Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease

Agomelatine is a selective agonist of melatonin receptor 1A/melatonin receptor 1B (MT1/MT2) and antagonist of 5-hydroxytryptamine 2C receptors. It is used clinically to treat major depressive episodes in adults. The pro-chronobiological activity of agomelatine reconstructs sleep-wake rhythms and nor...

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Main Authors: Qiang Su, Tian Li, Guo-Wei Liu, Yan-Li Zhang, Jun-Hong Guo, Zhao-Jun Wang, Mei-Na Wu, Jin-Shun Qi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2023;volume=18;issue=4;spage=727;epage=733;aulast=Su
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author Qiang Su
Tian Li
Guo-Wei Liu
Yan-Li Zhang
Jun-Hong Guo
Zhao-Jun Wang
Mei-Na Wu
Jin-Shun Qi
author_facet Qiang Su
Tian Li
Guo-Wei Liu
Yan-Li Zhang
Jun-Hong Guo
Zhao-Jun Wang
Mei-Na Wu
Jin-Shun Qi
author_sort Qiang Su
collection DOAJ
description Agomelatine is a selective agonist of melatonin receptor 1A/melatonin receptor 1B (MT1/MT2) and antagonist of 5-hydroxytryptamine 2C receptors. It is used clinically to treat major depressive episodes in adults. The pro-chronobiological activity of agomelatine reconstructs sleep-wake rhythms and normalizes circadian disturbances via its agonistic effect of melatonin receptor 1A/melatonin receptor 1B, which work simultaneously to counteract depression and anxiety disorder. Moreover, by antagonizing neocortical postsynaptic 5-hydroxytryptamine 2C receptors, agomelatine enhances the release of dopamine and noradrenaline in the prefrontal cortex, increases the activity of dopamine and noradrenaline, and thereby reduces depression and anxiety disorder. The combination of these two effects means that agomelatine exhibits a unique pharmacological role in the treatment of depression, anxiety, and disturbance of the circadian rhythm. Emotion and sleep are closely related to memory and cognitive function. Memory disorder is defined as any forms of memory abnormality, which is typically evident in a broad range of neurodegenerative diseases, including Alzheimer’s disease. Memory impairment and cognitive impairment are common symptoms of neurodegenerative and psychiatric diseases. Therefore, whether agomelatine can improve memory and cognitive behaviors if used for alleviating depression and circadian-rhythm sleep disorders has become a research “hotspot”. This review presents the latest findings on the effects of agomelatine in the treatment of psychologic and circadian-rhythm sleep disorders in clinical trials and animal experiments. Our review evaluates recent studies on treatment of memory impairment and cognitive impairment in neurodegenerative and psychiatric diseases.
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spelling doaj.art-6bd5399e879649dda25e2f44ef106def2022-12-22T04:30:20ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742023-01-0118472773310.4103/1673-5374.353479Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative diseaseQiang SuTian LiGuo-Wei LiuYan-Li ZhangJun-Hong GuoZhao-Jun WangMei-Na WuJin-Shun QiAgomelatine is a selective agonist of melatonin receptor 1A/melatonin receptor 1B (MT1/MT2) and antagonist of 5-hydroxytryptamine 2C receptors. It is used clinically to treat major depressive episodes in adults. The pro-chronobiological activity of agomelatine reconstructs sleep-wake rhythms and normalizes circadian disturbances via its agonistic effect of melatonin receptor 1A/melatonin receptor 1B, which work simultaneously to counteract depression and anxiety disorder. Moreover, by antagonizing neocortical postsynaptic 5-hydroxytryptamine 2C receptors, agomelatine enhances the release of dopamine and noradrenaline in the prefrontal cortex, increases the activity of dopamine and noradrenaline, and thereby reduces depression and anxiety disorder. The combination of these two effects means that agomelatine exhibits a unique pharmacological role in the treatment of depression, anxiety, and disturbance of the circadian rhythm. Emotion and sleep are closely related to memory and cognitive function. Memory disorder is defined as any forms of memory abnormality, which is typically evident in a broad range of neurodegenerative diseases, including Alzheimer’s disease. Memory impairment and cognitive impairment are common symptoms of neurodegenerative and psychiatric diseases. Therefore, whether agomelatine can improve memory and cognitive behaviors if used for alleviating depression and circadian-rhythm sleep disorders has become a research “hotspot”. This review presents the latest findings on the effects of agomelatine in the treatment of psychologic and circadian-rhythm sleep disorders in clinical trials and animal experiments. Our review evaluates recent studies on treatment of memory impairment and cognitive impairment in neurodegenerative and psychiatric diseases.http://www.nrronline.org/article.asp?issn=1673-5374;year=2023;volume=18;issue=4;spage=727;epage=733;aulast=Suagomelatine; antidepressant; anxiety; apathy; circadian-rhythm sleep disorder; cognitive impairment; depression; melatonergic; memory disorder; mood disorder; neurodegenerative disease
spellingShingle Qiang Su
Tian Li
Guo-Wei Liu
Yan-Li Zhang
Jun-Hong Guo
Zhao-Jun Wang
Mei-Na Wu
Jin-Shun Qi
Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease
Neural Regeneration Research
agomelatine; antidepressant; anxiety; apathy; circadian-rhythm sleep disorder; cognitive impairment; depression; melatonergic; memory disorder; mood disorder; neurodegenerative disease
title Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease
title_full Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease
title_fullStr Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease
title_full_unstemmed Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease
title_short Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease
title_sort agomelatine a potential novel approach for the treatment of memory disorder in neurodegenerative disease
topic agomelatine; antidepressant; anxiety; apathy; circadian-rhythm sleep disorder; cognitive impairment; depression; melatonergic; memory disorder; mood disorder; neurodegenerative disease
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2023;volume=18;issue=4;spage=727;epage=733;aulast=Su
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