previously (6). Briefly, the unfixed frozen sections were subjected to a preincubation wash, 2-h exposure to [125I]NDP-MSH (4–7 x 105 dpm/ml) in binding buffer, a series of brief washes to stop the binding reaction, rapid air-drying, fixation in paraformaldehyde vapors, and defatting. Autoradiography was performed by two methods. Slides were exposed directly to x-ray film [3H-Ultrofilm, LKB (Rockville, MD) or Biomax MR, Kodak] for 1–3 weeks at room temperature, or for visualization of MC-R distribution at the microscopic level, slides were coated with liquid photographic emulsion (NTB-2, Kodak) and exposed for 3–21 days at room temperature. For each slide incubated in the presence of [125I]NDP-MSH only, a slide containing adjacent serial sections was exposed to [125I]NDP-MSH in the presence of 1 mM {alpha}MSH to determine the specificity of tracer binding, and a slide containing adjacent sections was subjected to fixation and hematoxylin-eosin staining for anatomical reference.

In vivo [125I]NDP-MSH tissue distribution and autoradiographic localization
Rats (n = 6) were anesthetized with sodium pentobarbital (35 mg/kg) and injected via the left jugular vein with a solution containing [125I]NDP-MSH (6.7 x 105 dpm) in 200 µl 0.15 M NaCl-10 mM sodium phosphate, pH 7.4. To determine the specificity of [125I]NDP-MSH localization, the injectates for half of the rats (n = 3) also contained 0.5 mg {alpha}MSH, an amount of the native agonist sufficient to compensate for both the greater MC-R binding affinity and the greater in vivo stability of NDP-MSH. After 10 min, the rats were killed, and the tissues of interest were harvested rapidly and processed for cryosectioning and x-ray film autoradiography as described above for in vitro binding experiments. Sections taken from rats treated with tracer alone and from rats treated with tracer plus {alpha}MSH were mounted in alternating rows on each slide to ensure identical autoradiographic exposure conditions.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of MC-R subtype mRNA in rat peripheral tissues
To identify the subtype(s) of melanocortin receptors present in putative peripheral target tissues for melanocortins, various rat peripheral tissues were assayed for the presence of MC3-R, MC4-R, and MC5-R mRNA transcripts with RNase protection assays. As shown in Fig. 1AGo, MC5-R mRNA was detected in exocrine glands, including the extraorbital lacrimal, Harderian, preputial, and prostate glands. MC5-R transcripts were also demonstrated in pancreas, adrenal glands, esophagus, and thymus (Fig. 1AGo). Among these tissues, the highest levels of MC5-R mRNA were found in lacrimal, Harderian, and preputial glands. In contrast, neither MC3-R nor MC4-R mRNA was detectable in any of the exocrine glands, pancreas, or esophagus (Fig. 1BGo). In the thymus, MC3-R, but not MC4-R, transcripts were also detected (Fig. 1BGo) and appeared to be expressed somewhat more abundantly than MC5-R mRNA.



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Figure 1. Expression of MC-R mRNA in multiple peripheral tissues. Shown are RNase protection assay autoradiograms. A, MC5-R mRNA; B, MC3-R and MC4-R mRNA. GAPDH was used as internal reference in each RNA sample. The positive control used for MC3-R and MC4-R mRNA was a mixture of RNA extracted from 293HEK cells stably transfected with MC3-R and MC4-R cDNA, respectively. Yeast transfer RNA was used as the negative control. Note the specific expression of MC5-R in multiple peripheral tissues, including exocrine glands, adrenal gland, thymus, and esophagus.

 
Transcripts for MC3-R, MC4-R, and MC5-R were not detectable in thyroid gland, seminal vesicle, spleen, or liver or in hindlimb skeletal muscle (Fig. 1Go), in contrast with the reported high levels of MC5-R transcripts in mouse skeletal muscle (19). Nevertheless, MC5-R mRNA was readily detected in mouse hindlimb muscle using the present assay (data not shown), indicating that the difference in skeletal muscle MC5-R mRNA content between mice and rats was due to a true species difference rather than to interlaboratory differences in technique.

Localization of MC5-R mRNA in exocrine glands
The intraorgan distribution of MC5-R mRNA was determined by in situ hybridization in tissues shown to contain MC5-R transcripts by RNase protection assays. In the lacrimal gland, MC5-R mRNA was abundantly expressed throughout the acinar secretory epithelium of the entire organ, but was absent from ducts and stromal elements (Fig. 2Go, A and B). In the preputial gland, high level MC5-R hybridization was likewise restricted to exocrine secretory units (Fig. 2Go, D and E). In contrast, no hybridization was detectable in either lacrimal or preputial glands using a MC3-R probe (Fig. 2Go, C and F). Using sense MC3-R or MC5-R probe, no hybridization was detected in either lacrimal or preputial glands, demonstrating the specificity of hybridization (not shown). In tissues with relatively low MC5-R mRNA expression, such as prostate or pancreas, no specific MC5-R hybridization was detected (not shown).



