PMID- 29376995 OWN - NLM STAT- MEDLINE DCOM- 20190129 LR - 20220328 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 117 IP - 12 DP - 2017 TI - [A profile of antidepressive effects of agomelatine and a current view on the mechanism of its action]. PG - 124-131 LID - 10.17116/jnevro2017117121124-131 [doi] AB - Agomelatine is one of the latest antidepressants (melatoninergic agonists) with a new mechanism of action. From the positions of classical monoaminoergic theory, tts mechanism of action is difficult to understand, because the drug increases the levels of monoamines and neurotrophic factors, while not affecting their reuptake and negative feedback, which control neurotransmission level. Besides the effect on suprachiasmatic nucleus, a relevant role in the mechanism of action of agomelatine plays its special functionally selective (with regard to intracellular signaling pathways) interaction with heteromeric complexes of serotonin 5-capital EN, Cyrilliccapital TE, Cyrillic2capital ES, Cyrillic and melatonin MT2 receptors in the hippocampus and cerebral cortex. Agomelatine is competitive to other modern antidepressants in the efficacy assessed by the percentage of complete responders and superior in the total frequency of remissions. Compared to other SSRI antidepressants, agomelatine is more effective for anhedonia. In these cases, agomelatine increases the level of brain-derived neurotrophic factor (BDNF) in the blood of responders. FAU - Shagiakhmetov, F Sh AU - Shagiakhmetov FS AD - Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia. FAU - Anokhin, P K AU - Anokhin PK AD - Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia. FAU - Popova, A O AU - Popova AO AD - Russian University of People's Friendship, Moscow, Russia. FAU - Shamakina, I Yu AU - Shamakina IY AD - Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia. LA - rus PT - Journal Article PT - Review TT - Profil' antidepressivnykh effektov agomelatina i sovremennyi vzgliad na mekhanizm ego deistviia. PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 RN - 0 (Acetamides) RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Receptor, Melatonin, MT2) RN - 0 (Receptors, Serotonin, 5-HT2) RN - 137R1N49AD (agomelatine) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Acetamides/*pharmacology MH - Antidepressive Agents/*pharmacology MH - Brain-Derived Neurotrophic Factor/blood/metabolism MH - Cerebral Cortex/drug effects/metabolism MH - Hippocampus/drug effects/metabolism MH - Humans MH - Receptor, Melatonin, MT2/*agonists/metabolism MH - Receptors, Serotonin, 5-HT2/metabolism MH - Suprachiasmatic Nucleus/*drug effects/metabolism MH - Synaptic Transmission/drug effects OTO - NOTNLM OT - agomelatine OT - anhedonia OT - clinical profile OT - functional selectivity OT - mechanism of action OT - pharmacodynamics OT - pharmacology EDAT- 2018/01/30 06:00 MHDA- 2019/01/30 06:00 CRDT- 2018/01/30 06:00 PHST- 2018/01/30 06:00 [entrez] PHST- 2018/01/30 06:00 [pubmed] PHST- 2019/01/30 06:00 [medline] AID - 10.17116/jnevro2017117121124-131 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(12):124-131. doi: 10.17116/jnevro2017117121124-131.