Melatonin as an angiogenesis inhibitor to combat cancer: Mechanistic evidence

Nasser Hashemi Goradel1, Mohammad Hossein Asghari2, Milad Moloudizargari3

  • 1Young Researchers and Elite Club, Ardabil Branch, Islamic Azad University, Ardabil, Iran; Department of Medical Biotechnology, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Insights

Melatonin effectively inhibits tumor growth by blocking angiogenesis, a key process in cancer progression. This study reviews how melatonin targets molecular pathways to cut off tumor blood supply, offering new therapeutic strategies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Melatonin, a pineal indolamine, exhibits anti-tumor properties.
  • Angiogenesis, the formation of new blood vessels, is crucial for tumor progression.
  • Inhibiting angiogenesis is a critical strategy in cancer therapy.

Purpose of the Study:

  • To review the molecular mechanisms by which melatonin inhibits angiogenesis.
  • To explore melatonin's anti-angiogenic pathways in various cancer models.
  • To consolidate understanding of melatonin's oncostatic effects via angiogenesis inhibition.

Main Methods:

  • Review of molecular anti-angiogenesis pathways mediated by melatonin.
  • Analysis of melatonin's effects on hypoxia-induced factor-1α (HIF-1α) and vascular endothelial growth factor (VEGF) expression.
  • Examination of melatonin's impact on endothelial cell functions and receptor activation (e.g., VEGFR2).

Main Results:

  • Melatonin inhibits angiogenesis by targeting HIF-1α nuclear translocation and downstream gene expression, including VEGF.
  • It disrupts the formation of protein complexes essential for angiogenesis-related gene expression.
  • Melatonin also inhibits endothelial cell migration, invasion, and tube formation, and affects VEGFR2 activation.

Conclusions:

  • Melatonin exerts significant anti-angiogenic effects through multiple molecular pathways.
  • These mechanisms contribute to melatonin's oncostatic action in various cancer types.
  • Understanding these pathways can inform the development of novel cancer therapies utilizing melatonin.

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