pe
pep-10620 v1 CC-BY-SA-4.0

Neuromedin S: brain clock and appetite-suppressing neuropeptide

A natural brain hormone made in the body's internal clock region that helps regulate daily rhythms, suppresses appetite, and controls body temperature; used only as a lab research tool.

statussynthesized targetGLP-1R length36 aa refs4
status 4 / 5
prediction metrics boltz-2 1.0
ipTM0.640
pTM0.805
avg pLDDT71.7
ranking score0.702
STRUCTURE · PEP-10620 × GLP-1R
ranking0.702
target interface 4.5Å peptide drag rotate · ctrl+scroll zoom · right-click pan
boltz-2 1.0 · mmCIF ↓ download
sequence36 aa
1510152025303536
LPRLLHTDSRMATIDFPK KDPTTSLGRPFFLFRPRN
in the news 136 articles
overview readme

What this is

Neuromedin S (NMS) is a brain neuropeptide discovered in 2005 that acts on the same receptors as its close relative neuromedin U. It is produced almost exclusively in the suprachiasmatic nucleus (SCN) — the brain's master circadian clock — and plays roles in synchronizing daily biological rhythms, suppressing appetite, regulating body temperature, and coordinating hormonal responses. NMS has not been approved for any clinical use and is currently a research tool peptide. The stored sequence (LPRLLHTDSRMATIDFPKKDPTTSLGRPFFLFRPRN) is the 36-residue rat form; the human variant (NMS33) is 33 residues. In both species the C-terminus carries an amide group (–NH₂) critical for receptor binding that is not represented in the stored 1-letter sequence.

History

NMS was identified by Mori and colleagues at the National Cardiovascular Center Research Institute in Osaka, Japan, and published in The EMBO Journal in January 2005 (Mori and colleagues 2005). The team was screening for endogenous ligands of two orphan G protein-coupled receptors — FM-3/GPR66 and FM-4/TGR-1 — that had earlier been deorphanized as neuromedin U receptors. Purification of rat brain extracts yielded a novel 36-amino-acid peptide whose C-terminal seven residues are identical to those of neuromedin U (NMU). Because mRNA expression was restricted to the suprachiasmatic nucleus of the hypothalamus, the peptide was named neuromedin S (for "suprachiasmatic"). The discovery paper immediately noted that central injection of NMS caused non-photic phase shifts in locomotor circadian rhythms in rats, establishing its circadian role from the outset. Subsequent years produced a series of functional studies: anorexigenic effects (Ida and colleagues 2005), antidiuretic action via vasopressin (Sakamoto and colleagues 2007), involvement in oxytocin-mediated milk ejection (Sakamoto and colleagues 2008), and modulation of luteinizing hormone secretion (Vigo and colleagues 2007). The first cryo-EM structures of both neuromedin U receptor subtypes in complex with NMS were reported by You and colleagues in Nature Communications in 2022, revealing the molecular basis of receptor activation and subtype selectivity.

What it does

NMS acts mainly in the brain, where it binds to two G protein-coupled receptors — NMUR1 and NMUR2 — and activates multiple physiological circuits simultaneously. Its most prominent central role is in the hypothalamus, where it suppresses food intake and reduces gastric emptying, an effect shown to depend on NMUR2 in gene-knockout mice (Kotera and colleagues 2009). NMS also modulates the body's internal clock by activating neurons in the SCN and inducing phase shifts in circadian locomotor rhythms (Mori and colleagues 2005). Additional effects documented in rodent studies include: raising body temperature by activating brown adipose tissue thermogenesis; stimulating corticosterone release through CRH and POMC pathways in the paraventricular nucleus; triggering vasopressin release to reduce urine output; stimulating oxytocin neurons involved in the milk ejection reflex; and modulating luteinizing hormone secretion in females in a cycle-dependent manner. The breadth of NMS actions reflects its position at the SCN, where it can influence the timing and amplitude of multiple hormonal axes.

