“…Possible clinical pertinence of findings: mood and cognition As pointed out in the "Introduction" section, many classes of antidepressant, including tricyclics, SSRIs, SNRIs, and MAO inhibitors, reduce REM sleep in patients (however, insomnia and the disruption of sleep architecture is observed only in 40-60% of outpatients with a diagnosis of major depression) and in rats but it remains controversial whether there is any causal relationship between this effect and improved mood (Winokur et al 2001;Rijnbeek et al 2003;Cespuglio et al 2005;Millan 2006). Indeed, despite experimental and clinical evidence for antidepressant properties of agomelatine, it did not reduce REM sleep, mimicking the lack of REM suppression seen with mirtazapine (which shares the 5-HT 2C antagonist but not melatoninergic properties of agomelatine; Millan et al 2000;Schittecatte et al 2002).…”