Abstract

In light of an increasingly aging population, numerous of individuals are experiencing sleep disorders precipitated by endocrine imbalances. Concurrently, intensifying social pressures and escalating workloads are disrupting people's natural sleep patterns, thereby sleep problems have emerged as a significant health conundrum for today's young adults. Although not officially approved from the US Food and Drug Administration (FDA), the American Academy of Family Physicians (AAFP) still recognizes melatonin as the first-line pharmacological therapy for insomnia. Melatonin is primarily utilized for the short-term treatment of delayed circadian rhythm syndrome, insomnia caused by jet lag, and age-related insomnia in individuals aged 55 years and above. However, excessive melatonin consumption may provoke some adverse effects, such as headache, dizziness, nausea, and drowsiness, which occur due to the fact that melatonin can affect both MTNR1A and MTNR1B receptors. Notably, MTNR1A receptors are more directly relevant in the regulation of circadian rhythms. whereas MTNR1B play a role not only in regulating biological rhythms but also in various physiological activities such as neurological transmission, cardiovascular system, and immune system regulation. Therefore, it is necessary to develope a drug specifically targeting the MTNR1A receptor for treating sleep disorders caused by circadian rhythm disorders.

Inspired by synthetic biology concepts, an innovative small molecule drug screening platform has been designed and developed in this project. The platform is based on the HEK293T cell line, and specifically targets the MTNR1A receptor. By introducing a novel exogenous melatonin signaling pathway, it is capable for screening potential melatonin receptor agonists. Additionally, this platform has enabled the screening of natural small molecule capable of activating melatonin receptors from widely recognized natural sources, such as essential oils. This innovative platform provides a robust foundation for developing therapeutic agents targeting sleep disorders caused by circadian rhythm disorders.

Figure 1: Schematic diagram of screening platform for melatonin receptor agonists

Introduction

The quality of sleep among many individuals is compromised due to the disruption in their circadian rhythms, primarily resulting from excessive academic and occupational pressures, as well as irregular work and rest schedules 1. Young people, particularly college students, are disproportionately affected by such sleep problems, with a significant proportion attributing the decline in their sleep quality to heavy academic burdens, irregular living habits, and excessive use of electronic screen time 2. Furthermore, the elderly population is increasingly experiencing disruptions to their sleep-wake cycles, primarily attributed to alterations in the endocrine system and substantial decreases in melatonin secretion. Research has demonstrated that melatonin secretion declines significantly with age, reaching only 10% of its youthful levels by the age of 70, which is closely correlated with the high prevalence of sleep disorders among the elderly 3. Moreover, a segment of workers who frequently travel internationally, engage in shift work, or are exposed to artificial lighting often experience the same issue of sleep disorders caused by jet lag syndrome, as the sunlight patterns in their new time zone are not in synchronized with their internal biological clocks 4.

Through a preliminary literature review and expert consultation(see our Human Practices page for more details), we learned that melatonin (MLT) is a recommended drug for treating circadian rhythm disorder-related sleep disorders. Melatonin, an indoleamine hormone, is endogenously produced by the pineal gland and is crucial in regulating sleep-wake cycles. It is secreted in response to darkness and signals the onset of night, peaking during the night and declining with light exposure 5 .It has been established for treating conditions such as delayed sleep-wake phase disorder (DSWPD) 6, and it has demonstrated favorable clinical outcomes in the treatment of circadian rhythm delay syndrome, insomnia caused by jet lag, and in middle-aged and elderly patients with insomnia due to decreased melatonin levels 7 .Ramelteon and Tesmelteon act as melatonin receptor agonists and promote sleep by activating melatonin receptors. These medications reduce the time required to fall asleep, enhance sleep efficiency, and increase total sleep duration 8. They are particularly indicated for insomnia patients who have difficulty falling asleep due to circadian rhythm disorders. Therefore, we believe that melatonin receptors are essential targets for treating the problem of sleep disorders due to circadian rhythm dysregulation. However, we should not ignore the fact that taking melatonin may cause discomfort, such as headaches, dizziness, and nausea 9. In addition, excessive intake of melatonin may trigger adverse daytime reactions such as drowsiness, digestive discomfort, blood pressure fluctuations, and mood drops. If used over a long period of time, melatonin may also interfere with the body's natural melatonin production and may inhibit the normal production of sex hormones.

Table 1 : Marketed melatonin receptor agonists.

