Abstract
We reviewed neuromedin U (NMU) and neuromedin S (NMS) involvement in the regulation of the hypothalamo–pituitary–adrenal (HPA) axis function. NMU and NMS are structurally related and highly conserved neuropeptides. They exert biological effects via two GPCR receptors designated as NMUR1 and NMUR2 which show differential expression. NMUR1 is expressed predominantly at the periphery, while NMUR2 in the central nervous system. Elements of the NMU/NMS and their receptors network are also expressed in the HPA axis and progress in molecular biology techniques provided new information on their actions within this system. Several lines of evidence suggest that within the HPA axis NMU and NMS act at both hypothalamic and adrenal levels. Moreover, new data suggest that NMU and NMS are involved in central and peripheral control of the stress response.
Introduction
In search for new biologically active peptides, the group of Minamino, Kangawa, and Matsuo in the 1980s isolated numerous small neuropeptides from porcine spinal cord. All of them exerted potent smooth-muscle stimulating activity. These short peptides have been named neuromedins (Minamino et al., ). Their sequences and biological activities are similar to some known neuropeptides and therefore they are commonly divided into four groups (classes):Bombesin-like neuromedins—neuromedin B (NMB) and neuromedin C (NMC) (Minamino et al., , ).
Kassinin-like neuromedins—neuromedin K (NMK) and neuromedin L (NML) (Kangawa et al., ; Minamino et al., ).
Neurotensin-like neuromedins—neuromedin N (NMN) (Minamino et al., ).
Neuromedins U (NMU), for which no substantial homology with other known neuropeptides was found (Minamino et al., ). This group, however, was expanded in 2005, when Mori et al. (, ) isolated neuromedin S (NMS) from rat brain. NMS is composed of 36 amino acid residues and both peptides share the same amidated C-terminal heptapeptide. Furthermore, both NMU and NMS appeared to be endogenous ligands for the orphan G protein-coupled receptors FM-3/GPR66 and FM-4/TGR-1, identified earlier as type-1 and type-2 NMU receptors (NMUR1 and NMUR2), respectively (Tan et al., ; Howard et al., ; Raddatz et al., ; Mori et al., ).
Identification of specific NMU receptors (NMUR1 and NMUR2) and its anorexigenic action have enhanced interest in physiological role of NMU and NMS (Howard et al., ; Ida et al., ). Advances in these studies were recently reviewed (Brighton et al., ; Mori et al., ; Mitchell et al., ; Budhiraja and Chugh, ). Present review, on the other hand, will focus on expression and of role of NMU/NMS system in hypothalamo–pituitary–adrenal (HPA) axis functioning, updating thus our earlier reviews (Malendowicz and Markowska, ; Malendowicz, ; Malendowicz et al., ).
Isolation, structure, and synthesis of NMU and NMS
Originally NMU was isolated from porcine spinal cord in two molecular forms, one containing 25 (NMU25) and the other 8 (NMU8) amino acid residues (Minamino et al., ). Subsequently NMU was isolated from other vertebrates, among them humans (Austin et al., ), rat (Conlon et al., ), guinea pig (Murphy et al., ), dog (O'Harte et al., ), rabbit (Kage et al., ), chicken (O'Harte et al., ; Domin et al., ), frogs—Rana temporaria, Litoria caerulea, and Bombina maxima (Domin et al., ; Salmon et al., ; Lee et al., ), and goldfish (Maruyama et al., ). Amino acid sequences of NMU from different species are shown in Figure 1.
Figure 1
In the mammalian NMUs a common C-terminal sequence—Phe-Leu-Phe-Arg-Pro-Arg-Asn-NH2—contains the active site of the neuropeptide, which is formed by the amino acid residues between positions 2 and 8 (Hashimoto et al.,
Unexpectedly, in 2005, Mori et al. (
Figure 2

Amino acid sequences of neuromedin S from some mammalian and amphibian species. The box, highlighting the C-terminal decapeptide, shows conservation of this sequence in vertebrates. NMU and NMS share the same amidated C-terminal heptapeptide. Amino acid sequences were acquired from NCBI. Numbers after NMS denote peptide length.
