阿戈美拉汀简介 阿戈美拉汀是全球首个褪黑激素受体MT1和MT2激动剂类抗抑郁药,由法国施维雅公司研制。适用于治疗成年患者的重度抑郁发作。
褪黑素的作用机理 褪黑素是一种内源性神经激素,仅在夜晚由松果体的垂体前叶分泌产生,并作用于集中存在于下丘脑视交叉上核(SCN)的褪黑素受体,参与调解哺乳动物的昼夜生理节律。然而,由于褪黑素在体内具高分解代谢率而致其半衰期较短及对其位于SCN中的受体的选择性较差,导致其用于昼夜生理节律紊乱性疾病的治疗受到限制。
阿戈美拉汀的研发 为克服褪黑素的这些缺陷,研究人员设计了一系列褪黑素类似物。分子模型研究表明褪黑素的吲哚环为其分解代谢失活的结构位点,故吲哚环成为电子等排修饰的理想部位。施维雅公司开发研制的阿戈美拉汀即为褪黑素的萘生物(电子)等排体类似物,其以萘核取代了吲哚环,使其较褪黑素更具代谢稳定性。
药理作用 阿戈美拉汀的上市,是抑郁症治疗领域的一个新突破。它既是褪黑素MT1/MT2受体激动剂又是五羟色胺2c(5-HT2C)受体拮抗剂,通过两者的协同作用,使抑郁症患者紊乱的生物节律恢复正常,产生抗抑郁疗效。其独特的作用机理开辟了一条治疗抑郁症的创新途径。
阿戈美拉汀与目前普遍采用的抗抑郁药物如:选择性5-羟色胺再摄取抑制剂(SSRI)和5-羟色胺-去甲肾上腺素再摄取抑制剂(SNRI)完全不同。SSRI和SNRI类抗抑郁药是通过增加5-羟色胺浓度来实现抗抑郁疗效的,但这也带来了诸多副作用如体重改变、性功能障碍、撤药综合征等。而阿戈美拉汀的药物分子结构直接与神经突触后膜的五羟色胺2c(5HT2c)受体结合,从而发挥其抗抑郁疗效,且不增加突触间隙的5-羟色胺浓度。
这种独特的作用机理使得阿戈美拉汀在治疗抑郁症的同时减少了不良反应。此外,阿戈美拉汀还具有促进神经发生、增强细胞增殖和成熟神经元比例的作用,这进一步支持了其抗抑郁作用机制。
靶点 阿戈美拉汀对5-HT2C受体具有拮抗作用,因此是一种去甲肾上腺素-多巴胺抑制解除剂(NDDI)。
体内研究 在慢性应激电击的小鼠的海马中,阿戈美拉汀完全正常化压力影响的细胞生存并部分逆转降低的doublecortin表达。此外,在转基因小鼠中,阿戈美拉汀有效扭转了强迫游泳试验以及高架十字迷宫的行为改变。它也显著加快了温度和活性的昼夜周期的调整,接下来是诱导的内容相移。
在成年大鼠的腹侧海马(VH)中,这是情绪障碍相关的区域,阿戈美拉汀增强细胞增殖和神经发生。阿戈美拉汀增加成熟和未成熟神经元的比例,并提高颗粒细胞在成年大鼠的神经突增生,这表明成熟加速。
阿戈美拉汀还激活多个细胞信号(细胞外信号调节激酶1/2、蛋白激酶B、糖原合酶激酶3β),这些信号为抗抑郁药调控和参与增殖/存活的控制。在暴露于一种新型的环境的不熟悉的成对大鼠中,阿戈美拉汀增加参加社会活动的时间。
在大鼠的腹侧齿状回中,阿戈美拉汀增加细胞增殖和神经发生,这个区域涉及情感响应,这与阿戈美拉汀的抗抑郁抗焦虑性质是一致的。在大鼠的整个齿状回中,阿戈美拉汀增加了新生神经元的存活。
褪黑激素类药物阿戈美拉汀作为一种褪黑激素受体激动剂和5-HT2C受体拮抗剂,在治疗抑郁症方面展现了独特的优势。
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
—— | 1-(N,N-diformylaminoethyl)-7-methoxy naphthalene | 1424944-39-7 | C15H15NO3 | 257.289 |
N-(2-(7-羟基萘-1-基)乙基)乙酰胺 | N-(2-(7-hydroxynaphthalen-1-yl)ethyl)acetamide | 152302-45-9 | C14H15NO2 | 229.279 |
7-甲氧基-1-萘乙胺 | 2-(7-methoxynaphth-1-yl)ethylamine | 138113-09-4 | C13H15NO | 201.268 |
7-甲氧基-1-萘乙酰胺 | 2-(7-methoxynaphthalen-1-yl)acetamide | 138113-07-2 | C13H13NO2 | 215.252 |
—— | 1-[2-(7-methoxynahthalen-1-yl)-ethyl]-2λ5-triaz-1-en-2-yne | 1384536-35-9 | C13H13N3O | 227.266 |
—— | 1-(2-nitroethyl)-7-methoxynaphthalene | 1424944-40-0 | C13H13NO3 | 231.251 |
—— | 2-(2-methoxynaphthalen-8-yl)acetaldehyde | 176727-95-0 | C13H12O2 | 200.237 |
—— | 1-(2-chloroethyl)-7-methoxynaphthalene | 58150-14-4 | C13H13ClO | 220.699 |
2-(7-甲氧基萘-1-基)乙腈 | (7-methoxy-1-naphthyl)acetonitrile | 138113-08-3 | C13H11NO | 197.236 |
7-甲氧基-1-萘乙醇 | 2-(7-methoxynaphthalen-1-yl)ethan-1-ol | 99416-99-6 | C13H14O2 | 202.253 |
