Fisher Simon P, Davidson Kathryn, Kulla Alexander, Sugden David
Division of Reproduction and Endocrinology, School of Biomedical and Health Sciences, King's College London, London, UK.
J Pineal Res. 2008 Sep;45(2):125-32. doi: 10.1111/j.1600-079X.2008.00565.x. Epub 2008 Feb 19.
Insomnia, which is severe enough to warrant treatment, occurs in approximately 10% of the general population. It is associated with a range of adverse consequences for human health, economic productivity and quality of life. In animal and human studies, administration of melatonin has been reported to promote sleep, although there has been controversy regarding its effectiveness. The present study used a chronically implanted radiotelemetry transmitter to record electroencephalogram (EEG) and electromyogram (EMG) to enable discrimination of wake (W), nonrapid eye movement (NREM) sleep and rapid eye movement (REM) sleep in un-restrained rats. The acute action of melatonin and ramelteon, a melatonin agonist recently approved for long-term treatment of insomnia in the USA, was examined. Radioligand binding assays on recombinant human MT(1)/MT(2) receptors showed that both the melatonin and ramelteon were both high affinity, nonsubtype selective ligands. Both compounds acted as potent full agonists on a cellular model of melatonin action, the pigment aggregation response in Xenopus laevis melanophores. Both melatonin and ramelteon (10 mg/kg, i/p), administered close to the mid-point of the dark phase of the L:D cycle, significantly reduced NREM sleep latency (time from injection to the appearance of NREM sleep). Both the drugs also produced a short-lasting increase in NREM sleep duration, but the NREM power spectrum was unaltered. Neither drug altered REM latency, REM sleep duration nor power spectrum during REM sleep. In conclusion, ramelteon administration, like melatonin, exerted an acute, short-lasting sleep-promoting effect in the rat, the model most commonly used to evaluate the activity of novel hypnotic drugs.
严重到需要治疗的失眠症在普通人群中的发生率约为10%。它会给人类健康、经济生产力和生活质量带来一系列不良后果。在动物和人体研究中,据报道褪黑素的使用可促进睡眠,尽管其有效性存在争议。本研究使用长期植入的无线电遥测发射器记录脑电图(EEG)和肌电图(EMG),以便在不受约束的大鼠中区分清醒(W)、非快速眼动(NREM)睡眠和快速眼动(REM)睡眠。研究了褪黑素和雷美替胺(一种最近在美国被批准用于长期治疗失眠症的褪黑素激动剂)的急性作用。对重组人MT(1)/MT(2)受体的放射性配体结合分析表明,褪黑素和雷美替胺都是高亲和力、非亚型选择性配体。这两种化合物在褪黑素作用的细胞模型(非洲爪蟾黑素细胞中的色素聚集反应)中均作为有效的完全激动剂起作用。在昼夜周期的黑暗期中点附近给予褪黑素和雷美替胺(10 mg/kg,腹腔注射),均显著缩短了NREM睡眠潜伏期(从注射到出现NREM睡眠的时间)。这两种药物还使NREM睡眠时间短暂增加,但NREM功率谱未改变。两种药物均未改变REM潜伏期、REM睡眠时间或REM睡眠期间的功率谱。总之,与褪黑素一样,雷美替胺给药在大鼠中产生了急性、短暂的促睡眠作用,大鼠是最常用于评估新型催眠药物活性的模型。