α-MSH, at nM concentrations, protects osteoblasts from dexamethasone (Dex).
Melanocortin receptor 4 (MC4R) acts as the receptor of α-MSH in osteoblasts.
α-MSH activates sphingosine kinase 1 (SphK1), downstream on MC4R, in osteoblasts.
SphK1 activation mediates α-MSH-exerted pro-survival effects in osteoblasts.