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The role of melatonin in diabetes: therapeutic implications
Shweta Sharma1, Hemant Singh1, Nabeel Ahmad2
1School of Biotechnology, Rajiv Gandhi Technical University, Bhopal, Madhya Pradesh, India.
Abstract:
Melatonin referred as the hormone of darkness is mainly secreted by pineal gland, its levels being elevated during night and low during the day. The effects of melatonin on insulin secretion are mediated through the melatonin receptors (MT1 and MT2). It decreases insulin secretion by inhibiting cAMP and cGMP pathways but activates the phospholipaseC/IP3 pathway, which mobilizes Ca2+from organelles and, consequently increases insulin secretion. Both in vivo and in vitro, insulin secretion by the pancreatic islets in a circadian manner, is due to the melatonin action on the melatonin receptors inducing a phase shift in the cells. Melatonin may be involved in the genesis of diabetes as a reduction in melatonin levels and a functional interrelationship between melatonin and insulin was observed in diabetic patients. Evidences from experimental studies proved that melatonin induces production of insulin growth factor and promotes insulin receptor tyrosine phosphorylation. The disturbance of internal circadian system induces glucose intolerance and insulin resistance, which could be restored by melatonin supplementation. Therefore, the presence of melatonin receptors on human pancreatic islets may have an impact on pharmacotherapy of type 2 diabetes.
Insights
Melatonin, the hormone of darkness, influences insulin secretion via its receptors. Melatonin supplementation may help restore glucose balance and improve insulin resistance, impacting type 2 diabetes treatment.
Area of Science:
- Endocrinology
- Chronobiology
- Metabolic Research
Background:
- Melatonin, secreted by the pineal gland, exhibits circadian rhythmicity.
- Melatonin receptors (MT1 and MT2) mediate its effects on cellular pathways.
- Disruptions in circadian rhythms are linked to metabolic disorders like diabetes.
Purpose of the Study:
- To investigate the role of melatonin in insulin secretion and glucose homeostasis.
- To explore the potential of melatonin in managing diabetes and insulin resistance.
- To assess the impact of melatonin receptors on human pancreatic islets for type 2 diabetes pharmacotherapy.
Main Methods:
- In vivo and in vitro studies examining melatonin's effects on pancreatic islets.
- Analysis of melatonin's influence on cAMP, cGMP, and phospholipaseC/IP3 pathways.
- Investigation of melatonin's role in insulin growth factor production and insulin receptor phosphorylation.
Main Results:
- Melatonin differentially affects insulin secretion by modulating intracellular signaling pathways.
- Melatonin action on receptors induces circadian insulin secretion patterns in pancreatic islets.
- Reduced melatonin levels and altered melatonin-insulin relationships are observed in diabetic patients.
Conclusions:
- Melatonin plays a significant role in regulating insulin secretion and glucose metabolism.
- Melatonin supplementation may offer therapeutic benefits for glucose intolerance and insulin resistance.
- The presence of melatonin receptors on pancreatic islets suggests potential for novel type 2 diabetes pharmacotherapies.
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