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Attractin-like protein 1 is an essential partner of MC4R to regulate body weight
Journal article   Open access   Peer reviewed

Attractin-like protein 1 is an essential partner of MC4R to regulate body weight

Paul Buscaglia, Kate R. Bowman, Katherine Lawler, Ciria C. Hernandez, Jacopo Scotucci, Rebecca Bounds, Julia M. Keogh, Elana Henning, Roger D. Cone, I. Sadaf Farooqi, …
Nature communications
09/22/2026
DOI: 10.1038/s41467-026-77897-z
PMCID: PMC13691095
PMID: 42918796
url
https://doi.org/10.1038/s41467-026-77897-zView
Published (Version of record) Open Access

Abstract

The melanocortin 4 receptor (MC4R) plays a critical role in the central control of energy homeostasis, and its disruption causes severe early-onset obesity. MC4R signaling is tightly regulated by endogenous agonists and antagonists, as well as the accessory protein MRAP2. The single transmembrane protein attractin-like protein 1 (ATRNL1) is a known interactor of MC4R, however, its effect on MC4R signaling and physiological function is not well understood. Here we show that ATRNL1 interacts with MC4R to amplify its signaling in cells and that expression of ATRNL1 potentiates agonist-induced activation of MC4R neurons. Deletion of Atrnl1 in MC4R neurons increased food intake and body weight in rodents. In exomes from 1,623 children with severe early-onset obesity, we identified multiple rare ATRNL1 variants that impair ATRNL1-mediated regulation of MC4R signaling. Cumulatively, these findings establish ATRNL1 as an important regulator of mammalian energy homeostasis.

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