It should be emphasized that NMU and NMS genes are located on different chromosomes (NMU on 4q12 and NMS on 2q11.2) (Mori et al.,
In humans both NMU and NMS genes are composed of 10 exons and 9 introns. The mRNA lengths encoded by these genes are 816 and 485 bp, respectively. The exon–intron boundaries in the NMU and NMS prepro-proteins are comparably conserved (Mori et al.,
Figure 3

Schematic structure of prepro-NMU and prepro-NMS in humans. Data from Protein Knowledgebase (UniProtKB) P48645 and Q5H8A3, respectively. Schematic structure of prepro-NMU is modified from Austin et al. (
NMU and NMS receptors
Early studies revealed the presence of highly specific 125I-NMU binding sites on membranes prepared from the rat uterus. The binding was saturable and specific and Scatchard analysis suggested a single class of binding site with a Kd of 0.35 nM (Nandha et al.,
By means of modern molecular biology techniques two receptors for NMU were identified. In 1998, Tan et al. (
The NMUR2 (FM-4, TGR1) gene, on the other hand, was identified based on its sequence similarity with NMUR1 (Hosoya et al.,
In humans NMUR1 gene consists of 3 exons and 2 introns, the size of encoded mRNA is 3274 bp and the receptor is composed of 426 aa residues. NMUR2 gene, on the other hand, consists of 4 exons and 3 introns. The size of its mRNA is 2067 bp and the receptor is composed of 415 aa residues (Figure 4).
Figure 4

Schematic representation of human NMUR1 and NMUR2 receptors. NMUR1 receptor is composed of 426 amino acid residues while NMUR2 of 415. Amino acid sequences were acquired from NCBI, accession numbers AAG24793.1 and EAW61653.1, respectively.
NMS has also been identified as an endogenous ligand of NMUR1 and NMUR2 receptors and some data indicate that NMUR2 has greater affinity to NMS than NMU (Mori et al.,
Interaction of NMU and NMS with their receptors results in intracellular calcium mobilization and subsequent stimulation of inositol phosphates. These effects are mediated by both Gq/11 and Gi/0 proteins (Raddatz et al.,
Expression of NMU and NMS and their receptors in the hypothalamo–pituitary–adrenal axis
Hypothalamus
NMU and NMS
Soon after NMU identification, high concentrations of NMU-like immunoreactivity were found in extracts of the rat, mouse, and human hypothalamus (Domin et al.,
NMU mRNA is present in hypothalamus of WT mice and, in contrast, NMU mRNA could not be detected in NMU KO mice (Fukue et al.,
In the frog (Rana esculenta) NMU-like immunoreactivity was observed in perikaria of the dorsal nucleus of the hypothalamus and the caudal part of the infundibulum (Maderdrut et al.,
The highest expression of NMS mRNA was found by RT-PCR in rat hypothalamus (Mori et al.,
NMU receptors
Earliest studies revealed that NMUR1 is expressed predominantly in periphery while NMUR2 in the central nervous system (for review see Brighton et al.,
Detailed mapping of NMUR2 mRNA expression in the rat brain by in situ hybridization revealed the most intense signal in ependymal cells of the third ventricle and moderate signal in the PVN (Guan et al.,
Similar pattern of NMU receptor expressions is observed in human hypothalamus, with high expression of NMUR2 and a negligible one of NMUR1 (Szekeres et al.,
Pituitary gland
NMU and NMS
High concentrations of NMU-like immunoreactivity were found in the pituitary gland of the rat as early as in 1987 (Domin et al.,
High concentrations of NMU protein in rat pituitary gland are accompanied by high expression of NMU gene (Fujii et al.,
Immunohistochemistry demonstrated the presence of NMU-immunoreactive substances in the intermediate and the anterior pituitary gland lobes of mouse, rat, and human (Ballesta et al.,
In developing rat NMU-immunopositive cells appear in anterior pituitary at day E15 (Cimini,
NMU mRNA is expressed in pituitary gland of WT mice, but in contrast, NMU mRNA could not be detected in NMU KO mice (Fukue et al.,
Expression of NMS gene in rat pituitary gland was found by Mori et al. (
NMU receptors
Conflicting data were reported on expression of NMUR1 and NMUR2 in pituitary gland. By means of QPCR low expression of both receptors in human pituitary gland was reported by Raddatz et al. (
The earliest studies did not reveal NMUR1 gene expression in the rat pituitary gland while that of NMUR2 was very low (Fujii et al.,
Expression of both NMUR1 and NMUR2 genes was observed in mouse pituitary gland of both WT and NMU KO mice (Fukue et al.,
Adrenal gland
Only scanty data are available on expression of NMU–NMS and their receptors in adrenal glands. Very low levels of NMU mRNA in the rat adrenal were reported by Fujii et al. (
In human adrenal gland both NMUR2 mRNA (PCR) and protein (dot blot method) were identified in 2000 (Raddatz et al.,
In the rat adrenal gland NMUR2 mRNA could not be demonstrated (Hosoya et al.,
NMU and NMS in the hypothalamo–pituitary–adrenal axis functioning
Hypothalamus
The above described localization of elements of NMU/NMS and NMUR2 system in hypothalamus forms a base of regulation by NMU and NMS of HPA axis functioning.
