Melatonin receptor 1A

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Melatonin Receptor 1A (MT1), also known as the MTNR1A or Mel1A receptor, is a protein that in humans is encoded by the MTNR1A gene. It is one of the G protein-coupled receptors that is activated by the hormone melatonin, a key regulator in the modulation of sleep and circadian rhythms. The MT1 receptor plays a significant role in photoperiodism and reproductive physiology, among other physiological processes.

Function[edit | edit source]

The MT1 receptor is involved in the transduction of photoperiodic signals to the suprachiasmatic nucleus (SCN), the primary circadian pacemaker in the mammalian brain. This receptor modulates the release of neurotransmitters and hormones that are associated with circadian rhythms, including the regulation of sleep, body temperature, and endocrine functions. Activation of the MT1 receptor by melatonin has been shown to inhibit adenylate cyclase activity, leading to a decrease in cAMP levels within cells. This signaling pathway plays a crucial role in the entrainment of the circadian clock to the environmental light-dark cycle.

Distribution[edit | edit source]

MT1 receptors are widely distributed throughout the body, with high expression levels found in the brain, particularly in the SCN, as well as in the retina, pituitary gland, and ovaries. Their presence in various tissues underscores the systemic effects of melatonin on physiological functions beyond sleep regulation, including immune system modulation and antioxidant defense mechanisms.

Clinical Significance[edit | edit source]

Alterations in MT1 receptor function have been implicated in a variety of sleep disorders, including insomnia, delayed sleep phase syndrome, and non-24-hour sleep-wake disorder. Pharmacological targeting of the MT1 receptor, along with its counterpart the MT2 receptor, has been explored for the treatment of sleep disorders and certain types of depression. Agonists of the MT1 receptor can mimic the effects of melatonin, potentially providing therapeutic benefits in conditions where melatonin levels are disrupted or insufficient.

Pharmacology[edit | edit source]

Selective agonists and antagonists for the MT1 receptor have been developed for research and therapeutic purposes. Agonists such as ramelteon and tasimelteon have been approved for the treatment of insomnia and non-24-hour sleep-wake disorder, respectively. These drugs specifically target melatonin receptors to regulate sleep patterns without the dependency risks associated with traditional sedative-hypnotics.

Genetics[edit | edit source]

The MTNR1A gene is located on chromosome 4 in humans. Genetic variations in MTNR1A have been studied in relation to their potential impact on susceptibility to sleep disorders and other conditions influenced by melatonin signaling. However, the clinical significance of these genetic variations remains an area of ongoing research.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD