# MT2 receptor mediates melatonin-induced thermogenic program in human myoblasts: insights for circadian syndrome and diabesity treatment

**Authors:** Diego Salagre, Juan Sanjuán‐Hidalgo, Ehab Kotb Elmahallawy, Pedro P. Medina, Ahmad Agil

PMC · DOI: 10.3389/fphar.2025.1633326 · Frontiers in Pharmacology · 2025-07-08

## TL;DR

Melatonin activates a thermogenic program in human muscle cells through the MT2 receptor, offering potential treatment for circadian-related metabolic disorders like diabesity.

## Contribution

This study identifies MT2 as the key receptor mediating melatonin's thermogenic effects in skeletal muscle, revealing a novel pathway involving CaMKII/AMPK/PGC1α.

## Key findings

- MTNR1B silencing inhibits melatonin-induced upregulation of thermogenic proteins and the SERCA-SLN uncoupling pathway.
- Melatonin activates the CaMKII/AMPK/PGC1α pathway via MT2, promoting thermogenesis in skeletal muscle cells.
- MT2 is strongly associated with metabolic and circadian disorders, suggesting its role in diabesity treatment.

## Abstract

Melatonin is crucial for regulating circadian rhythms. Previous studies have demonstrated its ability to improve metabolic disorders, including obesity and associated diabetes (diabesity), in addition to its antioxidant, anti-inflammatory and anti-apoptotic properties. Recently, melatonin was shown to reduce obesity by increasing skeletal muscle (SKM) energy expenditure through non-shivering thermogenesis (NST). Small interfering RNAs (siRNAs) are powerful tools for inhibiting gene expression, enabling the analysis of gene functions and roles in molecular pathway activation. This study aimed to identify the receptor mediating melatonin’s pharmacological actions in SKM NST.

Bioinformatics and protein-protein interaction (PPI) analyses were conducted. To examine the role of the melatonin receptor 2 (MT2) encoded by MTNR1B, we cultured human primary myoblasts and then silenced MTNR1B using siRNA transfection for 72 h, followed by 1 mM melatonin treatment for 24 h. Gene and protein expression were analyzed using semi-quantitative reverse transcriptase PCR and Western blotting respectively.

PPI analysis revealed MTNR1B’s strong association with diabetes, obesity, cancer, and circadian rhythm disorders, collectively known as circadian syndrome, and MTNR1B’s close interaction with thermogenic genes (UCP1, PPARG, and PPARGC1A). Silencing MTNR1B reduced the gene expression and inhibited the melatonin-induced upregulation of MT2 and NST-related proteins. Melatonin increased SERCA1/2, SLN, and Ca2+-dependent thermogenic pathway activation; however, these effects were abolished following MTNR1B knockdown.

Our findings confirm that MT2 plays a key role in melatonin-driven SERCA-SLN uncoupling and the activation of the thermogenic program in SKM via the CaMKII/AMPK/PGC1α pathway upregulation. This study provides new insights into the molecular mechanisms underlying melatonin’s effects on thermogenesis and suggests potential melatonin-based therapeutic strategies against diabesity.

Illustration depicting two main steps: (1) Identification of genes and melatonin receptors involved in metabolic diseases using tools like Phenopedia, g:Profiler, and STRING. (2) In vitro knockdown of MTNR1B in primary human skeletal myoblasts, with a process overview showing melatonin treatment, siRNA intervention, and subsequent changes leading to various cellular responses. The diagram highlights pathways involving MT2, CaMKII, AMPK, SLN, SERCA1/2, calcineurin, and PGC1α, illustrating effects on thermogenic programs in different scenarios.

## Linked entities

- **Genes:** MTNR1B (melatonin receptor 1B) [NCBI Gene 4544], UCP1 (uncoupling protein 1) [NCBI Gene 7350], PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468], PPARGC1A (PPARG coactivator 1 alpha) [NCBI Gene 10891], ATP2A1 (ATPase sarcoplasmic/endoplasmic reticulum Ca2+ transporting 1) [NCBI Gene 487], ATP2A2 (ATPase sarcoplasmic/endoplasmic reticulum Ca2+ transporting 2) [NCBI Gene 488], SLN (sarcolipin) [NCBI Gene 6588], CAMK2G (calcium/calmodulin dependent protein kinase II gamma) [NCBI Gene 818], PRKAA1 (protein kinase AMP-activated catalytic subunit alpha 1) [NCBI Gene 5562], PPARGC1A (PPARG coactivator 1 alpha) [NCBI Gene 10891]
- **Proteins:** SLN (sarcolipin), CAMK2G (calcium/calmodulin dependent protein kinase II gamma), PRKAA1 (protein kinase AMP-activated catalytic subunit alpha 1), PPARGC1A (PPARG coactivator 1 alpha)
- **Chemicals:** melatonin (PubChem CID 896)
- **Diseases:** obesity (MONDO:0011122), diabetes (MONDO:0005015), cancer (MONDO:0004992)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Genes:** UCP1 (uncoupling protein 1) [NCBI Gene 7350] {aka SLC25A7, UCP}, SLN (sarcolipin) [NCBI Gene 6588], MTNR1B (melatonin receptor 1B) [NCBI Gene 4544] {aka FGQTL2, MEL-1B-R, MT2}, PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, PPARGC1A (PPARG coactivator 1 alpha) [NCBI Gene 10891] {aka LEM6, PGC-1(alpha), PGC-1alpha, PGC-1v, PGC1, PGC1A}, CAMK2G (calcium/calmodulin dependent protein kinase II gamma) [NCBI Gene 818] {aka CAMK, CAMK-II, CAMKG, MRD59}, PRKAA1 (protein kinase AMP-activated catalytic subunit alpha 1) [NCBI Gene 5562] {aka AMPK, AMPK alpha 1, AMPKa1}
- **Diseases:** inflammatory (MESH:D007249), metabolic disorders (MESH:D008659), cancer (MESH:D009369), diabetes (MESH:D003920), obesity (MESH:D009765), circadian syndrome (MESH:D021081)
- **Chemicals:** Melatonin (MESH:D008550), Ca2+ (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** SKM NST — Homo sapiens (Human), Transformed cell line (CVCL_VG48)

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12279780/full.md

## References

76 references — full list in the complete paper: https://tomesphere.com/paper/PMC12279780/full.md

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Source: https://tomesphere.com/paper/PMC12279780