melatonin
✓ ApprovedClinigen Group · MTNR1A · Small Molecule
What is melatonin?
melatonin is a small molecule developed by Clinigen Group. It is approved for therapeutic indications via oral (po).
Drug Profile
| Company | Clinigen Group |
| Drug Class | Small Molecule |
| Molecular Target | MTNR1A, MTNR1B |
| Route | Oral (PO) |
| Status | Approved |
Mechanism of Action
Molecular Targets
melatonin acts on 2 molecular targets:
| MTNR1A | melatonin receptor 1A (MEL-1A-R, MT1) |
| MTNR1B | melatonin receptor 1B (FGQTL2, MT2) |
Therapeutic Indications
melatonin is developed for 2 unique indications across 1 therapeutic area.
| Therapeutic Area | Condition | Phase |
|---|---|---|
| Psychiatric disorders | Insomnia | ✓ Approved |
| Psychiatric disorders | Sleep disorder | ✓ Approved |
Related Research Articles
RETRACTION: The Dual Roles of Melatonin Biosynthesis Enzymes in the Coordination of Melatonin Biosynthesis and Autophagy in Cassava.
Y. Wei, Y. Bai, X. Cheng, B. Zhu, R. J. Reiter, and H. Shi, "The Dual Roles of Melatonin Biosynthesis Enzymes in the Coordination of Melatonin Biosynthesis and Autophagy in Cassava," Journal of Pineal Research 69, no. 1 (2020): e12652, https://doi.org/10.1111/jpi.12652. The above article, published online on 23 March 2020 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the journal Editor-in-Chief, Gianluca Tosini; and John Wiley & Sons Ltd. A report on PubPeer [1] indicated that the pTRV and pTRV-MeASMT3 images in Figure 3D had been duplicated and presented as different samples in Figure 7B following rotation and further alteration. Additionally, several samples presented in Figure 4 contained overlapping or duplicated images. These concerns were confirmed by the publisher. The authors responded to an inquiry by the publisher and reported that an additional image duplication had occurred in between Figures 6C and 7C, in addition to the other errors. They reported that the duplications were due to mistakes during manuscript preparation. While the authors presented original as well as repeat data with the intention of correcting these errors, the authors did not provide a satisfactory explanation for the evidence of image rotation and alteration of images between Figures 3 and 7. Therefore, the publisher and the editor have lost confidence in the results and the conclusions, and the article must be retracted. The authors agree with the retraction.
Dexmedetomidine-flurbiprofen axetil-based opioid-free analgesia attenuates postoperative melatonin suppression and improves sleep quality after thyroidectomy: a randomized controlled trial.
Guo Rui R, Luo Xin X, Chen Li L, Rao Pan-Guo PG et al.
To determine whether an opioid-free patient-controlled intravenous analgesia (PCIA) regimen based on dexmedetomidine and flurbiprofen axetil improves postoperative sleep quality and affects nocturnal melatonin secretion compared to a sufentanil-based regimen in patients undergoing thyroidectomy. In this prospective, randomized, double-blind controlled trial, 96 patients undergoing thyroidectomy were randomly assigned to receive either opioid-free PCIA (dexmedetomidine, flurbiprofen axetil, and ondansetron) or opioid PCIA (sufentanil and ondansetron). PCIA was initiated 5 min before the end of surgery. The primary outcome was postoperative sleep quality, assessed using the Richards-Campbell Sleep Questionnaire (RCSQ). Secondary outcomes included urinary 6-sulfatoxymelatonin (6-SMT) excretion normalized to creatinine, detailed sleep parameters, anxiety levels, pain intensity, sedation levels, and postoperative adverse events. Assessments of sleep quality, urinary 6-SMT excretion, and anxiety levels were performed preoperatively (T0) and on postoperative days 1 (T1) and 2 (T2). Pain intensity (assessed by the Visual Analog Scale, VAS) and sedation levels (assessed using the Ramsay Sedation Scale) were measured at postoperative hours 1, 6, 24, and 48. Patients in the opioid-free group exhibited significantly higher RCSQ scores at T1 and T2, indicating improved postoperative sleep quality (all P < 0.001). Correspondingly, urinary 6-SMT excretion was significantly higher in the opioid-free group at both postoperative time points (P < 0.001), suggesting better preservation of nocturnal melatonin secretion. Detailed sleep parameters showed shorter sleep latency, fewer nocturnal awakenings, and longer total sleep time in the opioid-free group (all P < 0.01). Anxiety levels were significantly lower in the opioid-free group (P < 0.001). Postoperative pain intensity and sedation levels were comparable between groups at all time points (all P > 0.05). The incidences of nausea, vomiting, and pruritus were significantly reduced in the opioid-free group (P < 0.05). An opioid-free PCIA regimen based on dexmedetomidine and flurbiprofen axetil provides non-inferior postoperative analgesia while attenuating postoperative melatonin suppression, improving sleep quality, reducing anxiety, and decreasing opioid-related adverse events. This opioid-sparing strategy may represent an effective approach to enhance postoperative recovery after thyroidectomy. https://www.chictr.org.cn, identifier ChiCTR2400079949. 01/17/2024.