—— | 2-(2-methoxynaphthalen-8-yl)acetaldehyde oxime | 1331869-01-2 | C13H13NO2 | 215.252 |
7-甲氧基-1-萘乙酸 | 2-(7-methoxynaphthalen-1-yl)acetic acid | 6836-22-2 | C13H12O3 | 216.236 |
2-(7-甲氧基萘-1-基)乙酰氯 | (7-methoxy-1-naphthyl)acetic acid chloride | 6836-23-3 | C13H11ClO2 | 234.682 |
1-(7-甲氧基-1-萘基)乙酮 | 1-acetyl-7-methoxynaphthalene | 3453-55-2 | C13H12O2 | 200.237 |
—— | methyl 2-(7-methoxynaphthalen-1-yl)acetate | 185336-03-2 | C14H14O3 | 230.263 |
—— | 7-methoxy-1-methylnaphthalene | 2825-01-6 | C12H12O | 172.227 |
—— | 2-(7-methoxynaphthalen-1-yl)ethyl methanesulphonate | 185336-04-3 | C14H16O4S | 280.345 |
1-(2-氯乙基)-7-羟基萘 | 1-(2-chloroethyl)-7-hydroxynaphthalene | 1331868-98-4 | C12H11ClO | 206.672 |
7-甲氧基-1-萘基乙酸乙酯 | ethyl 2-(7-methoxynaphthalen-1-yl)acetate | 6836-21-1 | C15H16O3 | 244.29 |
7-甲氧基-1-萘并ni三le | 7-methoxy-1-naphthonitrile | 158365-54-9 | C12H9NO | 183.21 |
7-甲氧基萘-1-羧醛 | 7-methoxynaphthalene-1-carbaldehyde | 158365-55-0 | C12H10O2 | 186.21 |
1-(7-羟基-1-萘基)乙酮 | 1-Acetyl-7-hydroxy-naphthalin | 3453-56-3 | C12H10O2 | 186.21 |
(7-甲氧基萘-1-基)甲醇 | (7-methoxynaphthalen-1-yl)methanol | 91962-80-0 | C12H12O2 | 188.226 |
—— | 1-bromomethyl-7-methoxynaphthalene | 91571-02-7 | C12H11BrO | 251.123 |
—— | 3-(7-methoxy-1-naphthyl)-2-propenamide | 1207473-63-9 | C14H13NO2 | 227.263 |
—— | (E)-7-methoxy-1-(2-nitrovinyl)naphthalene | 1415243-95-6 | C13H11NO3 | 229.235 |
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
—— | N-(2-(7-methoxynaphthalen-1-yl)ethyl)-N-methylacetamide | 138112-86-4 | C16H19NO2 | 257.332 |
—— | 2,2-difluoro-N-[2-(7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363155-73-0 | C15H15F2NO2 | 279.286 |
—— | N-(2-[7-(2-fluoro-ethoxy)-naphthalen-1-yl]ethyl)acetamide | 1363155-90-1 | C16H18FNO2 | 275.323 |
—— | N-(2-[7-(3-hydroxypropoxy)-naphthalen-1-yl]ethyl)acetamide | —— | C17H21NO3 | 287.359 |
阿戈美拉汀杂质 | N-[2-(7-methoxy-3-hydroxynaphth-1-yl)ethyl]-acetamide | 166526-99-4 | C15H17NO3 | 259.305 |
—— | N-{2-[7-(3-phenoxypropoxy)-naphthalen-1-yl]ethyl}acetamide | —— | C23H25NO3 | 363.456 |
—— | 2,2-dichloro-N-[2-(7-methoxy-naphthalen-1-yl)ethyl]acetamide | —— | C15H15Cl2NO2 | 312.196 |
—— | N-(2-[7-(3-fluoropropoxy)-naphthalen-1-yl]ethyl)acetamide | 1363155-92-3 | C17H20FNO2 | 289.35 |
—— | N-(2-(7-(methoxy-d3)naphthalen-1-yl)ethyl)acetamide | 1079389-40-4 | C15H17NO2 | 246.282 |
