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.

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.

Related Concept Videos

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...
782
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.5K
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
6.1K
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
962
Major Hormones and Their Functions01:27

Major Hormones and Their Functions

Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
3.3K
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
865