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Angelman syndrome and melatonin: What can they teach us about sleep regulation.

Journal of pineal research
November 1, 2020
Daniella Buonfiglio et al. (5 authors)
Journal ArticleReviewHuman StudyAnimal Study
Study Details

Study Goal

The researchers aimed to examine the relationship between melatonin levels and sleep disturbances in Angelman syndrome (AS) patients and animal models, and to assess whether melatonin replacement therapy could improve sleep.

Results Summary

The study found that reduced melatonin levels may contribute to sleep problems in AS patients, and emerging evidence suggests melatonin replacement therapy can improve sleep. However, AS mice without melatonin production still exhibit sleep issues, indicating melatonin may be a secondary factor rather than the root cause.

Population

Angelman syndrome (AS) patients and animal models of AS.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
-
decrease
sleep disorders
many Angelman syndrome (AS) patients
-
are broadly characterized by difficulty falling and staying asleep
#1
-
decrease
sleep
Some of these patients
4 hours a night
sleep less than
#2
-
no change
sleep
most cases
-
do not make up this lost sleep
#3
-
decrease
melatonin
Most AS patients
-
have severely reduced levels of
#4
melatonin replacement therapy
increase
sleep
many AS patients
-
can improve
#5
-
increase
sleep problems
AS mice
-
show sleep problems that are arguably similar to those in humans
#6
Abstract

In 1965, Dr Harry Angelman reported a neurodevelopmental disorder affecting three unrelated children who had similar symptoms: brachycephaly, mental retardation, ataxia, seizures, protruding tongues, and remarkable paroxysms of laughter. Over the past 50 years, the disorder became Angelman's namesake and symptomology was expanded to include hyper-activity, stereotypies, and severe sleep disturbances. The sleep disorders in many Angelman syndrome (AS) patients are broadly characterized by difficulty falling and staying asleep at night. Some of these patients sleep less than 4 hours a night and, in most cases, do not make up this lost sleep during the day-leading to the speculation that AS patients may "need" less sleep. Most AS patients also have severely reduced levels of melatonin, a hormone produced by the pineal gland exclusively at night. This nightly pattern of melatonin production is thought to help synchronize internal circadian rhythms and promote nighttime sleep in humans and other diurnal species. It has been proposed that reduced melatonin levels contribute to the sleep problems in AS patients. Indeed, emerging evidence suggests melatonin replacement therapy can improve sleep in many AS patients. However, AS mice show sleep problems that are arguably similar to those in humans despite being on genetic backgrounds that do not make melatonin. This suggests the hypothesis that the change in nighttime melatonin may be a secondary factor rather than the root cause of the sleeping disorder. The goals of this review article are to revisit the sleep and melatonin findings in both AS patients and animal models of AS and discuss what AS may tell us about the underlying mechanisms of, and interplay between, melatonin and sleep.

Medical Subject Headings (MeSH)
Angelman SyndromeAnimalsCircadian RhythmHumansMelatoninPineal GlandSleep Wake Disorders
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations9
Citations/Year1.8
Relative Citation Ratio0.64
NIH Percentile34.3%
Research Impact Scores
APT Score0.25
Weight Score1.15
Normalized Score0.66
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