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Melatonin receptor type 1 (MT1) and Melatonin receptor type 2 (MT2) (MT1, MT2)

Target
MT1, MT2
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

Melatonin receptor type 1 (MT1) and melatonin receptor type 2 (MT2) are high-affinity G protein-coupled receptors that bind the pineal hormone melatonin[2][5]. These receptors mediate melatonin’s physiological roles in synchronizing circadian rhythms, promoting sleep, and modulating mood, metabolism, and other neuroendocrine functions[1][3][7][9]. MT1 and MT2 are encoded by the genes MTNR1A and MTNR1B, respectively, and are expressed in brain regions such as the suprachiasmatic nucleus (the central circadian pacemaker), retina, and various peripheral tissues[2][5][6]. While both receptors regulate sleep and circadian phase, MT1 is mainly involved in REM sleep and suppressing neuronal activity in the SCN, whereas MT2 regulates phase-shifting and NREM sleep[7]. Clinically, both are validated drug targets for the treatment of insomnia and certain circadian rhythm disorders. Structural studies have facilitated the rational design of selective agonists and antagonists, though challenges remain in developing subtype-selective drugs. More recently, genetic variation in MT2 (MTNR1B) has been linked to type 2 diabetes susceptibility, suggesting a broader physiological and pathological role for these receptors[3].

Other names
MT1 (Mel1A, MTNR1A)MT2 (Mel1B, MTNR1B)Melatonin receptor 1A, Melatonin receptor 1BMelatonin G protein-coupled receptorMelatonin GPCR
02

Mechanism of action

Agonism at MT1/MT2 (promotes sleep, adjusts circadian phase); Inhibition of adenylate cyclase via Gi/o protein activation; Subtype-selective agonism (MT1: REM sleep regulation/MT2: NREM and phase-shifting)

03

Biological functions

Regulation of circadian rhythmSleep induction and maintenanceModulation of mood and depression pathwaysAdenylate cyclase inhibition (via Gi/o protein coupling)Signal transduction
04

Disease associations

Sleep disorders (e.g., insomnia, delayed sleep phase disorder)Mood disorders (e.g., depression)Type 2 diabetesCancerOther circadian rhythm-related disorders
05

Safety considerations

Potential daytime drowsiness, altered alertnessRisk of hormone-dependent tumor modulation is unclearDrug interactions with other CNS depressantsSubtype-selectivity (risk of off-target or non-physiological effects)
06

Interacting drugs

Melatonin

6 more in the full profile.

07

Biomarkers

Expression levels of MT1 or MT2 in relevant tissues (e.g., SCN, retina, pituitary)Polymorphisms in MTNR1B linked to type 2 diabetes riskCircadian rhythm markers (downstream physiological effects)

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