Melatonin in Cancer Treatment: Current Knowledge and Future Opportunities
Wamidh H Talib1, Ahmad Riyad Alsayed1, Alaa Abuawad2
1Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman 11931, Jordan.
Abstract:
Melatonin is a pleotropic molecule with numerous biological activities. Epidemiological and experimental studies have documented that melatonin could inhibit different types of cancer in vitro and in vivo. Results showed the involvement of melatonin in different anticancer mechanisms including apoptosis induction, cell proliferation inhibition, reduction in tumor growth and metastases, reduction in the side effects associated with chemotherapy and radiotherapy, decreasing drug resistance in cancer therapy, and augmentation of the therapeutic effects of conventional anticancer therapies. Clinical trials revealed that melatonin is an effective adjuvant drug to all conventional therapies. This review summarized melatonin biosynthesis, availability from natural sources, metabolism, bioavailability, anticancer mechanisms of melatonin, its use in clinical trials, and pharmaceutical formulation. Studies discussed in this review will provide a solid foundation for researchers and physicians to design and develop new therapies to treat and prevent cancer using melatonin.
Insights
Melatonin, a versatile molecule, demonstrates significant anticancer properties by inhibiting cancer cell growth and reducing treatment side effects. Clinical trials confirm its effectiveness as an adjuvant therapy, offering a promising foundation for novel cancer treatments.
Area of Science:
- Oncology
- Endocrinology
- Pharmacology
Background:
- Melatonin is a pleiotropic molecule with documented anticancer activities in vitro and in vivo.
- Epidemiological and experimental studies suggest melatonin's role in inhibiting various cancer types.
Purpose of the Study:
- To review melatonin's biosynthesis, metabolism, bioavailability, and anticancer mechanisms.
- To summarize clinical trial findings on melatonin as an adjuvant cancer therapy.
- To provide a foundation for developing new melatonin-based cancer prevention and treatment strategies.
Main Methods:
- Comprehensive literature review of studies on melatonin's anticancer effects.
- Analysis of experimental and epidemiological data.
- Summary of clinical trial outcomes and pharmaceutical formulations.
Main Results:
- Melatonin exhibits multiple anticancer mechanisms, including apoptosis induction and proliferation inhibition.
- It reduces tumor growth, metastasis, and chemotherapy/radiotherapy side effects.
- Melatonin enhances conventional cancer therapies and decreases drug resistance.
- Clinical trials establish melatonin as an effective adjuvant to standard treatments.
Conclusions:
- Melatonin possesses significant anticancer potential through diverse mechanisms.
- It serves as a valuable adjuvant therapy, improving outcomes and reducing side effects.
- Further research based on this review can guide the development of novel cancer therapies.
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