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Figure 2. In situ localization of MC5-R mRNA in exocrine glands. Shown are emulsion-coated sections of lacrimal (A–C) and preputial (D–F) glands. A and B, Lacrimal gland, MC5-R hybridization (A, phase contrast; B, darkfield); C, lacrimal gland, MC3-R hybridization (phase contrast); D and E, preputial gland, MC5-R hybridization (D, phase contrast; E, darkfield); F, preputial gland, MC3-R hybridization (phase contrast photomicrograph). MC5-R mRNA is expressed throughout secretory acini (arrows) in the lacrimal gland (A and B) and in secretory epithelia (arrows) in the preputial gland (D and E), but is absent from stromal elements or lumina (L). No MC3-R mRNA hybridization is found in lacrimal (C) or preputial (F) glands. No hybridization was detected in lacrimal or preputial gland sections using sense MC-R probes (not shown). Bars = 50 µm.

 
In vitro localization of [125I]NDP-MSH binding
The tissue distribution of MC-R protein in putative melanocortin target organs was determined by in vitro radioligand binding and autoradiography using the nonselective MC-R agonist [125I]NDP-MSH, which binds with high affinity to MC1-R, MC3-R, MC4-R, and MC5-R. Among exocrine glands, specific binding was observed in the extraorbital lacrimal gland as described previously (6, 7) (not shown), the preputial gland, and the ventral portion of the prostate gland (Fig. 3Go, left panel, and Fig. 4Go). In contrast, specific [125I]NDP-MSH binding was absent from the dorsolateral part of the prostate, a histologically similar, but functionally, distinct tissue (Fig. 4CGo). In the preputial and prostate glands (Figs. 3Go and 4Go) and in the lacrimal gland as reported previously (6, 7) (not shown), the autoradiographic signal was localized over the secretory epithelial cells and was lacking from the connective tissue elements and other stroma. A moderate level of specific binding was also found in pancreas (Fig. 3Go, left panel), which appeared to reflect binding to the exocrine portion of the gland because of the relatively uniform distribution of signal over the tissue and the scarcity or complete absence of islets in these regions. It was not determined whether MC-R proteins were present in pancreatic islets. [125I]NDP-MSH binding in the exocrine glands was inhibited by excess {alpha}MSH, demonstrating the specificity of binding (Fig. 3Go, right panels). In the Harderian gland, a fairly high level of [125I]NDP-MSH binding was observed, but this binding could not be inhibited by excess {alpha}MSH or NDP-MSH (not shown). This might be due to the presence of intracellular pigments or other factors that bind tracer nonspecifically, overriding the specific binding signal, rather than to an absence of specific melanocortin receptors. This reasoning is based on the observations that high levels of MC5-R transcripts and tissue binding were found, and that high levels of {alpha}MSH-inhibitable [125I]NDP-MSH localization were readily demonstrated in Harderian glands of both rats and mice in vivo (3), a situation in which the integrity of the plasma membrane prevents direct tracer access to the intracellular compartment.



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Figure 3. Autoradiographic localization of specific melanocortin binding in vitro in exocrine glands of the rat. Shown are x-ray film autoradiograms of tissue sections exposed to [125I]NDP-MSH in the absence (left panels) or presence (right panels) of 10-6 M {alpha}MSH. A, Preputial gland; B, ventral lobe of prostate gland; C, pancreas. The specificity of binding is indicated by the inhibition of tracer binding to background levels by {alpha}MSH. Bar = 2 mm. The extraorbital lacrimal gland also showed intense specific [125I]NDP-MSH binding in acinar cells, as reported previously (6) (not shown).

 


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Figure 4. Microscopic localization of in vitro specific melanocortin binding in preputial gland (A), ventral lobe of prostate (B), and dorsolateral lobe of prostate (C). Shown are darkfield photomicrographs of emulsion-coated tissue sections exposed to [125I]NDP-MSH in vitro. In preputial gland and ventral prostate lobe, intense binding signal is localized over secretory epithelium (arrows), but is lacking over stromal elements and lumina (L). Tracer binding was reduced to background levels in the presence of excess {alpha}MSH (not shown). Note the absence of tracer binding in dorsolateral prostate lobe (C). Bars = 100 µm.

 
In adrenal cortex, specific binding of [125I]NDP-MSH was observed in the zona glomerulosa; somewhat lower intensity binding was also observed in zonae fasciculata and reticularis, but was absent from the medulla (Fig. 5Go, left panels). The specificity of adrenal [125I]NDP-MSH binding was shown by its inhibition in the presence of {alpha}MSH (Fig. 5Go, right panels). There was no autoradiographic evidence of [125I]NDP-MSH binding in the thyroid and parathyroid glands (not shown). In contrast, in the same tissue sections containing the thyroid, robust binding of [125I]NDP-MSH was observed in the longitudinal muscle layer of the esophagus and in the smooth muscle fibers of the trachealis muscle (Fig. 6Go, left panel). No binding was observed in the presence of excess {alpha}MSH (Fig. 6Go, right panel). A low level of specific binding was evident in the sternothyroid muscle (not shown).



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Figure 5. In vitro autoradiographic localization of specific melanocortin binding in adrenal glands of the rat. Serial tissue sections were exposed to [125I]NDP-MSH in the absence (left panels) or presence (right panels) of 10-6 M {alpha}MSH. A, X-Ray film autoradiograms (bar = 3 mm); B, emulsion autoradiograms (bar = 100 µ). Note a relatively intense band of binding in the zona glomerulosa (zg), whereas specific binding is present at a lower level in the inner cortical zones and is absent from the medulla (m).

 


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Figure 6. Emulsion autoradiograms of specific melanocortin binding in cross-sections of the esophagus (eso) and the dorsal wall of the trachea, showing [125I]NDP-MSH binding in the absence (left panel) or presence (right panel) of 10-6 M {alpha}MSH. Note the intense binding throughout the longitudinal muscle layer (lm) of the esophagus and in the trachealis muscle (tr). Within the same tissue sections, thyroid and parathyroid glands showed no evidence of [125I]NDP-MSH binding, whereas sternothyroid muscle showed a low level of specific binding (not shown).

 
In the thymus, a low level of specific [125I]NDP-MSH binding was evident throughout the cortex, and scattered foci of specific binding were distributed in and about the peripheral margins of the thymic medulla (Fig. 7Go, A and B, left panels). In the spleen, specific tracer binding was not detectable macroscopically by film autoradiography, but at the microscopic level, emulsion autoradiography revealed scattered foci of specific [125I]NDP-MSH binding, primarily in the tissue adjacent to either blood vessels or trabecular septa (Fig. 7CGo, left panel). The specificity of binding was indicated by inhibition with excess {alpha}MSH (Fig. 7Go, right panels). No autoradiographic evidence of [125I]NDP-MSH binding was observed in liver, seminal vesicles, or brown fat (not shown).



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Figure 7. Autoradiographic localization of specific melanocortin binding in vitro in thymus (A and B) and spleen (C), showing [125I]NDP-MSH binding in the absence (left panels) or presence (right panels) of 10-6 M {alpha}MSH. A, X-Ray film autoradiograms of thymus (bar = 2 mm). B and C, Emulsion autoradiograms. In A, note specific tracer binding distributed throughout thymic cortex (c) and its apparent absence from medulla (m). B, Emulsion autoradiograms of thymus reveal foci of specific binding in and near the peripheral margins of medulla (arrows) in addition to the more diffuse specific labeling of cortex. C, Emulsion autoradiograms of spleen. Note foci of specific binding (arrows) in areas adjacent to trabeculae and blood vessels, but the absence of tracer binding from most of the tissue area. In B and C, bars = 100 µm. bv, Blood vessel.

 
In vivo [125I]NDP-MSH tissue uptake and autoradiographic localization
The tissue distribution of [125I]NDP-MSH after iv injection was determined in exocrine and adrenal glands. Specific tracer localization was determined autoradiographically in tissue sections of the lacrimal and preputial glands (Fig. 8Go, A and B, left panels), ventral prostate lobe (not shown), and exocrine pancreas (Fig. 8CGo, left panel) and was found in the secretory epithelia in each of these tissues. Specific [125I]NDP-MSH localization also occurred in the adrenal zona glomerulosa (Fig. 8Go, D and E, left panels). The specificity of tracer localization in each of these sites was indicated by the reduction of autoradiographic signal in rats that received coinjected {alpha}MSH (Fig. 8Go, right panels).