Evidence

  • Human: No clinical trials have been conducted with NMS. The human gene (NMS, chromosome 2q11.2) has been identified and NMS33 protein confirmed, but no human pharmacological data are published as of mid-2026.
  • Animal: Rodent studies show NMUR2-dependent suppression of food intake and body weight in both lean and diet-induced-obese mice (Kotera and colleagues 2009). NMS elicited near-complete anorectic responses in wild-type mice that were absent in Nmur2-knockout animals, establishing receptor dependence. Thermogenic effects via UCP1 upregulation in brown adipose tissue were demonstrated in mice (Involvement of endogenous neuromedin U and neuromedin S in thermoregulation, 2016). NMS-knockout mice showed significantly lower body surface temperature during the active phase compared with wild-type controls, implicating endogenous NMS in basal thermoregulation. HPA axis activation (near 5-fold increase in plasma corticosterone after intracerebroventricular injection) was documented in rats (Malendowicz and Rucinski 2021, review).
  • In vitro: Cryo-EM structural studies by You and colleagues (2022) resolved NMS–NMUR1–Gq and NMS–NMUR2–Gq complexes, revealing that NMS and NMU adopt distinct binding poses despite sharing the same C-terminal heptapeptide. NMUR2 shows significantly higher binding affinity for NMS than for NMU, a selectivity attributed to differences in the polar environment around receptor position 6.55.

Known effects

  • Circadian phase shifting — Preclinical (rat): intracerebroventricular NMS induces non-photic type phase shifts in locomotor rhythm
  • Appetite suppression — Preclinical (mouse): NMUR2-mediated reduction in food intake and body weight; absent in NMUR2-knockout animals
  • Thermogenesis — Preclinical (mouse): raises core and surface body temperature via UCP1 upregulation in brown adipose tissue
  • HPA axis activation — Preclinical (rat, bird): dose-dependent increase in plasma corticosterone; mediated via CRH/POMC pathways
  • Antidiuresis — Preclinical (rat): vasopressin release from supraoptic nucleus reduces nocturnal urinary output
  • Oxytocin stimulation — Preclinical (rat): activates oxytocinergic neurons in paraventricular and supraoptic nuclei; endogenous NMS supports milk ejection reflex
  • LH modulation — Preclinical (rat): state-dependent effects on luteinizing hormone secretion, varying across the estrous cycle and in response to fasting

Mechanism

NMS signals through two class A GPCRs: NMUR1 (predominantly peripheral expression) and NMUR2 (predominantly central, highly expressed in the hypothalamus and cerebral cortex). Both receptors couple to Gq/11, activating phospholipase C and generating intracellular calcium signals; some Gi coupling has also been reported. The central anorectic and thermogenic effects of NMS are mediated almost exclusively through NMUR2, as demonstrated by knockout experiments. NMS preferentially binds NMUR2 over NMUR1 compared with NMU, a selectivity that has been linked to a more pronounced polar environment at the R4 position of the peptide's binding interface in NMUR2 (You and colleagues 2022). The C-terminal amidated heptapeptide (Phe-Leu-Phe-Arg-Pro-Arg-Asn–NH₂) is the pharmacophore shared with NMU; it drives the R6.55-triggered conformational switch that propagates through conserved receptor micro-switches to engage Gq. The N-terminal 29 (rat) or 26 (human) residues differ between NMS and NMU and contribute to receptor subtype selectivity. Despite NMS mRNA being confined to the SCN, the NMS peptide is detectable throughout the brainstem (midbrain, pons, and medulla), consistent with axonal projections from SCN neurons distributing the peptide to downstream circuits (Mori and colleagues 2012).

Safety signals

No human safety data exist for neuromedin S. All available information derives from rodent pharmacology studies using intracerebroventricular administration (a research route with no clinical equivalent). No regulatory filings or preclinical toxicology packages have been published for NMS itself. NMUR2-selective synthetic agonists are in early preclinical exploration for obesity, and some of that work has begun to characterize receptor-mediated side effects (including potential HPA axis activation), but those are distinct compounds from native NMS.

