This describes the pharmacological action where a substance binds to and activates melatonin receptors, primarily MT1 and MT2, located on the suprachiasmatic nucleus (SCN) to mimic the natural chronobiotic effects of endogenous melatonin. This activation is crucial for signaling the onset of biological night and phase-shifting the circadian rhythm. Successful agonism promotes sleep onset propensity.
Origin
This term is derived from ‘Melatonin,’ the pineal hormone regulating circadian rhythms, ‘Receptor,’ the binding site on the target cell, and ‘Agonism,’ the pharmacological term for activation. Its relevance in hormonal health stems from using synthetic agonists to manage circadian rhythm disorders. It describes a direct chemical intervention at the master clock.
Mechanism
Agonism at MT1 receptors primarily causes hyperpolarization of SCN neurons, reducing their firing rate, which signals darkness to the body and facilitates the onset of sleep. Activation of MT2 receptors is implicated in phase shifting the circadian rhythm, effectively moving the internal clock forward or backward. This precise molecular interaction helps reset the timing of nocturnal hormonal peaks.
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