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An Update on Dual Orexin Receptor Antagonists and Their Potential Role in Insomnia Therapeutics.

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TLDR
Targeting the orexin receptor system for treatment of insomnia offers an additional and alternative pharmacological approach to more common gamma aminobutyric acid agonist sedative hypnotic treatment.
Abstract
Study Objectives:Current pharmacological options for the treatment of insomnia insufficiently meet the needs of all insomnia patients. Approved treatments are not consistently effective in improvin...

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Clinical drug development for dementia with Lewy bodies: past and present

TL;DR: An overview of the DLB drug development landscape and the current treatment strategies is provided and new biomarker strategies are necessary to improve diagnostic capabilities and trial designs, and novel drug targets should be identified to develop DLB specific disease-modifying therapies.
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Hypocretins (orexins): The ultimate translational neuropeptides

TL;DR: Circuit neuroscience findings suggest that the Hcrt system is a hub that integrates diverse inputs modulating arousal and conveys this information to multiple output regions and highlights the potential of the HCrt system as a therapeutic target for a number of disorders.
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Cyclic tailor-made amino acids in the design of modern pharmaceuticals

TL;DR: The present review article highlights 34 compounds, all of which are derived from cyclic AAs, representing recently-approved, small-molecule pharmaceuticals as well as promising drug candidates currently in various phases of clinical study.
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Sleep dysregulation in binge eating disorder and "food addiction": the orexin (hypocretin) system as a potential neurobiological link.

TL;DR: The authors identified the orexin (hypocretin) system as a potential neurobiological link between compulsive eating and sleep dysregulation in BED, and provided a comprehensive update on the evidence linking this system to these processes.
References
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The hypocretins: Hypothalamus-specific peptides with neuroexcitatory activity

TL;DR: A hypothalamus-specific mRNA is described that encodes preprohypocretin, the putative precursor of a pair of peptides that share substantial amino acid identities with the gut hormone secretin, suggesting that the hypocretins function within the CNS as neurotransmitters.
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Sleep Drives Metabolite Clearance From the Adult Brain

TL;DR: It is reported that sleep has a critical function in ensuring metabolic homeostasis and convective fluxes of interstitial fluid increased the rate of β-amyloid clearance during sleep, suggesting the restorative function of sleep may be a consequence of the enhanced removal of potentially neurotoxic waste products that accumulate in the awake central nervous system.
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Neurons Containing Hypocretin (Orexin) Project to Multiple Neuronal Systems

TL;DR: The results of this immunohistochemical study suggest that hypocretins are likely to have a role in physiological functions in addition to food intake such as regulation of blood pressure, the neuroendocrine system, body temperature, and the sleep–waking cycle.
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Narcolepsy in orexin knockout mice: Molecular genetics of sleep regulation

TL;DR: It is proposed that orexin regulates sleep/wakefulness states, and that Orexin knockout mice are a model of human narcolepsy, a disorder characterized primarily by rapid eye movement (REM) sleep dysregulation.
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