In recent years, many physiological properties of melatonin have been
described resulting in much interest in the development of synthetic c
ompounds possessing agonist or antagonist properties for melatonin rec
eptors. These compounds have structural similarity to melatonin, being
derivatives of either substituted tryptamines or of bioisosteric moie
ties of the indole ring such as benzothiophene, indene and naphthalene
. Research to determine the structural parameters of the melatonergic
pharmacophore led to the synthesis of potent constrained, polycyclic c
ompounds. The important roles of substitutions on the 2 position of th
e indole ring and of the alkyl chain of the acyl group have been highl
ighted. The ethylamido chain seems to prefer the flexible conformation
and a folded conformer has been shown to be the active conformation.
Almost all of the compounds described have been patented. They have be
en claimed to be useful for the treatment of depression, sleep disorde
rs and disturbances of circadian rhythm. Some patents have claimed als
o anti-ovulatory or antiproliferative properties. No compounds develop
ed so far discriminate between the different melatonin receptor subtyp
es and few compounds have been described as antagonists for melatonin
receptors.