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Gene & Protein in Disease                                                          Orexin in depression





















            Figure 7. Relationship between sunlight, orexin, and emotion. Light regulates the suprachiasmatic nucleus through the retina-hypothalamic signaling
            pathway and indirectly affects the orexin system by modulating the neurotransmitters and hormones interacting with orexin. Orexin neurons project
            to multiple brain regions, regulating mood and cognition by influencing the suprachiasmatic nucleus activity in the circadian rhythm. Altogether, these
            mechanisms modulate the monoaminergic system, limbic system, and prefrontal cortex, which are crucial for regulating mood and cognitive processes.
            Abbreviations: OX: Orexin system; SCN: Suprachiasmatic nucleus.

            excitatory effect on  serotonin  neurons,  whereas high   are most likely involved in movement-induced changes
            concentrations indirectly inhibit them 103,143  (Figure  4)   in the hippocampus. The orexin system may be related
            because low orexin concentrations act on its receptors   to locomotor behaviour,  and a speculative factor that
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            OX1R and OX2R in serotonin neurons, possibly exciting   promotes the beneficial effect of exercise is OXA. Similarly,
            them by regulating the activity of these receptors;    previous research has documented that anorexigenic
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            however, at higher concentrations, orexin may indirectly   neurons  are closely  linked  to brain  areas  implicated in
            inhibit  serotonin  neurons  by  exciting  GABAergic   cognitive function and emotional regulation, OXA level
            interneurons. 144,145  In another study, adult male rats were   increases with exercise,  and OXA may affect the synaptic
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            used to induce MIS-related alterations. A subset of these   plasticity of hippocampal neurons and hippocampal
            rats were treated with CCL for 3  weeks during puberty.   neurogenesis by regulating lactate metabolism, thereby
            Results demonstrated that CCL therapy affects the   affecting cognitive function.  Promoting hippocampal
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            serotonin and orexin energy systems in the MIS model   neurogenesis is a potential strategy for improving cognitive
            but does not affect the reduction of dopamine release in   function and treating neuropsychiatric disorders such as
            the MIS-induced nucleus accumbens; this observation   depression. Hence, the beneficial effect of exercise may
            suggests that bright light is associated with improved   involve preventing the decline of cognitive function caused
            mood and cognitive function. Therefore, restoration of the   by degenerating the hippocampus associated with aging, to
            orexin system could be associated with the antidepressant   improve depressive symptoms.
            effects of CCL treatment in cases of depression. 146
              Early life stress contributes to the onset of depression.   7. Conclusion
            While dealing with stress, orexin neurons drive awakening   Depression is a common mental health condition that
            and motivational behaviour.  Although physical exercise   impacts an  individual’s  well-being and overall health.
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            is widely recognized as a beneficial intervention, the   Recent research has highlighted the critical involvement
            precise mechanism of action remains incompletely   of orexin in the onset and development of depression.
            understood. To explore the antidepressant effects of   Patients with depression exhibit lower levels of orexin
            exercise, researchers have investigated the involvement of   than those without depression, along with alterations in
            the amygdala, specifically the BLA, in animal models of   the expression of orexin receptors. The orexin/receptor
            depression.  Repeatedly  bound  mice  exhibited  depressive   system is involved in various functions within the CNS,
            behavior, which could be offset by post-stress treatment   which is enabled by the extensive projections of orexin-
            (exercise). After repeated stress, the hypothalamic secretion   containing neurons, complex circuitry involving other
            hormone/orexin hormone and MCH were upregulated in   neuron types, and widespread distribution of orexin
            the BLA, whereas exercise therapy could reduce stress-  receptors. Orexin inhibits the release of GABA (Figure 2),
            induced depression-like behaviors; these findings indicate   which may increase the excitability of orexin neurons
            that exercise exerts an antidepressant effect by suppressing   that depends on the distinct functions of GABA  and
                                                                                                         A
            the orexin and MCH neural pathways within the BLA.    GABA  receptors, the distribution of these receptors
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                                                                    B
            The production of microcirculation and growth factors   at presynaptic and postsynaptic locations, and their
            Volume 4 Issue 2 (2025)                         15                              doi: 10.36922/gpd.4210
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