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Figure 8. In vivo autoradiographic localization of specific melanocortin binding in exocrine and adrenal glands. Shown are x-ray film (A–D) or emulsion (E) autoradiograms of tissue sections prepared from rats after iv injection of [125I]NDP-MSH. A, Lacrimal gland; B, preputial gland; C, pancreas; D and E, adrenal glands. Tissues taken from rats receiving [125I]NDP-MSH in the absence (-, for E, left panel) or presence (+, for E, right panel) of 10-6 M {alpha}MSH were mounted on the same slides in an alternating pattern as indicated (-, +). Vertically arranged groups of sections are serial sections from a given rat. The specificity of tissue tracer localization is indicated by its inhibition in each of the rats coinjected with {alpha}MSH (±). In the adrenal gland (D and E), tracer is specifically localized in zona glomerulosa (zg), but is lacking from inner cortex and medulla (m). For E, bar = 100 µm.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present results demonstrate the presence of both MC5-R transcripts and specific melanocortin-binding sites in peripheral organs of the rat, including exocrine glands, adrenal cortex, and lymphoid organs. In the great majority of tissues surveyed, MC4-R mRNA was undetectable, whereas in thymus MC3-R mRNA was also present. Taken together, these results strongly suggest that the MC5-R is the predominant MC-R isoform present in these tissues in the rat.

Previous in vitro and in vivo studies have shown that melanocortins influence the functions of exocrine glands. In lacrimal acinar cells, melanocortins stimulate protein and peroxidase secretion (4, 5, 7), and in sebaceous, preputial and Harderian glands, melanocortins stimulate sebum secretion, dermal and preputial lipogenesis (9, 10), and porphyrin biosynthesis (24), respectively. In preputial and prostate glands, {alpha}MSH synergizes with testosterone to exert a trophic effect (8). The present finding that the MC5-R is commonly expressed in secretory epithelia of multiple exocrine glands in rats supports the hypothesis that melanocortins may act directly via MC5-R at these sites to regulate exocrine functions. Indeed, while the present study was being completed, it was reported that disruption of the MC5-R gene in mice resulted in multiple exocrine deficiencies, demonstrating unequivocally that expression of MC5-R is required for normal exocrine gland function (21, 25). Thus, the present findings are in strong agreement with those of Chen et al. (21, 25) and support a similar role for MC5-R in the regulation or maintenance of exocrine gland functions in rats.

Taken together, the findings of MC5-R expression (21, 25; present study) and its functional role (21, 25) in multiple exocrine glands of rodents are suggestive of a fairly well conserved role of melanocortins and MC5-R in controlling the functions of certain exocrine glands. However, the present findings demonstrate a marked tissue specificity of MC-R expression even within the secretory epithelia of highly related exocrine tissues, as MC-R were abundant in the ventral lobe, but undetectable in the dorsolateral lobe, of the prostate gland. The latter findings are interesting considering that the ventral and dorsolateral lobes also show dramatic differences in steroid hormone metabolism and in susceptibility to steroid-induced dysplasias and carcinogenesis (26).

The potential of melanocortins to modulate exocrine gland functions directly through MC5-R may reflect a peripheral component that cooperates with central melanocortin actions to influence coordinated homeostatic processes. In mice, targeted genetic disruption of the MC5-R gene produced thermoregulatory insufficiency, attributed to deficient production of hair coat lipids due to sebaceous gland dysfunction (21, 25). Similarly, the release of lipids and pigments from the Harderian gland has been implicated in thermoregulation in gerbils (27). Thus, melanocortin-stimulated and MC5-R-mediated lipogenesis and exocrine secretion from both sebaceous and Harderian glands may similarly play a thermoregulatory role in the rat. The release and spreading over the skin of Harderian secretory products to regulate body temperature require a specific behavioral repertoire, i.e. grooming behavior (27). Grooming itself is stimulated by centrally acting melanocortins, a classical behavioral melanocortin effect that is probably mediated by central MC4-R (28). Furthermore, melanocortins have also been shown to act via MC-R located in the central nervous system to modulate thermoregulation and fever (23). These multiple lines of evidence suggest that melanocortins may act at both peripheral and central levels to cooperatively influence thermoregulation.

Similarly, melanocortins appear to act centrally to influence sexual behavior (29, 30), and {alpha}MSH acts peripherally to regulate lipogenesis and secretion of sexual attractants from the preputial gland (31, 32), presumably by activating MC5-R expressed in this organ. Indeed, preputial lipogenesis was decreased in MC5-R-deficient mice (21). Thus, based on multiple lines of evidence derived from previous in vivo studies and the present data confirming MC-R expression in peripheral organs, a functional coherence between peripheral and central melanocortin actions is suggested for multiple physiological functions, including temperature regulation and sexual behavior.

