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Melatonin to Rescue the Aged Heart: Antiarrhythmic and Antioxidant Benefits
Margarita Segovia-Roldan1, Emiliano Raúl Diez2, Esther Pueyo1
1Biomedical Signal Interpretation and Computational Simulation (BSICoS), I3A, Universidad de Zaragoza, IIS Aragón and CIBER-BBN, Spain.
Abstract:
Aging comes with gradual loss of functions that increase the vulnerability to disease, senescence, and death. The mechanisms underlying these processes are linked to a prolonged imbalance between damage and repair. Damaging mechanisms include oxidative stress, mitochondrial dysfunction, chronodisruption, inflammation, and telomere attrition, as well as genetic and epigenetic alterations. Several endogenous tissue repairing mechanisms also decrease. These alterations associated with aging affect the entire organism. The most devastating manifestations involve the cardiovascular system and may lead to lethal cardiac arrhythmias. Together with structural remodeling, electrophysiological and intercellular communication alterations during aging predispose to arrhythmic events. Despite the knowledge on repairing mechanisms in the cardiovascular system, effective antiaging strategies able to reduce the risk of arrhythmias are still missing. Melatonin is a promising therapeutic candidate due to its pleiotropic actions. This indoleamine regulates chronobiology and endocrine physiology. Of relevance, melatonin is an antiaging, antioxidant, antiapoptotic, antiarrhythmic, immunomodulatory, and antiproliferative molecule. This review focuses on the protective effects of melatonin on age-induced cardiac functional and structural alterations, potentially becoming a new fountain of youth for the heart.
Insights
Aging impairs heart repair, increasing arrhythmia risk. Melatonin, an antioxidant and antiaging molecule, shows promise in protecting the aging heart from functional and structural changes, potentially preventing cardiac arrhythmias.
Area of Science:
- Gerontology and Cardiovascular Science
- Molecular Biology and Pharmacology
Background:
- Aging leads to functional decline and increased disease vulnerability due to damage-repair imbalance.
- Cardiovascular system alterations during aging, including structural remodeling and electrophysiological changes, heighten the risk of lethal cardiac arrhythmias.
- Current antiaging strategies are insufficient to mitigate age-related cardiac arrhythmias.
Purpose of the Study:
- To review the protective effects of melatonin on age-induced cardiac functional and structural alterations.
- To explore melatonin's potential as a therapeutic agent to prevent age-related cardiac arrhythmias.
Main Methods:
- Literature review of studies investigating aging mechanisms, cardiac function, and melatonin's effects.
- Analysis of melatonin's pleiotropic actions, including its antioxidant, anti-inflammatory, and antiapoptotic properties.
- Focus on research detailing melatonin's impact on cardiac structure and electrophysiology in the context of aging.
Main Results:
- Aging is characterized by increased oxidative stress, inflammation, and impaired repair mechanisms, affecting the entire organism, particularly the cardiovascular system.
- Melatonin exhibits significant antiaging, antioxidant, antiarrhythmic, and cardioprotective properties.
- Melatonin's multifaceted actions suggest a strong potential to counteract age-related cardiac damage and arrhythmias.
Conclusions:
- Melatonin's protective effects on the aging heart warrant further investigation as a novel antiaging strategy.
- Melatonin may serve as a 'fountain of youth' for the heart, reducing the risk of age-associated arrhythmias.
- Targeting aging-related cardiac dysfunction with melatonin could offer a new therapeutic avenue for cardiovascular health in older adults.
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