Neuropeptide Y
Neuropeptide Y (NPY) is a 36-amino acid peptide widely distributed in the central and peripheral nervous systems. Research indicates it plays a crucial role in stress regulation, anxiety reduction, and energy homeostasis, showing significant potential as a therapeutic for post-traumatic stress disorder (PTSD) and anxiety disorders.
01Dosing reference
02Mechanism of action
Receptor Binding
NPY binds to various G-protein-coupled receptors (Y1, Y2, Y4, Y5, and Y6) in the central and peripheral nervous systems.
Neurotransmitter Modulation
It modulates the release of neurotransmitters, particularly reducing the activity of inhibitory GABA neurons and regulating noradrenergic neurotransmission.
Stress Response Attenuation
This modulation leads to anxiolytic effects, promoting resilience to stress and potentially mitigating symptoms of PTSD.
03Human evidence
A single intranasal dose of NPY is well tolerated up to 9.6 mg and may be associated with anxiolytic effects.
A randomized dose-ranging study in patients with PTSD.
NPY levels are often found to be reduced in individuals with PTSD, suggesting its role in stress resilience.
Observational studies comparing PTSD patients to healthy controls.
04Preclinical evidence
Intranasal NPY infusion attenuates the development of PTSD-like symptoms to traumatic stress.
Rodent models of single prolonged stress (SPS).
Altered amygdalar NPY expression significantly impacts anxiety-related behaviors.
Animal models of anxiety using viral vector-mediated gene transfer.
05What is known vs. unknown
- NPY is one of the most abundant neuropeptides in the mammalian brain.
- It exhibits potent anxiolytic (anti-anxiety) properties and promotes stress resilience.
- NPY is involved in regulating energy balance, food intake, and circadian rhythms.
- Intranasal administration is a primary route of investigation for central nervous system delivery.
- The long-term safety and efficacy of repeated NPY administration in humans remain largely unknown.
- Optimal dosing protocols and the specific receptor subtypes most responsible for its therapeutic effects require further elucidation.
06Safety & regulatory context
07Compared with Selank
08Glossary
09Knowledge check
10Sources
- PubMed A Randomized Dose-Ranging Study of Neuropeptide Y in Patients with Posttraumatic Stress Disorder
- Journal Intranasal Neuropeptide Y as a Potential Therapeutic for Post-Traumatic Stress Disorder
- ClinicalTrials.gov A Dose Escalation Study of Intranasal Neuropeptide Y in Post Traumatic Stress Disorder (PTSD)
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