Urinary melatonin levels and skin malignancy

Reza Ghaderi1, Samineh Sehatbakhsh2, Mehdi Bakhshaee2

  • 1Department of Dermatology, Birjand University of Medical Sciences, Birjand, Iran;

Insights

Low melatonin levels, indicated by reduced 24-hour urinary 6-sulfatoxymelatonin, may increase skin cancer risk in humans. This study found significantly lower melatonin levels in skin cancer patients compared to healthy controls.

Area of Science:

  • Oncology
  • Endocrinology
  • Dermatology

Background:

  • Melatonin is known to inhibit tumor development in various experimental models.
  • Light at night suppresses melatonin, potentially increasing cancer risk, including skin cancer.
  • Previous research on light-at-night effects on skin cancer was limited to animal studies.

Purpose of the Study:

  • To investigate the association between 24-hour urinary 6-sulfatoxymelatonin levels and the risk of developing skin cancer in humans.
  • To compare melatonin levels in individuals with skin cancer versus healthy controls.

Main Methods:

  • A case-control study involving 70 patients with skin cancer and 70 healthy controls.
  • Measurement of 24-hour urinary 6-sulfatoxymelatonin using the ELISA method.
  • Analysis of skin cancer types, including basal cell carcinoma and squamous cell carcinoma.

Main Results:

  • Mean 24-hour urinary 6-sulfatoxymelatonin levels were significantly higher in the healthy control group (P<0.001).
  • Skin cancer patients exhibited lower levels of 24-hour urinary 6-sulfatoxymelatonin.
  • Sleep duration differed significantly between the case and control groups (P=0.001).

Conclusions:

  • Lower 24-hour urinary 6-sulfatoxymelatonin levels appear to be associated with an increased susceptibility to skin cancer in humans.
  • Further research is warranted to confirm this association and elucidate the underlying mechanisms.

Related Concept Videos

Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
3.6K
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
5.2K
Pigmentation01:19

Pigmentation

The color of the skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred to the keratinocytes via melanosomes.
Melanin occurs in two primary forms: eumelanin that provides black and brown pigment and pheomelanin that provides red color. Dark-skinned individuals produce more melanin than those with pale...
3.8K
Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
785