The present findings also support a direct role for MC5-R in adrenal cortical functions. The specific NDP-MSH binding in the zona glomerulosa probably represents MC5-R protein. MC5-R transcripts were previously demonstrated in this region in the rat by in situ hybridization (18), and the present study confirmed the expression of MC5-R-encoding transcripts in rat adrenal glands. Furthermore, [125I]NDP-MSH does not bind to MC2-R (33). Therefore, these findings support the earlier suggestion (18) that melanocortin-stimulated aldosterone secretion in the zona glomerulosa (34, 35) may be mediated by MC5-R. In contrast, the lack of detectable MC-R mRNA and [125I]NDP-MSH binding in the thyroid gland suggests that MC-R do not mediate the reported thyrotropic effects of {alpha}MSH directly (36).

In the thymus, the presence of both MC3-R and MC5-R suggests that melanocortins may have multiple direct immunomodulatory effects. Melanocortins can modulate immune responses in vivo (37), and their suppressive effects on mitogen- and cytokine-induced thymocyte proliferation in vitro exhibit a complex dose-response (38) that might be explained in part by the presence of multiple MC-R subtypes, with different pharmacological properties. As melanocortins can act centrally to influence immune and inflammatory responses (37, 39), the presence of MC-R in lymphoid organs, including thymus and spleen, combined with these earlier findings further support the concept that melanocortins may act cooperatively at both central and peripheral levels to influence physiological processes.

The potential of melanocortins to directly regulate exocrine glands and other peripheral targets through melanocortin receptors implies the existence of a physiological source of endogenous melanocortin agonists. Accordingly, blood-borne pituitary {alpha}MSH or ACTH, both of which are potent MC5-R agonists (18, 19, 20), may provide hormonal input to the peripheral MC-R. Supporting this possibility is our finding that [125I]NDP-MSH binding to the MC-R in exocrine and adrenocortical parenchymal cells is blocked by the endogenous MC-R agonist {alpha}MSH after iv administration. Alternatively, autocrine or paracrine release may provide a pathway for stimulation of peripheral tissue MC-R by endogenous melanocortins. POMC transcripts and melanocortin immunoreactivity have been described in several MC5-R-expressing organs, including pancreas, spleen, and thymus (40, 41, 42).

Strikingly, the present studies and findings by others (18, 21, 25) show that MC5-R are expressed in each of the three tissues that show major functional impairment in Allgrove’s syndrome: adrenal gland, lacrimal gland, and esophagus. This rare multisystem disorder is also known as triple A syndrome due to the combined presence of ACTH resistance, alacrima, and achalasia of the cardia (43). The adrenal ACTH unresponsiveness suggests a defect in MC-R function. However, ACTH (MC2) receptor defects are not the underlying cause of this disease, as no mutations could be identified in the ACTH receptor-coding region in patients with triple A syndrome (44, 45). Rather, the robust expression of MC5-R in each of the affected tissues in the rat suggests a potential involvement of MC5-R-regulated pathways in the pathogenesis of triple A syndrome. In adrenal cortex and lacrimal gland, the loss of a trophic or secretagogue function of endogenous melanocortins due to MC-R dysfunction might lead to impaired development or secretion, thus contributing to adrenal insufficiency and alacrima. Similarly, the localization of MC5-R in the longitudinal skeletal muscle of the esophagus suggests that functional defects in MC-R might contribute to achalasia. Triple A syndrome has recently been mapped to chromosome 12q13 (46). This indicates that the MC5-R, which maps to human chromosome 18p11.2 (47), is not the locus of the primary genetic defect in triple A syndrome, but, rather, that its function may be impaired by mutations in signaling or regulating factors. In this respect, adenylate cyclase type 6, which maps to chromosome 12q13 (48), might be an interesting candidate gene for triple A syndrome, because all MC receptors couple to adenylate cyclase.

In conclusion, the present findings support a direct role for MC5-R in the function of exocrine glands in the rat, in strong agreement with the recent demonstration of a functional role of the MC5-R in exocrine glands of mice (21, 25). In addition, MC5-R may be involved in other peripheral actions of melanocortins, including adrenal corticosteroid secretion. These results combined with previous lines of evidence support the concept of a functional continuity between the central and peripheral actions of melanocortins in regulating certain physiological functions, e.g. thermoregulation, sexual behavior, and immunity.


    Acknowledgments
 
The authors thank Drs. Donald Annino and Colin Karmody for a helpful anatomical consultation.


    Footnotes
 
1 This work was supported by NIH Grant MH-44694 (to J.B.T.) and Travel Grant SIR 15–1610 from the Netherlands Organization for Scientific Research (to M.v.d.K.). Back

Received October 27, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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