—— | 2,2,2-trifluoro-N-[2-(7-methoxynaphthalen-1-yl)ethyl]acetamide | 158504-17-7 | C15H14F3NO2 | 297.277 |
—— | N-[2-(3-ethyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | —— | C17H21NO2 | 271.359 |
N-(2-(7-羟基萘-1-基)乙基)乙酰胺 | N-(2-(7-hydroxynaphthalen-1-yl)ethyl)acetamide | 152302-45-9 | C14H15NO2 | 229.279 |
—— | N-(2-[7-(2,2,2-trifluoroethoxy)-naphthalen-1-yl]ethyl)acetamide | 1363155-91-2 | C16H16F3NO2 | 311.304 |
7-甲氧基-1-萘乙胺 | 2-(7-methoxynaphth-1-yl)ethylamine | 138113-09-4 | C13H15NO | 201.268 |
—— | N-[2-(7-methoxynaphthalen-1-yl)propyl]acetamide | —— | C16H19NO2 | 257.332 |
—— | N-(hydroxymethyl)-N-(2-(7-methoxynaphthalen-1-yl)ethyl)acetamide | 1418372-83-4 | C16H19NO3 | 273.332 |
—— | N-{2-[7-(3-phenylpropoxy)-naphthalen-1-yl]ethyl}acetamide | —— | C23H25NO2 | 347.457 |
—— | 5-[8-(2-acetylaminoethyl)-naphthalen-2-yloxy]pentanoic acid | —— | C19H23NO4 | 329.396 |
—— | N-[2-(7-methoxy-3-propyl-naphthalen-1-yl)ethyl]acetamide | —— | C18H23NO2 | 285.386 |
—— | N-[2-(3-allyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363155-83-2 | C18H21NO2 | 283.37 |
—— | N-[2-(3-formyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 225785-93-3 | C16H17NO3 | 271.316 |
—— | N-[2-(7-methoxy-3-vinyl-naphthalen-1-yl)ethyl]acetamide | 1363155-82-1 | C17H19NO2 | 269.343 |
—— | N-[2-[3-(hydroxymethyl)-7-methoxynaphthalen-1-yl]ethyl]acetamide | 1096017-91-2 | C16H19NO3 | 273.332 |
—— | N-[2-(3-isobutyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363156-03-9 | C19H25NO2 | 299.413 |
—— | N-[2-(3-fluoromethyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363155-86-5 | C16H18FNO2 | 275.323 |
—— | N-[2-(3,7-dihydroxy-1-naphthyl)ethyl]acetamide | —— | C14H15NO3 | 245.278 |
—— | N-(2-[7-methoxy-3-(3-methylbutyl)naphthalen-1-yl]ethyl)acetamide | 1363156-04-0 | C20H27NO2 | 313.44 |
—— | N-[2-(3-fluoro-7-methoxy-1-naphthyl)ethyl]acetamide | 1363155-81-0 | C15H16FNO2 | 261.296 |
—— | N-[2-(3-bromo-7-methoxynaphth-1-yl)ethyl]acetamide | 686319-38-0 | C15H16BrNO2 | 322.202 |
—— | N-[2-(3-amino-7-methoxynaphthalen-1-yl)ethyl]acetamide | 1363367-58-1 | C15H18N2O2 | 258.32 |
—— | N-[2-(3-cyclopropylmethyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | —— | C19H23NO2 | 297.397 |
—— | 1'-Hydroxy-Agomelatine | —— | C15H17NO3 | 259.305 |
—— | N-[2-(7-methoxy-3-acetylnaphth-1-yl)ethyl]acetamide | 166526-96-1 | C17H19NO3 | 285.343 |
