How hypocretin agonists may improve the quality of wake in narcolepsy
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How hypocretin agonists may improve the quality of wake in narcolepsy. / Justinussen, Jessica L.; Egebjerg, Christine; Kornum, Birgitte R.
In: Trends in Molecular Medicine, Vol. 29, No. 1, 2023, p. 61-69.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - How hypocretin agonists may improve the quality of wake in narcolepsy
AU - Justinussen, Jessica L.
AU - Egebjerg, Christine
AU - Kornum, Birgitte R.
N1 - Publisher Copyright: © 2022 Elsevier Ltd
PY - 2023
Y1 - 2023
N2 - Excessive daytime sleepiness (EDS) is a complex symptom characterized by a strong urge to sleep during daytime accompanied by problems such as attention deficits, anxiety, and lower cognitive performance. The efficacy of treatments for EDS is determined by their ability to decrease sleepiness, and less attention has been given to the effects these compounds have on the quality of the wake itself. Hypocretin (HCRT; orexin) signalling is implicated in narcolepsy, and hypocretin receptor 2 (HCRTR2) agonists are in clinical trials for treating EDS in narcolepsy. Here, we review preclinical research to determine how HCRTR2 agonists may affect attention and anxiety compared with other EDS treatment strategies. We conclude that such compounds may improve not only the quantity but also the quality of wake, and we hope that they will create opportunities for more nuanced treatment strategies in narcolepsy.
AB - Excessive daytime sleepiness (EDS) is a complex symptom characterized by a strong urge to sleep during daytime accompanied by problems such as attention deficits, anxiety, and lower cognitive performance. The efficacy of treatments for EDS is determined by their ability to decrease sleepiness, and less attention has been given to the effects these compounds have on the quality of the wake itself. Hypocretin (HCRT; orexin) signalling is implicated in narcolepsy, and hypocretin receptor 2 (HCRTR2) agonists are in clinical trials for treating EDS in narcolepsy. Here, we review preclinical research to determine how HCRTR2 agonists may affect attention and anxiety compared with other EDS treatment strategies. We conclude that such compounds may improve not only the quantity but also the quality of wake, and we hope that they will create opportunities for more nuanced treatment strategies in narcolepsy.
KW - anxiety
KW - attention
KW - excessive daytime sleepiness treatment
KW - hypocretin
KW - narcolepsy
KW - wake
U2 - 10.1016/j.molmed.2022.10.008
DO - 10.1016/j.molmed.2022.10.008
M3 - Review
C2 - 36400667
AN - SCOPUS:85141961866
VL - 29
SP - 61
EP - 69
JO - Trends in Molecular Medicine
JF - Trends in Molecular Medicine
SN - 1471-4914
IS - 1
ER -
ID: 326841807