The earliest experiments with intracerebroventricular (icv) injection of NMU demonstrated a strong increase in Fos-immunoreactive nuclei in the PVN and supraoptic nucleus (SON) of the rat hypothalamus (Niimi et al.,
Subsequent studies demonstrated direct NMU effects on CRH and arginine vasopressin (AVP) release by rat hypothalamic explants in vitro (Wren et al.,
NMU also regulates HPA axis in birds. Icv administration of NMU in chicks significantly upregulated mRNA expression of CRH in the hypothalamus (Kamisoyama et al.,
NMS likewise affects CRH neurons in PVN. In the rat icv administration of this neuromedin increased POMC mRNA expression in the arcuate nucleus and CRH mRNA in the PVN (Ida et al.,
Pituitary
Expression of NMUR1 in pituitary gland and colocalization of NMU and ACTH in pituitary corticotropes suggest NMU and NMS involvement in regulation of ACTH secretion. Regarding this, there is a growing body of evidence that in the rat NMU administered icv, into PVN or subcutaneously increases blood ACTH concentrations, via stimulation of CRH release.
First reports demonstrated that a single sc injection of NMU8 resulted in a transient increase in ACTH blood concentration while after 2–6-day treatment (low NMU8 dose) blood ACTH level remained unchanged (Malendowicz et al.,
In the rat unilateral adrenalectomy notably increased plasma ACTH concentrations and NMU administration (sc) into hemiadrenalectomized rats did not significantly change corticotropin levels (Malendowicz et al.,
In the rat icv administration of NMU (0.1, 1, and 3 nmol/rat) resulted in a dose-dependent increase of plasma ACTH concentrations, an effect significantly reduced by pretreatment with anti-NMU IgG (Ozaki et al.,
Unfortunately, no studies have as yet investigated direct effects of NMU and NMS on pituitary ACTH secretion. Our preliminary data indicate that neither NMU nor NMS affect ACTH release by quarters of the rat adenohypophysis, while the response to CRH was normal. This observation may suggest that observed in vivo stimulating effect of NMU/NMS on ACTH secretion is mediated via hypothalamus.
Adrenal
Potent stimulating effects of exogenous NMU on adrenocortical steroid secretion in the rat have been described as early as in 1993. A single sc injection of NMU resulted in a transient increase in ACTH blood concentration (between 3 and 12 h) and a sustained (24 h) elevation of plasma corticosterone concentration (Malendowicz et al.,
In subsequent searches for mode of NMU action on corticosteroid secretion our group found that NMU had no effect on basal and ACTH-stimulated corticosterone secretion by freshly isolated or cultured inner zone adrenocortical cells, nor did it change their cytosolic Ca2+ concentration (Malendowicz et al.,
Stimulating effects of NMU on corticosteroid secretion also were observed after icv or iPVN neuropeptide administration. In the rat acute iPVN administration of NMU dose-dependently increased plasma corticosterone concentrations (Wren et al.,
Stimulating effects of icv administered NMU on plasma corticosterone levels were confirmed by experiments with anti-NMU IgG (Jethwa et al.,
In contrast to acute administration, chronic iPVN administration of NMU produced an elevation of plasma corticosterone levels while plasma ACTH concentrations remained unchanged (Thompson et al.,
The stimulating effect of sc administered NMU on plasma corticosterone concentrations also was found in rats during enucleation-induced regeneration, as well as in rats treated with low ACTH doses (Trejter et al.,
NMS, like NMU also stimulates corticosteroid secretion. In rats icv NMS administration resulted in nearly 5-fold increase in plasma corticosterone concentrations and the effect was dependent on neuropeptide dose (Jászberényi et al.,
In contrast to the above described NMS effects on corticosterone/cortisol secretion, an opposite effect was seen in Rhesus monkeys (Jahan et al.,
Recent data also demonstrated direct stimulating effect of NMU on proliferative activity of immature rat inner adrenocortical cells in primary culture (Ziolkowska et al.,
Involvement of NMU and NMS in the stress response
As it follows from the above presented data, NMU and NMS are linked to the HPA axis functioning. Independently of mode of administration (icv, iPVN, or sc) NMU activates CRH containing neurons and stimulates CRH secretion, which in turn triggers pituitary ACTH and adrenal corticosterone/cortisol secretion. In this regard it is not astonishing that NMU and NMS are involved in central and peripheral control of the stress response. These studies were initiated by Hanada et al. (
Stress related behavior induced by icv NMU or NMS administration was also observed in cattle (Yayou et al.,
Concluding remarks
The above reviewed data clearly demonstrate NMU and NMS involvement in regulation of HPA axis growth and functions. However, their mechanism of action is far from being completely understood. The available experimental data suggest that within the HPA axis these neuromedins may exert both endocrine and/or paracrine/autocrine effects on target cells.