Regulatory status

  • US (FDA): Not approved. No IND or clinical trial application on record.
  • EU (EMA): Not approved.
  • WADA: Not listed on the current Prohibited List; NMS is not known to be used in sport.
  • Research use: Synthetic rat NMS and human NMS33 are available from commercial peptide suppliers as research-grade reagents.

Related peptides

  • Neuromedin U (NMU) — the structural and functional sister peptide sharing the C-terminal heptapeptide pharmacophore; more widely expressed in peripheral tissues (gut, pituitary) than NMS; early-stage preclinical NMUR2 agonist drug discovery programs have used NMU as the template
Hypotheses5 directions▾ collapse

Research directions for this peptide, selected from the current sources — hypotheses you can explore and model. None of it is proven yet; tap any one to see the full thinking.

openupdated 2026-06-05

Does neuromedin S actually engage the GLP-1 receptor, or is that a database labeling error?

GLP-1 receptor drugs are blockbuster obesity treatments. If NMS is incorrectly linked to GLP-1R, researchers designing NMS-based weight-loss compounds are starting from a false premise, wasting resources that could be redirected to the correct receptor pathway.

The hypothesis
The annotated GLP-1R target for Neuromedin S is likely a misannotation: NMS activates NMU1R and NMU2R (neuromedin U receptors), and the boltz-2 ipTM of 0.640 with GLP-1R reflects structural non-cognate docking, not physiological engagement.
Why it’s plausible
The original NMS discovery paper (10.1038/sj.emboj.7600526) identified NMS as a ligand for FM-3/GPR66 and FM-4/TGR-1, which are NMU receptors, not GLP-1R. The C-terminal seven residues of NMS are identical to NMU, whose activity is entirely dependent on C-terminal amidation and engagement of NMURs. GLP-1R is a structurally distinct class B GPCR with a peptide-binding mode specific to glucagon-family ligands. An ipTM of 0.640 is in the uncertain range and does not constitute evidence of true binding.
Why it matters
If NMS does not engage GLP-1R, then proposals to combine or compare NMS with GLP-1R agonists for metabolic disease would lack a mechanistic foundation, and the observed appetite-suppressive effects of NMS should be attributed entirely to the NMU-receptor axis.
Plausibility.92
Novelty.50
Impact.75
Basis · grounding1 paper · 2 computed/notes
[1]
paper
NMS was deorphanized against FM-3/GPR66 and FM-4/TGR-1 (NMU receptors), not GLP-1R
doi: 10.1038/sj.emboj.7600526
[2]
sequenceC-terminal PFLFRPRN matches NMU C-terminal pharmacophore; no glucagon-family motif present
[3]
structureboltz-2 ipTM=0.640 with GLP-1R is borderline-poor, not indicative of a cognate complex
openupdated 2026-06-05

Does neuromedin S amplify the brain's internal clock by feeding back onto the same neurons that release it?

If this loop exists, drugs that mimic it could help reset disrupted circadian rhythms in shift workers or jet-lagged travelers, and might improve outcomes in sleep disorders without the side effects of current sedatives.

The hypothesis
NMS amplifies the circadian amplitude of the suprachiasmatic nucleus (SCN) pacemaker by acting as an autocrine/paracrine NMU2R agonist within SCN neurons, with its local expression peak gating the phase of Per1/Per2 transcription cycles.
Why it’s plausible
NMS mRNA is almost exclusively expressed in the SCN (10.1038/sj.emboj.7600526), and NMU2R is highly expressed in the SCN. NMS injected centrally causes non-photic phase shifts in locomotor rhythms (as noted in the README), consistent with direct clock-gene modulation. NMU signaling activates Gq/phospholipase C, elevating intracellular calcium, which is a known entrainer of CLOCK/BMAL1-driven transcription via CaMKII. If NMS expression itself is clock-controlled (CLOCK/BMAL1-responsive promoter), a local positive feedback loop could sharpen SCN output.
Why it matters
An autocrine NMS-NMU2R loop within the SCN would be a novel intra-pacemaker amplification mechanism, distinct from the VIP/VPAC2 intercellular coupling system, with implications for jet-lag, shift-work disorder, and circadian-clock-targeting therapies.
Plausibility.65
Novelty.70
Impact.70
Basis · grounding1 paper · 2 computed/notes
[1]
paper
NMS mRNA is restricted to SCN; central injection causes non-photic phase shifts, implicating direct clock involvement
doi: 10.1038/sj.emboj.7600526
[2]
noteNMS described as produced almost exclusively in SCN and coordinating circadian rhythms
[3]
sequenceC-terminal PFLFRPRN is the NMU pharmacophore; NMU2R is the high-affinity CNS receptor subtype expressed in SCN
openupdated 2026-06-05

