Ramelteon provides cardioprotection and reduces infarct size via MT2 receptor activation and reactive oxygen species release.
May guide MT2 agonist development for cardioprotection; leaves open translation to human infarct size reduction.
This study shows for the first time that despite the higher affinity to MT1 receptors, (1) ramelteon-induced cardioprotection involves MT2 receptors, (2) cardioprotection requires ROS release, and (3) inhibition of the mPTP can restore infarct size reduction.
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Stroethoff et al. (2020) studied this question.
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