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Phase‐shifts of 24‐h rhythms of hormonal release and body temperature following early evening administration of the melatonin agonist agomelatine in healthy older men
Abstract
Summary: Objective Older adults are less responsive to the phase‐shifting effects of light than younger subjects and may have difficulties adapting to abrupt time shifts. This study aims to determine whether the potent melatonin agonist agomelatine (S‐20098) is capable of phase‐shifting overt circadian rhythms in older adults. Subjects and design Eight healthy elderly men participated in a double‐blind, two‐period, cross‐over study of 15 days of daily administration of either agomelatine (50 mg) or placebo at 1830 h. Measurements At the end of each treatment period, the 24‐h profiles of body temperature and of the plasma levels of GH, PRL, cortisol and TSH were collected and sleep was monitored polygraphically. Results Phase‐advances, averaging nearly 2 h, were observed for the temperature profile and for the variables characterizing the temporal organization of cortisol secretion following agomelatine administration. A similar trend was observed for the circadian rise of plasma TSH. There was no effect of agomelatine on any of the sleep variables. Agomelatine stimulated GH secretion during the wake period and was associated with a transient elevation of PRL levels. Conclusions Melatonin agonists such as agomelatine may be useful to phase‐shift at least some overt circadian rhythms in older adults.
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“Additionally, administration of antidepressants (SSRIs, SNIRs, and agomelatine [MT1, MT2 agonist and 5HT2c antagonist) result in a phase advancement of circadian rhythms (i.e., melatonin, body temperature, activity, and cortisol rhythms)85,86.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [85]
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“in animal models and in humans, which may underlie some of its therapeutic effects (Leproult et al., 2005).”
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“In clinical studies, agomelatine phase advances rhythms in core body temperature when given in the late afternoon (99, 100).”
Background
Metadata
- Authors
- Leproult, R., Van Onderbergen, A., L’Hermite‐Balériaux, M., Van Cauter, E., & Copinschi, G.
- Affiliations
- Université Libre de Bruxelles (BE)
- Corresponding author
- Leproult, Rachel
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 2005-08-02
- Volume
- 63
- Issue
- 3
- Pages
- 298-304
- ISSN
- 0300-0664 (ISSN-L)
- 1365-2265
- OpenAlex
- W2080424914
- Cited by
- 167
- References
- 50
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 7 · 2017: 3 · 2016: 7 · 2015: 7 · 2014: 6 · 2013: 16 · 2012: 7
- FWCI
- 4.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (P01AG011412, AG-11412)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- agomelatine, melatonin receptor agonists, circadian phase shifting, older adults, body temperature rhythm, cortisol secretion, growth hormone, prolactin, thyroid-stimulating hormone, sleep, chronobiology
- MeSH terms
- Acetamides, Aged, Body Temperature, Circadian Rhythm, Double-Blind Method, Hormones, Humans, Hydrocortisone, Male, Melatonin, Middle Aged, Monitoring, Physiologic, Naphthalenes, Prolactin, Sleep, Growth Hormone, Stimulation, Chemical, Thyrotropin, Cross-Over Studies, Jet Lag Syndrome
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