In delving into how melatonin triggers adverse reactions when regulating biological rhythms, we learned from Dr. Lei that MTNR1A play a critical role in sleep disorders instead of MTNR1B. (see our Human Practices page for more details). MTNR1A receptors are more directly related to regulating rapid eye movement (REM) sleep, while MTNR1B receptors promote non-rapid eye movement (NREM) sleep 10. These two receptors belong to the G protein-coupled receptor family, and MTNR1A receptors are particularly abundantly expressed in the brain's suprachiasmatic nucleus (SCN) region, which is the center of circadian regulation and essential for rhythmic regulation. Meanwhile, MTNR1B receptors are more widely expressed in peripheral organs such as the retina, cardiovascular system, liver, kidney, spleen, and intestine 11. In addition to playing a pivotal role in controlling the cyclic release of melatonin, MTNR1B receptors are also involved in regulating blood glucose, cardiovascular function, the nervous system, and the reproductive system, among other physiological activities. This wide range of functions of MTNR1B receptors may be a critical factor in the multiple side effects of melatonin in regulating biological rhythms 10. This means that the development of an agonist specifically targeting the MTNR1A receptor might be able to modulate circadian rhythms while avoiding the side effects caused by existing melatonin receptor agonist drugs.

MLT receptors, MTNR1A, is G-protein-coupled receptor that mediate the effects of the hormone melatonin. The MTNR1A can dually couple to Gs and Gi proteins, thereby enabling the bi-directional regulation of adenylyl cyclase to modulate cAMP differentially, protein kinase A signaling, and CREB phosphorylation levels in cells 12. The MTNR1A receptor also increases phosphorylation of mitogen-activated protein kinase 1/2 and extracellular signal-regulated kinase 1/2, as well as activation of the phospholipase–calcium (PLC/ Ca 2+) signaling pathway. Melatonin receptor activation decreases neuronal firing through activation of the MTNR1A receptor in the SCN and areas of the limbic system, which may mediate the sleep-promoting properties of melatonin 13,14.(Figure 2)

Figure 2: Signal pathway of MTNR1A.

To build up a platform that can be used for screening of potential melatonin receptor agonists, we utilized HEK293T cells as chassis cells and target the melatonin receptor subtype MTNR1A. Following extensive screening and optimization efforts (see our Engineering page for more details), we designed and constructed a series of gene circuits based on key components in the cAMP-PKA signaling pathway downstream of the MTNR1A receptor, with the goal of developing a designer cell line that can rapidly detect MTNR1A receptor activation. Upon the activation of MTNR1A receptor on the surface of these designer cells, the production of an readily measurable reporter protein, Nanoluc luciferase, is trigered, allowing for accurate quantification and analysis of its expression level through an enzyme marker. The experimental results showed that this screening platform, constructed based on designer cells (HEK MT,HEK CTL ), effectively responds to MTNR1A activation by melatonin. This approach provides an effective strategy for developing agonist drug molecules explicitly targeting the MTNR1A receptor and screening functionally closely related drugs.

To assess the effectiveness of our screening platform, we leveraged insights gained from our previous research on sleep disorder interventions (see our Human Practices page for more details). Utilizing this knowledge, we applied the constructed screening platform to identify molecules that activating melatonin receptor MTNR1A among aromatic essential oils with better public acceptance(73.7%). Fortunately, we successfully identified two essential oils (Kudzu and Clove Pod), from a pool of 34 plant essential oils, that demonstrate significant activating effects on the melatonin MTNR1A receptor.

As we further explored the key active ingredients in these two screened essential oils, we drew upon the insights gained during our participation in the Building the Future with Unity - 2024 iGEMer Central China Regional Exchange Conference and our interactions with Ms. Guangju Jiang(see our Human Practices page for more details), both of whom emphasized the potential of molecular docking technology in improving the efficiency of small molecule interaction screening (see our Human Practices page for more details). Under the guidance of Ms. Zhang from our team, we employed molecular docking technology to analyze in detail the interactions between two small molecules from these essential oils and melatonin MTNR1A receptors. This analysis successfully revealed two naturally occurring active small molecules with significant binding ability. Meanwhile, following the expert recommendations (see our Human Practices page for more details), we also evaluated the binding ability of these two small molecules with the melatonin MTNR1B receptor, thus providing a reliable theoretical basis for these small molecules as potential target molecules for the melatonin MTNR1A receptor.

We hope that that future developments will enable us to incorporate high-throughput screening for selective receptor agonists, allowing us to integrate signaling pathways of different receptors using synthetic biology's logic operations within the same cell. This potential breakthrough could lead to the discovery of more selective melatonin receptor agonists, ultimately providing individuals, who struggle with busy lifestyles and limited self-care time with a tranquil, gentle, and comfortable night’s rest.

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