Abstract
The pineal product melatonin has remarkable antioxidant properties. It is secreted during darkness and plays a key role in various physiological responses including regulation of circadian rhythms, sleep homeostasis, retinal neuromodulation, and vasomotor responses. It scavenges hydroxyl, carbonate, and various organic radicals as well as a number of reactive nitrogen species. Melatonin also enhances the antioxidant potential of the cell by stimulating the synthesis of antioxidant enzymes including superoxide dismutase, glutathione peroxidase, and glutathione reductase, and by augmenting glutathione levels. Melatonin preserves mitochondrial homeostasis, reduces free radical generation and protects mitochondrial ATP synthesis by stimulating Complexes I and IV activities. The decline in melatonin production in aged individuals has been suggested as one of the primary contributing factors for the development of age-associated neurodegenerative diseases. The efficacy of melatonin in preventing oxidative damage in either cultured neuronal cells or in the brains of animals treated with various neurotoxic agents, suggests that melatonin has a potential therapeutic value as a neuroprotective drug in treatment of Alzheimer’s disease (AD), Parkinson’s disease (PD), amyotrophic lateral sclerosis (ALS), Huntington’s disease (HD), stroke, and brain trauma. Therapeutic trials with melatonin indicate that it has a potential therapeutic value as a neuroprotective drug in treatment of AD, ALS, and HD. In the case of other neurological conditions, like PD, the evidence is less compelling. Melatonin’s efficacy in combating free radical damage in the brain suggests that it can be a valuable therapeutic agent in the treatment of cerebral edema following traumatic brain injury or stroke. Clinical trials employing melatonin doses in the range of 50–100 mg/day are warranted before its relative merits as a neuroprotective agent is definitively established.
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Abbreviations
- 3xTg-AD:
-
Triple-Tg mouse model of Alzheimer’s disease
- 6-OHDA:
-
6-Hydroxydopamine
- AANAT:
-
Arylalkylamine N-acetyltransferase
- AD:
-
Alzheimer’s disease
- AFMK:
-
N 1-acetyl-N 2-formyl-5-methoxykynuramine
- AMK:
-
N 1-acetyl-5-methoxykynuramine
- ALS:
-
Amyotrophic lateral sclerosis
- apoE4:
-
Apolipoprotein E4
- APP:
-
Amyloid protein precursor
- ASMT:
-
Acetylserotonin O-methyltransferase
- AVP:
-
Arginine vasopressin
- Aβ:
-
Amyloid beta
- BBB:
-
Blood brain barrier
- Bcl-2:
-
B cell lymphoma proto-oncogene protein
- c3OHM:
-
Cyclic 3-hydroxymelatonin
- CaM:
-
Calmodulin
- CSF:
-
Cerebrospinal fluid
- DA:
-
Dopamine
- ETC:
-
Electron transport chain
- GABA:
-
γ-Aminobutyric acid
- GH:
-
Growth hormone
- GPx:
-
Glutathione peroxidase
- GR:
-
Glutathione reductase
- GSH:
-
Glutathione
- GSK-3:
-
Glycogen synthase kinase 3
- HD:
-
Huntington’s disease
- HIOMT:
-
Hydroxyindole-O-methyl transferase
- IL-1β:
-
Interleukin-1β
- IL-R1 :
-
Interleukin-1 receptor 1
- iNOS:
-
Inducible nitric oxide synthase
- KA:
-
Kainic acid
- MAO:
-
Monoamine oxidase
- MAP:
-
Microtubule-associated protein
- MCI:
-
Mild cognitive impairment
- mHtt:
-
Mutated huntingtin gene
- MPTP:
-
1-Methyl-4-phenyl-1,2,3,6 tetrahydropyridine
- MT1 :
-
Melatonin receptor 1
- MT2 :
-
Melatonin receptor 2
- mtNOS:
-
Mitochondrial nitric oxide synthase
- mtPTP:
-
Mitochondrial permeability transition pore
- NMDA:
-
N-methyl-d-aspartate
- nNOS:
-
Neuronal nitric oxide synthase
- NOS:
-
Nitric oxide synthase
- PD:
-
Parkinson’s disease
- PP:
-
Protein phosphatase
- PS1:
-
Presenilin 1
- QR2:
-
Quinone reductase
- RBD:
-
Rapid eye movement-associated sleep behavior disorder
- RNS:
-
Reactive nitrogen species
- ROS:
-
Reactive oxygen species
- SCN:
-
Suprachiasmatic nuclei
- SOD:
-
Superoxide dismutase
- Tg:
-
Transgenic
- TNF-R1 :
-
Tumor necrosis factor receptor 1
- TNF-α:
-
Tumor necrosis factor-α
- VEGF:
-
Vascular endothelial growth factor
- VIP:
-
Vasoactive intestinal polypeptide
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S.R. Pandi-Perumal is a stockholder and the President and Chief Executive Officer of Somnogen Canada Inc., a Canadian Corporation. He declares that he has no competing interests that might be perceived to influence the content of this article. All remaining authors declare that they have no proprietary, financial, professional, nor any other personal interest of any nature or kind in any product or services and/or company that could be construed or considered to be a potential conflict of interest that might have influenced the views expressed in this manuscript.
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Pandi-Perumal, S.R., BaHammam, A.S., Brown, G.M. et al. Melatonin Antioxidative Defense: Therapeutical Implications for Aging and Neurodegenerative Processes. Neurotox Res 23, 267–300 (2013). https://doi.org/10.1007/s12640-012-9337-4
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DOI: https://doi.org/10.1007/s12640-012-9337-4
Keywords
- Melatonin
- Mitochondria
- Free radicals
- Oxidative stress
- Aging
- Parkinson’s disease
- Alzheimer’s disease
- Huntington’s disease
- Amyotrophic lateral sclerosis
- Stroke