Evidence map›Paper›PMID 39353917›Full record

ArticleNature communications2024

Structure elucidation of a human melanocortin-4 receptor specific orthosteric nanobody agonist.

Thomas Fontaine, Andreas Busch, Toon Laeremans, Stéphane De Cesco, Yi-Lynn Liang, Veli-Pekka Jaakola, Zara Sands, Sarah Triest, Simonas Masiulis, Lies Dekeyzer and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Extracellular nanobody screening using conformationally stable GPCR variants.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. bioRxiv : the preprint server for biology · 2025
    Article
  12. Epitope-directed selection of GPCR nanobody ligands with evolvable function.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Thomas Fontaine *Confo Therapeutics N.V, Ghent, Belgium.
Andreas Busch *Confo Therapeutics N.V, Ghent, Belgium.
Toon Laeremans *Confo Therapeutics N.V, Ghent, Belgium.
Stéphane De Cesco *Confo Therapeutics N.V, Ghent, Belgium.
Yi-Lynn LiangConfo Therapeutics N.V, Ghent, Belgium.
Veli-Pekka JaakolaConfo Therapeutics N.V, Ghent, Belgium.ORCID 0000-0003-2943-6417
Zara SandsConfo Therapeutics N.V, Ghent, Belgium.
Sarah TriestConfo Therapeutics N.V, Ghent, Belgium.
Simonas MasiulisMaterials and Structural Analysis, Thermo Fisher Scientific, Eindhoven, The Netherlands.
Lies DekeyzerConfo Therapeutics N.V, Ghent, Belgium.
Noor SamynConfo Therapeutics N.V, Ghent, Belgium.
Nicolas LoeysConfo Therapeutics N.V, Ghent, Belgium.
Lisa PerneelConfo Therapeutics N.V, Ghent, Belgium.
Melanie DebaereConfo Therapeutics N.V, Ghent, Belgium.
Murielle MartiniConfo Therapeutics N.V, Ghent, Belgium.
Charlotte VantieghemConfo Therapeutics N.V, Ghent, Belgium.
Richa VirmaniConfo Therapeutics N.V, Ghent, Belgium.
Kamila SkieterskaConfo Therapeutics N.V, Ghent, Belgium.
Stephanie StaelensConfo Therapeutics N.V, Ghent, Belgium.
Rosa BarrocoConfo Therapeutics N.V, Ghent, Belgium.
Maarten Van RoyConfo Therapeutics N.V, Ghent, Belgium.
Christel MenetConfo Therapeutics N.V, Ghent, Belgium. christel.menet@confotherapeutics.com.ORCID 0000-0003-3928-5608

Funding

Agentschap Innoveren en Ondernemen (Flanders Innovation & Entrepreneurship) HBC_2020.2042
6 · The paper itself

Abstract

The melanocortin receptor 4 (MC4R) belongs to the melanocortin receptor family of G-protein coupled receptors and is a key switch in the leptin-melanocortin molecular axis that controls hunger and satiety. Brain-produced hormones such as α-melanocyte-stimulating hormone (agonist) and agouti-related peptide (inverse agonist) regulate the molecular communication of the MC4R axis but are promiscuous for melanocortin receptor subtypes and induce a wide array of biological effects. Here, we use a chimeric construct of conformation-selective, nanobody-based binding domain (a ConfoBody Cb80) and active state-stabilized MC4R-β2AR hybrid for efficient de novo discovery of a sequence diverse panel of MC4R-specific, potent and full agonistic nanobodies. We solve the active state MC4R structure in complex with the full agonistic nanobody pN162 at 3.4 Å resolution. The structure shows a distinct interaction with pN162 binding deeply in the orthosteric pocket. MC4R peptide agonists, such as the marketed setmelanotide, lack receptor selectivity and show off-target effects. In contrast, the agonistic nanobody is highly specific and hence can be a more suitable agent for anti-obesity therapeutic intervention via MC4R.

Indexed as

Receptor, Melanocortin, Type 4Single-Domain Antibodiesalpha-MSHAnimalsBinding SitesCrystallography, X-RayHEK293 CellsHumansModels, MolecularProtein Bindingalpha-MSHMC4R protein, humanReceptor, Melanocortin, Type 4Single-Domain Antibodies

Identifiers

PMID39353917
PMCPMC11445563

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.