Target intelligence / Profile preview

Hypocretin neuropeptide precursor (HCRT)

Target
HCRT
Molecular classification
Neuropeptide hormone precursor, Peptide ligand (precursor of signaling neuropeptides), Other
01

Overview

The **Hypocretin neuropeptide precursor (HCRT)** is a peptide precursor protein synthesized in the hypothalamus that gives rise to two mature neuropeptides, *orexin-A* (hypocretin-1) and *orexin-B* (hypocretin-2), by proteolytic cleavage[4]. Orexin-A and orexin-B regulate key physiological processes including arousal, wakefulness, sleep-wake cycles, energy metabolism, and appetite. The precursor gene, HCRT, is located on human chromosome 17 (17q21). Orexin peptides bind to and activate orexin receptors (OX1R and OX2R), which are G protein-coupled receptors widely distributed in the central nervous system. Dysfunction or loss of orexin signaling is causally linked to human narcolepsy and has been implicated in various neurodevelopmental, metabolic, and neuropsychiatric disorders. The hypocretin/orexin system is a therapeutic target for dual orexin receptor antagonists, a new drug class for insomnia and other indications[1][2][3][4][5].

Other names
HypocretinOrexin precursorOrexinPrepro-orexinPreprohypocretinHypocretin-1Hypocretin-2PPOXPPORXOXHcrtNRCLP1Orexin-AOrexin-B
02

Mechanism of action

Orexin receptor antagonism (dual orexin receptor antagonists inhibit OX1R and OX2R to induce sleep in insomnia) - Modulation of central nervous system arousal pathways - Modulation of appetite and energy expenditure via orexin receptors

03

Biological functions

Regulation of arousal and wakefulnessRegulation of sleep-wake cyclesRegulation of appetite and food intakeRegulation of energy metabolismRegulation of thermogenesisModulation of autonomic nervous systemNeurotransmitter system modulation
04

Disease associations

Narcolepsy and sleep disordersNeurodevelopmental disorders (ESSENCE, ADHD, autism spectrum)Metabolic disorders (obesity)Cardiovascular diseases (Takotsubo syndrome)Neurodegenerative diseasesOther CNS and psychiatric disorders
05

Safety considerations

Risks of excessive sedation, potential next-day somnolence (with receptor antagonists)Potential disruption of natural sleep architecturePossible metabolic and neuropsychiatric effects due to broad CNS roleCaution in use with other CNS depressants
06

Interacting drugs

Suvorexant (Belsomra)

3 more in the full profile.

07

Biomarkers

CSF orexin-A level (for narcolepsy diagnosis)HLA and T cell receptor genotyping (association studies for narcolepsy)

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