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Gene & Protein in Disease                                                          Orexin in depression



            describes powerlessness that originates from an individual   homeostasis and sleep–wake cycles. The autonomic nerve
            experiencing events or situations beyond their control.   system, reward system, and sleep–wake state are closely,
            Reportedly, an animal model of AH depression was used   anatomically, and functionally related to the orexin system.
            to distinguish rats with AH behavior (AH rats) from   The autonomic nervous system, reward system, and
            those without AH behavior (No-AH rats).  The number   emotion regulation may be influenced by the physiological
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            of orexin-containing neurons in the hypothalamus was   functions of OX1R, according to pharmacological studies
            compared among AH, No-AH, and control rats. The    using selective antagonists. In one study, mice were tested
            concentrations of OXA/OXB peptide, OX1R, and OX2R   through a comprehensive suite of behavioral tests to screen
            in the brain regions associated with severe depression   for additional functions of OX1R; the findings indicated
            and those of OXA and corticosterone in the serum   that besides  its involvement in regulating mood and
            were  quantified  and  compared.   Higher  serum  OXA   anxiety, OX1R influences social behavior and sensorimotor
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            concentrations were observed in AH and No-AH rats   gating. 61
            than in the control rats. When AH and No-AH rats were   Moreover, the relationship between orexin and the
            compared, the No-AH rats showed higher brain OXA   HPA axis is particularly interesting. Dysregulation of the
            levels and more OXA neurons and activity. The number   HPA axis is a hallmark of depression, and orexin influences
            of OXB neurons and their activity were higher in AH rats.   the HPA axis activity (Figure 5). In animal models, chronic
            In AH and No-AH rats, orexin receptors and peptides   treatment with orexin receptor antagonists alleviated
            exhibited distinct patterns in the brain regions pertaining   depressive-like behaviors and restored the normal HPA
            to severe depression. OXA and OXB play different roles in   axis function, indicating a potential therapeutic pathway
            AH behavior, and OXA neuron activity may foster resilient   for managing depression. 23,62
            behavior under stress. 58
                                                                 Food intake is regulated by the CNS through detection,
              The pathophysiology of depression is related to reduced   integration, and reaction to numerous internal and external
            OXA levels in the CNS, and exogenous treatment of OXA   cues. Eating behavior is significantly affected by hedonic
            can improve antidepressant effects. However, the processes   and reward-related factors.  Type 2 diabetes mellitus and
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            that underlie these effects remain uncertain. A recent report   insulin resistance are related to depression; however, the
            indicates that the impact of OXA was related to the activation   molecular processes underlying this clinical relationship
            of  tyrosine  receptor  kinase  B  (TrkB)  and  OX1R  in  the   remain unclear. Orexin controls glucose homeostasis and
            ventromedial prefrontal cortex (vmPFC), a neurobiological   energy levels, which has been associated with endogenous
            hub associated with depression.  To analyze the involvement   antidepressant processes. Mice with chronic social failure
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            of  TrkB  and  OX1R  in  the  behavioral  effects  exerted  by   anxiety were administered an orexin-deficient diet,
            OXA, rats were injected with 10, 50, and 100 pmol/0.2 μL of   and  their  social  behavior  and  glucose  metabolism  were
            OXA into the vmPFC for the FST and open field test. OXA   examined to assess whether orexin is involved in social
            signaling in the vmPFC induced OX1R and Trk receptor-  behavior and metabolic regulation. Calorie restriction
            dependent antidepressive-like effects in the FST. 59
                                                               potently activates orexin neurons and may stop the
              The mechanisms and key locations of the integration   persistence of behaviors resembling depression, thereby
            of  OXA  signaling  and  photocycle  are  poorly  defined.   improving impaired glucose metabolism after prolonged
            One study explored the effects of OXA on melatonin   stress. Therefore, the orexin system is crucial for preventing
            concentrations  in  the  cerebrospinal  fluid  and  plasma  at   the worsening of the relationship between depression and
            night in sheep, wherein the expression of OX1R  in the   type 2 diabetes. 64
            pineal gland was examined during short and long days.    Eating disorders are a common component of
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            The results implied that day length and nonoptical cues   several psychiatric illnesses; however, there is limited
            through hypothalamic OXA regulate the endocrine activity   understanding of the neurobiology underlying the
            of the pineal gland in sheep; this finding has considerable   behavioral modifications induced by temporary calorie
            ramifications for our comprehension of the circadian clock   restriction.  At  present, rodent  forms  of depression
            functioning and processes by which seasonal animals adjust   considerable respond to a 10-day calorie restriction, and
            to their environment. Because OXA and melatonin play a   this impact is orexin-dependent. After calorie restriction,
            role in regulating the sleep–wake system, the findings have   the wild-type mice exhibited longer immobility latency
            applications in disorders of the human circadian rhythm,   and lower complete immobility in FST. Calorie restriction
            including jet lag, sleeplessness, and seasonal depression.  corrected the behavioral abnormalities in wild-type
              OXA and OXB are involved in controlling various   mice but not in orexin-mutant animals in a social defeat
            behaviors and homeostasis aspects, including energy   paradigm of chronic stress. Furthermore, chronic social


            Volume 4 Issue 2 (2025)                         9                               doi: 10.36922/gpd.4210
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