—— | N-[2-(3-cyclobutylmethyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363156-05-1 | C20H25NO2 | 311.424 |
—— | N-[2-(3-benzyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | —— | C22H23NO2 | 333.43 |
—— | N-[2-(3-cyclopentylmethyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363156-06-2 | C21H27NO2 | 325.451 |
—— | N-[2-(3-cyclohexylmethyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363156-07-3 | C22H29NO2 | 339.478 |
—— | 4-[2-(acetylamino)ethyl]-6-methoxy-2-naphthoic acid | 225786-11-8 | C16H17NO4 | 287.315 |
—— | N-[2-(7-methoxy-3-propanoyl-naphthalen-1-yl)ethyl]acetamide | —— | C18H21NO3 | 299.37 |
—— | N-(2-[3-((E)-1-hydroxyiminoethyl)-7-methoxy-naphthalen-1-yl]ethyl)acetamide | 1363155-87-6 | C17H20N2O3 | 300.357 |
—— | N-[2-(8-bromo-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363155-77-4 | C15H16BrNO2 | 322.202 |
—— | N-[2-(3-acetylamino-7-methoxy-naphthalen-1-yl)ethyl]acetamide | 1363155-89-8 | C17H20N2O3 | 300.357 |
—— | N-(2-(7-methoxynaphthalen-1-yl)ethyl)-N-(methyl-sulfonyl)acetamide | 1418372-37-8 | C16H19NO4S | 321.397 |
—— | N-[2-(3-benzoyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | —— | C22H21NO3 | 347.414 |
—— | N-[2-(3-cyclopropanecarbonyl-7-methoxy-naphthalen-1-yl)ethyl]acetamide | —— | C19H21NO3 | 311.381 |
—— | N-(2-[7-methoxy-3-(4-methoxy-benzylamino)-naphthalen-1-yl]ethyl)acetamide | 1363155-79-6 | C23H26N2O3 | 378.471 |
—— | N-(N,N-dimethylsulfamoyl)-N-(2-(7-methoxy-naphthalen-1-yl)ethyl)acetamide | 1418372-61-8 | C17H22N2O4S | 350.439 |
—— | N-[2-(7-methoxy-3-(morpholin-4-yl)naphthalen-1-yl)ethyl]acetamide | 1363155-78-5 | C19H24N2O3 | 328.411 |
—— | N-[2-(7-trifluoromethansulfonyloxy-naphthalen-1-yl)ethyl]acetamide | 167845-87-6 | C15H14F3NO4S | 361.342 |
—— | N-(2-{7-[(4-methoxybenzyl)amino]naphth-1-yl}ethyl)acetamide | 1096252-78-6 | C22H24N2O2 | 348.445 |
—— | N-(N-(tert-butyl)sulfamoyl)-N-(2-(7-methoxy-naphthalen-1-yl)ethyl)acetamide | 1418372-63-0 | C19H26N2O4S | 378.492 |
—— | N-[2-(7-fluoro-naphthalen-1-yl)ethyl]acetamide | 1095994-93-6 | C14H14FNO | 231.27 |
—— | N-[2-(7-amino-naphthalen-1-yl)ethyl]acetamide | 321992-12-5 | C14H16N2O | 228.294 |
—— | 1-((acetyl(2-(7-methoxynaphthalen-1-yl)ethyl)-carbamoyl)oxy)ethyl isobutyrate | 1418372-09-4 | C22H27NO6 | 401.459 |