Hypothalamic lesions or deficient
melanocortin (MC) signaling via
MC4 receptor (MC4r) mutations often lead to
hyperphagia and severe treatment-resistant
obesity. We tested the
methionine aminopeptidase 2-inhibitor
beloranib (ZGN-440) in 2 male rat models of
obesity, one modeling hypothalamic
obesity with a combined medial hypothalamic lesion (
CMHL) and the other modeling a monogenic form of
obesity with MC4r mutations (MC4r knockout [MC4rKO]). In
CMHL rats (age 3 months), postsurgery excess
weight gain was significantly inhibited (ZGN-440, 0.2 ± 0.7 g/d; vehicle, 3.8 ± 0.6 g/d; P < 0.001) during 12 days of ZGN-440 treatment (0.1 mg/kg daily subcutaneously) together with a 30% reduction of daily food intake vs vehicle injection. In addition, ZGN-440 treatment improved
glucose tolerance and reduced plasma
insulin, and circulating levels of α-
melanocyte stimulating hormone were increased. Serum
lipid levels did not differ significantly in ZGN-440-treated vs vehicle-treated rats. Similar results were found in MC4rKO rats: ZGN-440 treatment (14-21 d) was associated with significant reductions of
body weight gain (MC4rKO, -1.7 ± 0.6 vs 2.8 ± 0.4 g/d; lean wild-type controls, -0.7 ± 0.2 vs 1.7 ± 0.7 g/d; ZGN-440 vs vehicle, respectively), reduction of food intake (MC4rKO, -28%; lean controls, -7.5%), and
insulin resistance, whereas circulating levels of interleukin-1β did not change. In both
obesity models, body temperature and locomotor activity were not affected by ZGN-440 treatment. In conclusion, the robust reduction of
body weight in response to ZGN-440 observed in rats with
severe obesity is related to a strong reduction of food intake that is likely related to changes in the central regulation of feeding.