Cell membrane proteome profiling uncovers molecular signatures and GPCR regulators underlying diet-induced obesity and exercise-mediated adaptation

Cell membrane proteins (CMPs), notably G protein-coupled receptors (GPCRs) and receptor tyrosine kinases (RTKs), represent the largest class of druggable targets. Despite their therapeutic importance, how the CMP landscape is systemically remodeled during metabolic disease progression and in response to exercise remains poorly understood. Here, we constructed the most comprehensive CMP proteome atlas to date across 22 male mouse tissues and established the first multi-tissue map of GPCR-associated protein hormones/prohormones. Integrated CMP proteomic and transcriptomic analysis revealed that diet-induced obesity and its progression to type 2 diabetes remodel the CMP repertoire in patterns distinct from those induced by exercise. We found that numerous GPCRs and RTKs critical for energy homeostasis are dysregulated during obesity in a tissue-specific manner, and these alterations are reversed to varying extents by exercise training. Importantly, our CMP-centric omics study identified two parathyroid hormone receptors (PTHRs) in the hypothalamus as negative regulators of feeding and body weight. Genetically silencing these hypothalamic PTHRs led to severe obesity even on a chow diet and markedly blunted exercise-induced weight loss. Collectively, our study provides not only new insights into systematic CMP regulation underlying metabolic deterioration versus exercise adaptation, but also nominates potential receptor targets for obesity management.