Endocrine effects of discussed neuropeptides require their release into the bloodstream. Only scanty data are available on NMU and NMS presence in general circulation. Manufacturers' manuals for various kits contain data on NMU and NMS concentration in plasma and comparable figures are shown in clinical studies (Ketterer et al.,
At the hypothalamus level the actions of NMU and NMS are rather well documented. Stimulation of CRH, arginine-vasopresssin and oxytocin release both in vivo and in vitro activates HPA axis and apart from elevation of ACTH and corticosterone/cortisol secretion, triggers behavioral parameters typical for stress reaction.
More puzzling is the effect of NMU on pituitary gland. As discussed earlier, in pituitary gland high levels of NMU are present, and the gland contains high concentration of NMU-like immunoreactive substances and is provided with NMUR1 receptor. NMU is colocalized with ACTH and numerous NMU-like immunoreactive cells are present in human extrapituitary corticotropinomas (Steel et al.,
In view of these findings, questions arise concerning the possible role of NMU in pituitary tumor formation. In their review on pituitary tumorogenesis Korbonits et al. (
The available experimental data suggest that at the adrenal level NMU affects the steroid secretion indirectly by acting on the medullary chromaffin cells. On the other hand some data suggest direct effect of neuromedin on proliferation and growth of rat adrenocortical cells.
Thus, although great progress has been made in understanding NMU and NMS action within the HPA axis during the past years, much remains to be learned about their mechanisms of action within this system. Recent development of a metabolically stable analog of NMU, based on derivatization of the native peptide with high molecular weight poly(ethylene) glycol (PEG) (“PEGylation”) may be helpful in these attempts (Ingallinella et al.,
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Statements
Acknowledgments
Review was prepared using funds from the grant no N N401 227839 from the Ministry of Science and Education in Poland.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
- CRH
corticotropin releasing hormone
- GPCR
G protein coupled receptor
- HPA
hypothalamo–pituitary–adrenal
- icv
intracerebroventrical
- iPVN
intraparaventricular nucleus
- KO
knock out
- NMS
neuromedin S
- NMU
neuromedin U
- NMUR1
neuromedin U receptor 1
- NMUR2
neuromedin U receptor 2
- PCR
polymerase chain reaction
- PVN
paraventricular nucleus
- QPCR
quantitative real time polymerase chain reaction
- RT-PCR
reverse transcription PCR
- sc
subcutaneously
- WT
wild type.
Abbreviations
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Summary
Keywords
neuromedin U, neuromedin S, hypothalamus, pituitary, adrenal
Citation
Malendowicz LK, Ziolkowska A and Rucinski M (2012) Neuromedins U and S involvement in the regulation of the hypothalamo–pituitary–adrenal axis. Front. Endocrin. 3:156. doi: 10.3389/fendo.2012.00156
Received
30 August 2012
Accepted
20 November 2012
Published
05 December 2012
Volume
3 - 2012
Edited by
Hubert Vaudry, University of Rouen, France
Reviewed by
James A. Carr, Texas Tech University, USA; Gábor B. Makara, Hungarian Academy of Sciences, Hungary
Copyright
© 2012 Malendowicz, Ziolkowska and Rucinski.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.
*Correspondence: Ludwik K. Malendowicz, Department of Histology and Embryology, Poznan University of Medical Sciences, 6 Swięcicki St., 60-781 Poznan, Poland. e-mail: lkm@amp.edu.pl
This article was submitted to Frontiers in Neuroendocrine Science, a specialty of Frontiers in Endocrinology.
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