Could a clock-synchronized appetite signal like neuromedin S reduce overeating caused by shift work or irregular sleep?

Shift workers and people with disrupted sleep have much higher obesity rates, partly because their hunger signals fire at the wrong times. A treatment tied to the body clock could correct this mismatch, helping a large underserved population that current weight-loss drugs do not address well.

The hypothesis
NMS, through NMU2R activation in the hypothalamus, could suppress binge-like eating behavior induced by circadian misalignment more effectively than caloric restriction alone, because its appetite-suppressive signal is temporally gated to the active phase when hunger drives are highest.
Why it’s plausible
NMS suppresses appetite and is expressed in the SCN, whose output peaks phase-coherently with the active phase. NMU2R agonism in the hypothalamus suppresses food intake in rodents. Binge eating and night-eating syndrome are linked to circadian misalignment of hunger signals. A peptide whose release is intrinsically clock-coupled would deliver appetite suppression with natural temporal specificity that exogenous GLP-1R agonists, given as daily bolus doses, cannot replicate.
Why it matters
Temporally targeted appetite suppression could treat circadian-misalignment-driven hyperphagia (a major contributor to obesity in shift workers) with less drug burden and fewer metabolic side effects than always-on receptor agonism.
Plausibility.55
Novelty.60
Impact.70
Basis · grounding1 paper · 2 computed/notes
[1]
noteNMS suppresses appetite and regulates body temperature; expression restricted to SCN with circadian output
[2]
paper
Discovery paper demonstrates central NMS injection alters circadian locomotor phase, establishing clock-coupled biological activity
doi: 10.1038/sj.emboj.7600526
[3]
sequenceC-terminal pharmacophore shared with NMU, which has documented hypothalamic appetite-suppressive effects via NMU1R/NMU2R
openupdated 2026-06-05

Could neuromedin S reduce stress-hormone overactivation in people whose circadian rhythms are disrupted?

Chronic stress and circadian disruption often co-occur in shift workers, trauma survivors, and people with burnout. A peptide that links the clock to the stress system could offer a fundamentally new way to treat anxiety conditions that current drugs address only partially.

The hypothesis
NMS or an NMU2R-selective analogue could attenuate chronic stress-induced anxiety by dampening HPA-axis activation in the paraventricular nucleus (PVN), because NMU signaling in the PVN drives CRH release and NMS, with its SCN origin and projections to PVN, could deliver clock-gated inhibitory tone to constrain excess stress-axis activation during the rest phase.
Why it’s plausible
NMU2R is highly expressed in the PVN, and central NMU injection increases CRH and ACTH release, activating the stress axis. However, NMS is released from the SCN, which sends inhibitory GABAergic projections to the PVN. If NMS acts on interneurons that dampen CRH neurons rather than CRH neurons directly, it would oppose NMU's stress-activating role in a circuit-specific manner. Anxiety and HPA dysregulation are linked to circadian disruption, and an SCN-derived peptide that modulates PVN output would represent a novel clock-to-stress-axis communication pathway.
Why it matters
Targeting the circadian-stress interface with a clock-coupled neuropeptide could offer a new approach to stress disorders (PTSD, burnout, shift-work-related anxiety) that are intrinsically linked to rhythm disruption and not adequately addressed by current anxiolytics.
Plausibility.50
Novelty.70
Impact.65
Basis · grounding1 paper · 2 computed/notes
[1]
noteNMS coordinates hormonal responses and is produced in SCN, which projects to PVN
[2]
sequenceC-terminal pharmacophore engages NMU2R, which is expressed in PVN alongside CRH neurons
[3]
paper
Central NMS injection alters neuroendocrine parameters, consistent with hypothalamic-pituitary-axis engagement
doi: 10.1038/sj.emboj.7600526
openupdated 2026-06-05

Does the large N-terminal extension of neuromedin S make it hit only the brain receptor and not the gut/peripheral receptor?

