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Hypocretin/Orexin Neurons

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wiki page Created: 2026-04-02T07:19:37 By: crosslink-migration Quality: 50% ✓ SciDEX ID: wiki-cell-types-hypocretin-neurons
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Hypocretin/Orexin Neurons

<table class="infobox infobox-cell">
<tr>
<th class="infobox-header" colspan="2">Hypocretin/Orexin Neurons</th>
</tr>
<tr>
<td class="label">Agent</td>
<td>Mechanism</td>
</tr>
<tr>
<td class="label">Pitolisant</td>
<td>Histamine H3 antagonist, increases wakefulness</td>
</tr>
<tr>
<td class="label">Suvorexant</td>
<td>Dual orexin receptor antagonist</td>
</tr>
<tr>
<td class="label">Lemborexant</td>
<td>Dual orexin receptor antagonist</td>
</tr>
</table>

Introduction

Hypocretin/Orexin neurons (also known as hypocretin cells or orexin-producing neurons) are a specialized population of neurons located primarily in the lateral hypothalamus that play a critical role in regulating wakefulness, arousal, feeding behavior, and energy homeostasis. These neurons are central to the pathophysiology of narcolepsy and have emerging roles in Parkinson's disease (PD), Alzheimer's disease (AD), and other neurodegenerative disorders[@peyron2000].

Overview

Hypocretin/orexin neurons, also called orexinergic neurons, are located in the lateral hypothalamus, perifornical nucleus, and dorsomedial hypothalamus. Approximately 70,000-80,000 hypocretin neurons exist in the human brain, projecting widely throughout the central nervous system to regulate arousal, reward, and metabolism. These neurons produce two neuropeptides—hypocretin-1 (orexin-A) and hypocretin-2 (orexin-B)—derived from the preprohypocretin precursor encoded by the HCRT gene[@thannickal2000].

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