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Role of melatonin in cancer treatment
Antonio Cutando1, Antonio López-Valverde, Salvador Arias-Santiago
1Department of Special Care in Dentistry, School of Dentistry, University of Granada, Granada, Spain. acutando@ugr.es
Abstract:
Melatonin has revealed itself to be a pleiotropic and multitasking molecule. The mechanisms that control its synthesis and the biological clock processes that modulate the circadian production of melatonin in the pineal gland have been well-characterized. A feature that characterizes melatonin is the variety of mechanisms it employs to modulate the physiology and molecular biology of cells. Research has implicated the pineal gland and melatonin in the processes of both aging and age-related diseases. The decline in the production of melatonin with age is thought to contribute to immunosenescence and potential development of neoplastic diseases. Melatonin has been shown to inhibit growth of different tumors under both in vitro and in vivo conditions. There is evidence that the administration of melatonin alone or in combination with interleukin-2 in conjunction with chemoradiotherapy and/or supportive care in cancer patients with advanced solid tumors, has been associated with improved outcomes of tumor regression and survival. Moreover, chemotherapy has been shown to be better tolerated in patients treated with melatonin.
Insights
Melatonin, a molecule involved in aging and circadian rhythms, may help combat cancer. Studies show melatonin inhibits tumor growth and improves cancer treatment outcomes.
Area of Science:
- Endocrinology
- Chronobiology
- Oncology
Background:
- Melatonin is a pleiotropic molecule with well-characterized synthesis and circadian regulation in the pineal gland.
- Melatonin influences cellular physiology and molecular biology through diverse mechanisms.
- Age-related decline in melatonin production is linked to immunosenescence and increased cancer risk.
Purpose of the Study:
- To explore the role of melatonin in aging, age-related diseases, and cancer.
- To review the therapeutic potential of melatonin in cancer treatment.
Main Methods:
- Literature review of studies on melatonin synthesis, circadian rhythms, aging, and cancer.
- Analysis of in vitro and in vivo data on melatonin's effect on tumor growth.
- Examination of clinical trial data on melatonin's use in cancer patients.
Main Results:
- Melatonin production declines with age, potentially contributing to immunosenescence and neoplastic diseases.
- Melatonin demonstrates inhibitory effects on various tumor types under experimental conditions.
- Clinical studies suggest melatonin administration improves tumor regression, survival rates, and chemotherapy tolerance in cancer patients.
Conclusions:
- Melatonin plays a significant role in aging and age-related diseases, including cancer.
- Melatonin shows promise as an adjunct therapy for cancer, enhancing treatment efficacy and patient tolerance.
- Further research into melatonin's multifaceted roles is warranted for therapeutic applications.
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