Tianeptine -d 12 is a deuterated analog of Tianeptine ( HY-90003 ).Tianeptine is an atypical antidepressant. Tianeptine is a moderate-intensity agonist of the μ-opioid receptor ( MOR ), and to a lesser extent, is an agonist of the δ-opioid receptor ( DOR ). Tianeptine is a glutamate modulator that can enhance AMPA receptor and antagonize NMDA receptor . Tianeptine increases sensitivity of the α1 adrenergic receptor , which only manifests in chronic treatment. Tianeptine exerts neuroprotective effects under stress/inflammation-induced conditions, exhibiting anti-inflammatory and antioxidant properties. Tianeptine inhibits MMP-9 by suppressing the PI3K/Akt -mediated NF-κB pathway. Tianeptine can be used to alleviate symptoms of depression and anxiety, but does not cause sedative effects.
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