Melatonin-Zinc MOFs Antimycotic, Molecular, and Antioxidant Protective Effects of Hepatic, Renal, and Testicular Dysfunctions Induced by Aflatoxin B1 in Rats.
Aly Mohamed S MS, Soliman Mona M H MMH, Balabel Esraa A EA, Abdelhameed Reda M RM et al.
Aflatoxin B1 causes renal, hepatic, and reproductive disorders. To investigate the protective effects of melatonin-zinc metal-organic frameworks (Mt-Zn-MOFs) nanoparticles against renal, hepatic, and reproductive toxicity induced by aflatoxins B1, male Sprague-Dawley rats (n = 40) were equally divided into control, Mt-Zn-MOFs, aflatoxins, and Mt-Zn-MOFs + aflatoxins groups. Blood and tissue samples were collected from the livers, kidneys, and testicles. Luteinizing hormone (LH), testosterone, estradiol (E2), interleukin-β (IL-β), transforming growth factor-β (TGF-β), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), total antioxidants (TAC), nitric oxide (NO), AST, ALT, and creatinine were measured. Hepatic DNA fragmentation and the expression of CRAT, CYP39A1, and JunB genes were determined. Mt-Zn-MOFs have more antimycotic effects against A. flavus than A. parasiticus, with MIC and MFC of 3.125 and 6.25 mg/mL for A. flavus and 12.5 and 25 mg/mL for A. parasiticus, and 6.25 mg/mL inhibited A. flavus and A. parasiticus sporulation. Mt-Zn-MOFs rats had high (p < 0.001) testosterone, LH, E2, glucose, but low (p < 0.01) SOD, total proteins, albumin, globulin, AST, and ALT, compared to controls. Mt-Zn-MOFs-aflatoxin group had lower (p < 0.01) LH, SOD, GPx, total proteins, globulin, glucose, TGF-β (p < 0.022), DNA fragmentation, and the expressions of JunB, CYP39A1, and CRAT, but high (p < 0.01) NO, CAT, and total cholesterol than aflatoxin-treated rats. Mt-Zn-MOFs protected the liver, kidney, and spermatogenesis to a large extent. Mt-Zn-MOFs maintained normal testicular, hepatic, and renal histopathology in the aflatoxin treatment. Regardless, aflatoxin caused severe renal toxicity, Mt-Zn-MOFs reversed the effects of toxins and restored their normality, and are recommended to treat aflatoxicosis and mycotic infections.
RETRACTION: Inhibiting MT2-TFE3-Dependent Autophagy Enhances Melatonin-Induced Apoptosis in Tongue Squamous Cell Carcinoma.
