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Therapeutic potential of melatonin and its analogs in Parkinson's disease: focus on sleep and neuroprotection.

Therapeutic advances in neurological disorders
September 1, 2011
Venkatramanujam Srinivasan et al. (8 authors)
Journal ArticleHuman Study
Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
decrease
melatonin MT(1) and MT(2) receptors
PD patients
-
reduction in the expression
#1
melatonin
decrease
neuronal cell death
animal models of PD employing neurotoxins
-
efficacy for preventing
#2
melatonin
decrease
PD symptoms
animal models of PD employing neurotoxins
-
efficacy for ameliorating
#3
melatonin
decrease
disturbed sleep in PD
-
-
useful in treating
#4
melatonin
decrease
RBD
-
-
useful in treating
#5
Abstract

Sleep disorders constitute major nonmotor features of Parkinson's disease (PD) that have a substantial effect on patients' quality of life and can be related to the progression of the neurodegenerative disease. They can also serve as preclinical markers for PD, as it is the case for rapid eye movement (REM)-associated sleep behavior disorder (RBD). Although the etiology of sleep disorders in PD remains undefined, the assessment of the components of the circadian system, including melatonin secretion, could give therapeutically valuable insight on their pathophysiopathology. Melatonin is a regulator of the sleep/wake cycle and also acts as an effective antioxidant and mitochondrial function protector. A reduction in the expression of melatonin MT(1) and MT(2) receptors has been documented in the substantia nigra of PD patients. The efficacy of melatonin for preventing neuronal cell death and for ameliorating PD symptoms has been demonstrated in animal models of PD employing neurotoxins. A small number of controlled trials indicate that melatonin is useful in treating disturbed sleep in PD, in particular RBD. Whether melatonin and the recently developed melatonergic agents (ramelteon, tasimelteon, agomelatine) have therapeutic potential in PD is also discussed.

Study Links
PubMed ID22010042
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