Melatonin for gastric cancer treatment: where do we stand?

Mahdi Rafiyan1,2, Elham Tootoonchi1,2, Mahdieh Golpour3

  • 1Research Center for Biochemistry and Nutrition in Metabolic Diseases, Institute for Basic Sciences, Kashan University of Medical Sciences, Kashan, Iran.

Insights

Melatonin, a natural compound, shows promise in treating gastric cancer (GC) by inhibiting tumor growth and spread. Further research into melatonin

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Gastric cancer (GC) is a significant global health concern, ranking as a leading cause of cancer-related mortality.
  • Melatonin has demonstrated inhibitory effects on gastric cancer cell proliferation, progression, and invasion in previous studies.
  • MicroRNAs (miRNAs) are key regulators of gene expression, and melatonin's influence on exosomal miRNAs in GC is an emerging area of research.

Purpose of the Study:

  • To comprehensively review and synthesize existing in vivo and in vitro data on the therapeutic effects of melatonin in gastric cancer.
  • To elucidate the molecular mechanisms underlying melatonin's anti-cancer activity in GC.
  • To assess the potential of melatonin as a novel therapeutic agent for gastric cancer treatment.

Main Methods:

  • Systematic review and analysis of published in vivo and in vitro studies.
  • Evaluation of molecular signaling pathways affected by melatonin in gastric cancer models.
  • Synthesis of evidence regarding melatonin's impact on cancer cell proliferation, apoptosis, chemo-resistance, angiogenesis, and metastasis.

Main Results:

  • Melatonin exhibits multifaceted therapeutic potential against gastric cancer by targeting multiple signaling pathways.
  • Key mechanisms include inhibition of cancer cell proliferation, induction of apoptosis, and reduction of chemo-resistance.
  • Melatonin also demonstrates efficacy in limiting invasion, angiogenesis, and metastasis of gastric cancer cells.

Conclusions:

  • Melatonin plays a critical role in controlling gastric cancer progression through various molecular mechanisms.
  • The findings support melatonin as a promising and testable therapeutic agent for gastric cancer.
  • Further clinical investigation into melatonin's efficacy and safety for GC treatment is warranted.

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