Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action

Disruptions in sleep and sleep–wake cycle regulation have been identified as one of the main causes for the pathophysiology of depressive disorders. The search has been on for the identification of an ideal antidepressant that could improve both sleep disturbances and depressive symptomatology...

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Main Authors: Srinivasan, Venkataramanujan, Zakaria, Rahimah, Othman, Zahiruddin, Lauterbach, Edward C., Acuña-Castroviejo, Darío
Format: Article
Language:English
Published: American Psychiatric Publishing 2012
Subjects:
Online Access:http://eprints.usm.my/44437/1/2012_JNCN_-_Agomelatine_in_Depressive_Disorders.pdf
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author Srinivasan, Venkataramanujan
Zakaria, Rahimah
Othman, Zahiruddin
Lauterbach, Edward C.
Acuña-Castroviejo, Darío
author_facet Srinivasan, Venkataramanujan
Zakaria, Rahimah
Othman, Zahiruddin
Lauterbach, Edward C.
Acuña-Castroviejo, Darío
author_sort Srinivasan, Venkataramanujan
collection USM
description Disruptions in sleep and sleep–wake cycle regulation have been identified as one of the main causes for the pathophysiology of depressive disorders. The search has been on for the identification of an ideal antidepressant that could improve both sleep disturbances and depressive symptomatology. Melatonin, the major hormone of the pineal gland, has been shown to improve sleep and is involved in the regulation of the sleep–wake cycle. Identification of high concentrations of MT1 and MT2 melatonergic receptors in the suprachiasmatic nucleus of the anterior hypothalamus, the structure concerned with regulation of circadian rhythms and sleep–wake cycles, has led to the development of melatonergic agonists with greater potency and longer durations of action. Agomelatine is one such melatonergic agonist that acts specifically on MT1/MT2 melatonergic receptors and at the same time exhibits 5-HT2C antagonism, a property that is utilized by current antidepressants that are in clinical use. Agomelatine has been shown to be effective in a number of animal models of depression.
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spelling usm.eprints-444372019-05-30T01:32:27Z http://eprints.usm.my/44437/ Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action Srinivasan, Venkataramanujan Zakaria, Rahimah Othman, Zahiruddin Lauterbach, Edward C. Acuña-Castroviejo, Darío RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Disruptions in sleep and sleep–wake cycle regulation have been identified as one of the main causes for the pathophysiology of depressive disorders. The search has been on for the identification of an ideal antidepressant that could improve both sleep disturbances and depressive symptomatology. Melatonin, the major hormone of the pineal gland, has been shown to improve sleep and is involved in the regulation of the sleep–wake cycle. Identification of high concentrations of MT1 and MT2 melatonergic receptors in the suprachiasmatic nucleus of the anterior hypothalamus, the structure concerned with regulation of circadian rhythms and sleep–wake cycles, has led to the development of melatonergic agonists with greater potency and longer durations of action. Agomelatine is one such melatonergic agonist that acts specifically on MT1/MT2 melatonergic receptors and at the same time exhibits 5-HT2C antagonism, a property that is utilized by current antidepressants that are in clinical use. Agomelatine has been shown to be effective in a number of animal models of depression. American Psychiatric Publishing 2012 Article PeerReviewed application/pdf en http://eprints.usm.my/44437/1/2012_JNCN_-_Agomelatine_in_Depressive_Disorders.pdf Srinivasan, Venkataramanujan and Zakaria, Rahimah and Othman, Zahiruddin and Lauterbach, Edward C. and Acuña-Castroviejo, Darío (2012) Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action. Journal of Neuropsychiatry and Clinical Neurosciences, 24 (3). pp. 290-308. ISSN 0895-0172 https://neuro.psychiatryonline.org/doi/10.1176/appi.neuropsych.11090216
spellingShingle RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Srinivasan, Venkataramanujan
Zakaria, Rahimah
Othman, Zahiruddin
Lauterbach, Edward C.
Acuña-Castroviejo, Darío
Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action
title Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action
title_full Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action
title_fullStr Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action
title_full_unstemmed Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action
title_short Agomelatine in Depressive Disorders: Its Novel Mechanisms of Action
title_sort agomelatine in depressive disorders its novel mechanisms of action
topic RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
url http://eprints.usm.my/44437/1/2012_JNCN_-_Agomelatine_in_Depressive_Disorders.pdf
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