If NMS targets only the brain receptor, an NMS-based drug could suppress appetite and reset the body clock without causing the gut cramps or blood pressure changes tied to activating the same receptor family in peripheral organs.

The hypothesis
The unique N-terminal 29 residues of NMS (LPRLLHTDSRMATIDFPKKDPTTSLGRPFF) confer selective engagement of NMU2R over NMU1R, because NMU1R is the peripheral receptor with lower affinity for N-terminally extended NMU-family ligands, while NMU2R dominates CNS expression and tolerates larger ligands.
Why it’s plausible
NMU itself (25 residues) is equipotent at NMU1R and NMU2R in some assays, but NMU2R is predominantly CNS-expressed and NMU1R is peripheral. The NMS sequence extends 29 residues N-terminal to the shared C-terminal pharmacophore, adding bulk and charge (LPRLL basic/hydrophobic cluster, KK at positions 18-19). Larger peptides often show NMU2R preference in CNS contexts. If NMS is NMU2R-selective, its central appetite and circadian effects are cleanly attributable to that receptor, and NMU1R-mediated peripheral effects (smooth muscle, adrenal) would be avoided.
Why it matters
NMU2R selectivity would make NMS or stable analogues a cleaner CNS probe and therapeutic candidate than NMU itself, which has dose-limiting peripheral actions.
Plausibility.50
Novelty.55
Impact.60
Basis · grounding1 paper · 2 computed/notes
[1]
sequenceResidues 1-29 add a large N-terminal extension to the NMU pharmacophore; includes basic cluster KK at positions 18-19 and hydrophobic LPRLL at positions 1-5
[2]
noteNMS was identified by screening against FM-3/GPR66 and FM-4/TGR-1, both NMU receptors; differential potency between subtypes is not established in the source material, making this non-obvious
[3]
paper
Discovery paper identifies NMS as NMU-receptor ligand; receptor-subtype selectivity data invite further investigation
doi: 10.1038/sj.emboj.7600526
details expand to inspect
full evidence table2 metrics
metricvaluetool
ipTM 0.6398810148239136 boltz-2
ranking score 0.7018434405326843 boltz-2
structural qualityopenfold3
metricvaluenote
gpde1.029global PDE — lower = better
disorderNaNfraction disordered
3-letter notation
Leu-Pro-Arg-Leu-Leu-His-Thr-Asp-Ser-Arg-Met-Ala-Thr-Ile-Asp-Phe-Pro-Lys-Lys-Asp-Pro-Thr-Thr-Ser-Leu-Gly-Arg-Pro-Phe-Phe-Leu-Phe-Arg-Pro-Arg-Asn
recipeboltz-2 1.0
parametervalue
modelboltz-2 1.0
weights
hardwarenvidia_nim_api
mlx version
python
random seed
msa strategynone
diffusion samples1
runtime
predicted bymlx@peptide
predicted at2026-04-24
citationbibtex
peptidemodel (2026). Neuromedin S: brain clock and appetite-suppressing neuropeptide (pep-10620, v1). PeptideModel. https://peptidemodel.com/card/pep-10620
@peptide{pep10620,
  sequence = {LPRLLHTDSRMATIDFPKKDPTTSLGRPFFLFRPRN},
  target   = {glp-1r},
  author   = {peptidemodel},
  year     = {2026},
  status   = {synthesized}
}
related peptides 1 by signal overlap
clinical trials 2 on ct.gov · checked 2026-05-09
ct.gov trials 2
PubMed reviews 3
by phase
2no phase
by status
2recruiting
references 4 papers
discussion no comments
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