Hypocretin (Orexin) Replacement Therapies

Twenty-two years after their discovery, the hypocretins (Hcrts), also known as orexins, are two of the most studied peptidergic systems, involved in myriad physiological systems that range from sleep, arousal, motivation, homeostatic regulation, fear, anxiety and learning. A causal relationship betw...

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Main Authors: Erica Seigneur, Luis de Lecea
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Medicine in Drug Discovery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590098620300579
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author Erica Seigneur
Luis de Lecea
author_facet Erica Seigneur
Luis de Lecea
author_sort Erica Seigneur
collection DOAJ
description Twenty-two years after their discovery, the hypocretins (Hcrts), also known as orexins, are two of the most studied peptidergic systems, involved in myriad physiological systems that range from sleep, arousal, motivation, homeostatic regulation, fear, anxiety and learning. A causal relationship between activity of Hcrt and arousal stability was established shortly after their discovery and have led to the development of a new class of drugs to treat insomnia. In this review we discuss the many faces of the Hcrt system and examine recent findings that implicate decreased Hcrt function in the pathogenesis of a number of neuropsychiatric conditions. We also discuss future therapeutic strategies to replace or enhance Hcrt function as a treatment option for these neuropsychiatric conditions.
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spelling doaj.art-5add1d9b5d4543a09b44c9dc68c9fd5a2022-12-21T20:21:57ZengElsevierMedicine in Drug Discovery2590-09862020-12-018100070Hypocretin (Orexin) Replacement TherapiesErica Seigneur0Luis de Lecea1Corresponding author at: 1201 Welch Rd, Stanford, CA 94305.; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CACorresponding author at: 1201 Welch Rd, Stanford, CA 94305.; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CATwenty-two years after their discovery, the hypocretins (Hcrts), also known as orexins, are two of the most studied peptidergic systems, involved in myriad physiological systems that range from sleep, arousal, motivation, homeostatic regulation, fear, anxiety and learning. A causal relationship between activity of Hcrt and arousal stability was established shortly after their discovery and have led to the development of a new class of drugs to treat insomnia. In this review we discuss the many faces of the Hcrt system and examine recent findings that implicate decreased Hcrt function in the pathogenesis of a number of neuropsychiatric conditions. We also discuss future therapeutic strategies to replace or enhance Hcrt function as a treatment option for these neuropsychiatric conditions.http://www.sciencedirect.com/science/article/pii/S2590098620300579SleepArousalOrexinNarcolepsyInsomniaHomeostasis
spellingShingle Erica Seigneur
Luis de Lecea
Hypocretin (Orexin) Replacement Therapies
Medicine in Drug Discovery
Sleep
Arousal
Orexin
Narcolepsy
Insomnia
Homeostasis
title Hypocretin (Orexin) Replacement Therapies
title_full Hypocretin (Orexin) Replacement Therapies
title_fullStr Hypocretin (Orexin) Replacement Therapies
title_full_unstemmed Hypocretin (Orexin) Replacement Therapies
title_short Hypocretin (Orexin) Replacement Therapies
title_sort hypocretin orexin replacement therapies
topic Sleep
Arousal
Orexin
Narcolepsy
Insomnia
Homeostasis
url http://www.sciencedirect.com/science/article/pii/S2590098620300579
work_keys_str_mv AT ericaseigneur hypocretinorexinreplacementtherapies
AT luisdelecea hypocretinorexinreplacementtherapies