Melatonin, a natural programmed cell death inducer in cancer
M Sánchez-Hidalgo1, J M Guerrero, I Villegas
1Department of Pharmacology, Faculty of Pharmacy, University of Seville, Spain. hidalgosanz@us.es
Abstract:
Melatonin, an indolamine derived from the amino-acid tryptophan, participates in diverse physiological functions and has great functional versatility related to the regulation of circadian rhythms and seasonal behaviour, sexual development, retinal physiology, tumour inhibition, as an antioxidant, immunomodulatory and anti-aging properties. In relation to its oncostatic properties, there is evidence that tumor initiation, promotion or progression may be restrained by the night-time physiological surge of melatonin in the blood or extracellular fluid. In addition, depressed nocturnal melatonin concentrations or nocturnal excretion of the main melatonin metabolite, 6-sulfatoxymelatonin, were found in individuals with various tumor types. In the majority of studies, melatonin was shown to inhibit development and/or growth of various experimental animal tumors and some human cell lines in vitro. Many tumors do not respond to drug treatment due to their resistance to undergo apoptosis thereby contributing to the development of cancer. Thus, given the importance of the apoptotic program in cancer treatment, the role of melatonin in influencing apoptosis in tumor cells attracted attention because it seems that it actually promotes apoptosis in most tumor cells, in contrast to the obvious inhibition of apoptotic processes in normal cells. Thus, this paper is also intended to provide to the reader an up-date of all the researches that have been carried out to date, which investigate the proapoptotic effects of melatonin in experimental preclinical models of cancer (in vitro and in vivo) and the underlying proposed action mechanism of this effects. If melatonin uniformly induces apoptosis in cancer cells, the findings could have important clinical implications to improve the quality of live while preventing the appearance of cancer.
Insights
Melatonin, a hormone regulating circadian rhythms, shows potential in cancer treatment by promoting apoptosis in tumor cells while sparing normal cells. This research reviews its pro-apoptotic effects in preclinical cancer models.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Melatonin, an indolamine, regulates circadian rhythms and possesses antioxidant and immunomodulatory properties.
- Evidence suggests melatonin restrains tumor initiation, promotion, and progression.
- Depressed nocturnal melatonin levels are linked to various tumor types.
Purpose of the Study:
- To review research on melatonin's pro-apoptotic effects in preclinical cancer models.
- To elucidate the proposed mechanisms underlying melatonin's pro-apoptotic action.
- To explore the clinical implications of melatonin's cancer-fighting properties.
Main Methods:
- In vitro studies on human cancer cell lines.
- In vivo studies using experimental animal tumor models.
- Analysis of proposed molecular mechanisms of action.
Main Results:
- Melatonin demonstrated inhibition of tumor development and growth in most experimental models.
- Melatonin appears to promote apoptosis in most tumor cells, unlike normal cells.
- Research indicates specific mechanisms by which melatonin influences apoptosis.
Conclusions:
- Melatonin's ability to induce apoptosis in cancer cells offers potential therapeutic benefits.
- Further research into melatonin's pro-apoptotic effects could lead to improved cancer treatment strategies.
- Findings suggest melatonin may enhance quality of life and aid in cancer prevention.
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