T. Fan, H. Pi, M. Li, Z. Ren, Z. He, F. Zhu, L. Tian, M. Tu, J. Xie, M. Liu, Y. Li, M. Tan, G. Li, W. Qing, R. J. Reiter, Z. Yu, H. Wu, and Z. Zhou, "Inhibiting MT2-TFE3-Dependent Autophagy Enhances Melatonin-Induced Apoptosis in Tongue Squamous Cell Carcinoma," Journal of Pineal Research 64, no. 2 (2018): e12457, https://doi.org/10.1111/jpi.12457. The above article, published online on 08 May 2017 in Wiley Online Library (wileyonlinelibrary.com) and its corrigendum (https://doi.org/10.1111/jpi.12645), has been retracted by agreement between the journal Editor-in-Chief, Gianluca Tosini; and John Wiley & Sons Ltd. A third party brought the publisher's attention to a report on PubPeer [1] which suggested that the row of BAX bands in Figure 7E had been duplicated in Figure 8E and represented as CL-PARP following a vertical flip, while the row of GAPDH bands in Figure 7E had also likely been duplicated with further brightness changes and vertical resizing. Additionally, the row of CL-PARP bands in Figure 1B had been duplicated in Figure 2B and represented as SQSTM1 following a horizontal flip, while the row of GAPDH bands had also been duplicated between those same figures. While the corrigendum published online on 28 March 2020 corrected the duplication in Figure 2B, the corrigendum did not address how the mistake was made and did not address the duplications between Figure 7E and 8E. Further investigation by the publisher also found that most of the row of p-TFE3 bands in Figure 6A had been potentially duplicated from another article which shares one of the same authors [Chen et al. 2016 (https://doi.org/10.18632/oncotarget.12894)]. Both articles represented the data as being from different samples. Additionally, one further potential duplication between the c-TFEB and Histone H3 bands in Figure 4B was also detected. The authors responded to an inquiry by the publisher and presented original data as well as original experimental documentation. A review of these data by the publisher found that, while some of the bands in question were not duplicated, there were further discrepancies between the labeling of the original data and the data presented in the article. There were also further discrepancies between the presentation of the original data and the data included in the corrigendum. Following contact with the authors, an additional round of checks found further evidence of image duplication in the supplementary data. Part of the MT2 band in Figure S2A was potentially shared with the p-P70S6K band in Supplementary Figure S4B. Part of the GAPDH band in Figure S3A was shared with the GAPDH band in Figure S3B. A portion of the GAPDH band in Figure S4A was duplicated and represented as P70S6K in Figure S4C. Lastly, a portion of the row of GAPDH bands in Figure S3A was duplicated in Figure 6B in the main article text and represented as Histone H3 while the BAX band in Figure S5 was duplicated in Figure 4B in the main article text and represented as Histone H3. The Retraction has been agreed to because the evidence of image duplication of different samples within this work fundamentally compromises the editors' confidence in the results presented in this article. The authors were informed of the retraction. Reference 1. Phytotoma raimondii. Comments on "Inhibiting MT2-TFE3-Dependent Autophagy Enhances Melatonin-Induced Apoptosis in Tongue Squamous Cell Carcinoma," PubPeer, February 2020. https://pubpeer.com/publications/982C03B89308C90F5E87B7A19843AC.
A Passiflora incarnata extract exerts multi-target effects on selected sleep-related receptors.
Appel Kurt K, Schwarzensteiner Ilona I, Zimmermann Christian C, Tober Carsten C et al.
Since ancient times, passionflower (Passiflora incarnata L.) is used to treat insomnia, nervousness, anxiety, and other neurological conditions, but the understanding of the underlying neurophysiological processes is largely limited to the involvement of the GABAergic system. This work aims to elucidate the mechanism by which P. incarnata modulates selected sleep-promoting receptors and neurotransmitter pathways in the central nervous system. We studied the effects of a standardized P. incarnata extract on selected sleep-promoting receptors and neurotransmitters using competitive binding and uptake assays in vitro. The P. incarnata extract inhibited the binding of [3H]-DPCPX to the adenosine A1, [125I]-ZM 241385 to the adenosine A2A, and [125I]-LSD to the serotonin 5-HT2A receptor, in a concentration-dependent manner, whereas the melatonin MT1- and orexin OX1- receptors were unaffected. The extract also inhibited [3H]-dopamine, [3H]-norepinephrine, and [3H]-serotonin uptake into rat cortical synaptosomes. Hitherto undetermined active components of the P. incarnata extract inhibit monoamine uptake and show affinity to the adenosine A1 and A2A and the 5-HT2A serotonin receptor. The results of this exploratory study support the longstanding use of P. incarnata to promote sleep.
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