Abstract:

The pineal product melatonin has remarkable antioxidant properties. It is secreted during darkness and plays a key role in various physiological responses including regulation of circadian rhythms, sleep homeostasis, retinal neuromodulation, and vasomotor responses. It scavenges hydroxyl, carbonate, and various organic radicals as well as a number of reactive nitrogen species. Melatonin also enhances the antioxidant potential of the cell by stimulating the synthesis of antioxidant enzymes including superoxide dismutase, glutathione peroxidase, and glutathione reductase, and by augmenting glutathione levels. Melatonin preserves mitochondrial homeostasis, reduces free radical generation and protects mitochondrial ATP synthesis by stimulating Complexes I and IV activities. The decline in melatonin production in aged individuals has been suggested as one of the primary contributing factors for the development of age-associated neurodegenerative diseases. The efficacy of melatonin in preventing oxidative damage in either cultured neuronal cells or in the brains of animals treated with various neurotoxic agents, suggests that melatonin has a potential therapeutic value as a neuroprotective drug in treatment of Alzheimer’s disease (AD), Parkinson’s disease (PD), amyotrophic lateral sclerosis (ALS), Huntington’s disease (HD), stroke, and brain trauma. Therapeutic trials with melatonin indicate that it has a potential therapeutic value as a neuroprotective drug in treatment of AD, ALS, and HD. In the case of other neurological conditions, like PD, the evidence is less compelling. Melatonin’s efficacy in combating free radical damage in the brain suggests that it can be a valuable therapeutic agent in the treatment of cerebral edema following traumatic brain injury or stroke. Clinical trials employing melatonin doses in the range of 50–100 mg/day are warranted before its relative merits as a neuroprotective agent is definitively established.

Author affiliation: Pandi Perumal, Seithikurippu R.. Somnogen Canada Inc.; Canadá. King Saud University. College of Medicine. Sleep Disorders Center; Arabia Saudita

Author affiliation: BaHammam, Ahmed S.. King Saud University. College of Medicine. Sleep Disorders Center; Arabia Saudita

Author affiliation: Brown, Gregory M.. University of Toronto. Department of Psychiatry; Canadá. Centre for Addiction and Mental Health; Canadá

Author affiliation: Spence, D. Warren.

Author affiliation: Bharti, Vijay K.. Ministry of Defence. Defence Research and Development Organization. Defence Institute of High Altitude Research. Nutrition and Toxicology Laboratory; India

Author affiliation: Kaur, Charanjit. National University of Singapore. Yong Loo Lin School of Medicine. Department of Anatomy; Singapur

Author affiliation: Hardeland, Rüdiger. Universitat Gottingen. Institut fur Zoologie und Anthropologie; Alemania

Author affiliation: Cardinali, Daniel Pedro. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Facultad de Ciencias Médicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina