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Melatonin as a promising agent alleviating endocrine deregulation and concurrent cardiovascular dysfunction: a review and future prospect 褪黑素作为一种有望缓解内分泌失调和并发心血管功能障碍的药物:综述与未来展望
Pub Date : 2024-04-20 DOI: 10.32794/mr112500166
Swaimanti Sarkar, A. Chattopadhyay, Debasish Bandyopadhyay
Endocrine modulation of various growth and survival mechanisms is at the helm of cellular homeostasis and impaired endocrine balance may potentially galvanize cardiovascular health to go haywire. Melatonin, an effective antioxidant and multipotent hormone has preponderant influence on the activities of several endocrine factors including growth hormones, thyroid hormones, gastro-intestinal hormones, and those controlling reproductive and metabolic functions. Many of these hormones tightly regulate cardiovascular functions while the mammalian heart has its own endocrine machinery. Endocrine disruptions severely affect cardiovascular integrity and hormonal therapies may instigate adverse cardiac events. Therefore, this review focuses on the cardioprotective potential of melatonin concerning endocrine instability-mediated cardiovascular dysfunction. Melatonin has been reported to effectively counteract sympathetic overstimulation and also reduce the cardiotoxic attributes of catecholamines and their derivatives. Melatonin suppresses the pernicious cardiovascular manifestation of thyrotoxicosis and autoimmune thyroiditis, which is possibly attributed to its antioxidant property and regulation of iodothyronine-deiodinase activity. Interestingly, being a circadian synchronizer melatonin potentially preserves the diurnal pattern of insulin secretion and thereby improves glucose tolerance and cardiac GLUT-4 expression. Besides, melatonin modulates insulin signaling pathway by enhancing the activation of insulin receptor-associated tyrosine kinase, thus protecting the heart against diabetogenic outcomes. Further, melatonin has demonstrated its beneficial action against non-dipper hypertension by regulating the RAAS function. However, there is a plethora of unresolved research question that necessitates additional investigation into the potential therapeutic effect of melatonin in endocrine dysfunctions that emanates during various physiological and pathological states and may have potentially harmful cardiovascular implications.
内分泌对各种生长和生存机制的调节是细胞平衡的关键,内分泌平衡受损可能会导致心血管健康出现问题。褪黑激素是一种有效的抗氧化剂和多能激素,对生长激素、甲状腺激素、胃肠激素以及控制生殖和新陈代谢功能的激素等多种内分泌因子的活动具有重要影响。这些激素中有许多密切调节着心血管功能,而哺乳动物的心脏也有自己的内分泌机制。内分泌紊乱会严重影响心血管的完整性,激素疗法可能会引发不良的心脏事件。因此,本综述重点探讨褪黑激素对内分泌不稳定介导的心血管功能障碍的潜在保护作用。据报道,褪黑素能有效对抗交感神经过度刺激,还能降低儿茶酚胺及其衍生物的心脏毒性。褪黑素可抑制甲状腺毒症和自身免疫性甲状腺炎的恶性心血管表现,这可能归因于它的抗氧化特性和对碘甲腺原氨酸-碘化酶活性的调节。有趣的是,作为昼夜节律同步调节剂,褪黑激素有可能保留胰岛素分泌的昼夜模式,从而改善葡萄糖耐量和心脏 GLUT-4 的表达。此外,褪黑激素还能通过增强胰岛素受体相关酪氨酸激酶的活化作用来调节胰岛素信号通路,从而保护心脏免受致糖尿病结果的影响。此外,褪黑激素还通过调节 RAAS 功能,对非糖尿病高血压产生有益作用。然而,褪黑激素在各种生理和病理状态下引起的内分泌功能紊乱可能会对心血管产生潜在的有害影响,因此还有大量尚未解决的研究问题,需要进一步研究褪黑激素的潜在治疗作用。
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引用次数: 0
Melatonin and viral infections: A review focusing on therapeutic effects and SARS-CoV-2 褪黑激素与病毒感染:以治疗效果和 SARS-CoV-2 为重点的综述
Pub Date : 2024-04-19 DOI: 10.32794/mr112500168
Leonor Chacin-Bonilla, Ernesto Bonilla
      Viral infections can cause serious diseases which lead to significant morbidity and mortality of patients. In most cases, effective therapeutic approaches are lacking. Melatonin (MEL), a multifunctional molecule produced in the pineal gland and many other organs, is known as a potent anti-inflammatory and antioxidant, a positive regulator of immune functions and a suppressor of apoptosis, with therapeutic effects in diverse diseases. These actions suggest the potential of MEL to treat viral infections. A variety of studies have shown that MEL supplementation is effective against a number of viral infections. Many of these reports have strongly suggested its use as an adjuvant or therapeutic agent. Notably, the efficacy of this molecule as a prophylactic or therapeutic weapon against COVID-19 has been demonstrated both in experimental conditions and in clinical trials, and it can reduce the severity and mortality of the patients. This review summarizes actions of MEL on viral infections and focuses on its therapeutic effects against COVID-19 and generally highlights MEL as an attractive therapy in other viral infections. 
病毒感染可引起严重疾病,导致患者大量发病和死亡。在大多数情况下,都缺乏有效的治疗方法。褪黑激素(MEL)是松果体和许多其他器官产生的一种多功能分子,是一种有效的抗炎和抗氧化剂,也是免疫功能的积极调节剂和细胞凋亡的抑制剂,对多种疾病具有治疗作用。这些作用表明 MEL 具有治疗病毒感染的潜力。多项研究表明,补充 MEL 对多种病毒感染有效。其中许多报告强烈建议将其用作辅助剂或治疗剂。值得注意的是,无论是在实验条件下还是在临床试验中,这种分子作为 COVID-19 的预防或治疗武器的功效都已得到证实,它可以降低患者的严重程度和死亡率。本综述总结了 MEL 对病毒感染的作用,重点介绍了它对 COVID-19 的治疗效果,并从总体上强调了 MEL 对其他病毒感染的诱人治疗效果。
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引用次数: 0
Physiological processes underpinning the ubiquitous benefits and interactions of melatonin, butyrate and green tea in neurodegenerative conditions 褪黑素、丁酸盐和绿茶对神经退行性疾病的普遍益处和相互作用的生理过程
Pub Date : 2024-04-18 DOI: 10.32794/mr112500167
George Anderson
There is a growing dissatisfaction at the lack of progress in treating neurodegenerative conditions, such as Alzheimer’s disease, Parkinson’s disease and amyotrophic lateral sclerosis. No current pharmaceuticals have any significant impact on the pathophysiological changes occurring in such neurodegenerative conditions. More promising has been the utilization of nutraceuticals, a number of which show preventative and treatment benefits. This article reviews the beneficial effects of melatonin, sodium butyrate and epigallocatechin gallate (EGCG) in the management of the pathophysiological changes underpinning neurodegenerative conditions. It is proposed that all three nutraceuticals upregulate the tryptophan-melatonin pathway, which may be particularly important in astrocytes given astrocyte regulation of neuronal energy supply and antioxidants, including released melatonin. Alterations in the tryptophan-melatonin pathway are intimately intertwined with changes in the kynurenine pathway and its neuroregulatory products, including kynurenic acid and quinolinic acid. This article places these changes in the tryptophan-melatonin pathways within a novel circadian-systemic interaction, involving the regulation of the night-time rise in cortisol culminating in the morning cortisol awakening response that mediates effects via glucocorticoid receptor (GR) activation. The night-time and morning GR activation is suppressed by melatonin, gut microbiome derived butyrate and bcl2-associated athanogene (BAG)-1. As melatonin, butyrate and BAG-1 decrease over age, there is a heightened level of GR nuclear translocation with age at night and early morning. This is exemplified by the 10-fold decrease in pineal melatonin in people in their 9th, versus 2nd, decade of life. The ‘battle’ of melatonin/butyrate/EGCG versus cortisol/GR for influence on cellular function, microenvironment homeostasis and systemic system (immune) regulation at night and early morning shapes how the body and brain are prepared for the coming day and drives the emergence of aging associated neurodegenerative conditions. It is upon such processes that melatonin, butyrate and EGCG have their impacts.    
人们对阿尔茨海默病、帕金森病和肌萎缩侧索硬化症等神经退行性疾病的治疗缺乏进展日益感到不满。目前没有任何药物能对这类神经退行性疾病的病理生理变化产生明显影响。更有前景的是对营养保健品的利用,其中一些保健品显示出预防和治疗功效。本文回顾了褪黑素、丁酸钠和表没食子儿茶素没食子酸酯(EGCG)在治疗神经退行性疾病的病理生理变化方面的有益作用。鉴于星形胶质细胞对神经元能量供应和抗氧化剂(包括释放的褪黑激素)的调节作用,这三种营养保健品可能对星形胶质细胞尤为重要。色氨酸-褪黑激素途径的变化与犬尿氨酸途径及其神经调节产物(包括犬尿酸和喹啉酸)的变化密切相关。这篇文章将色氨酸-褪黑激素通路的这些变化置于一种新的昼夜节律-系统相互作用中,其中涉及到对夜间皮质醇上升的调节,最终导致早晨皮质醇唤醒反应,这种反应通过糖皮质激素受体(GR)的激活产生作用。褪黑激素、肠道微生物组产生的丁酸盐和 bcl2 相关基因(BAG)-1 会抑制夜间和早晨的 GR 激活。随着年龄的增长,褪黑激素、丁酸盐和 BAG-1 会减少,夜间和清晨的 GR 核转位水平也会随着年龄的增长而提高。例如,松果体褪黑激素在人的第 9 个 10 年比第 2 个 10 年减少了 10 倍。在夜间和清晨,褪黑激素/丁酸/EGCG 与皮质醇/GR 的 "斗争 "对细胞功能、微环境稳态和全身系统(免疫)调节的影响,决定了身体和大脑如何为即将到来的一天做好准备,并推动了与衰老相关的神经退行性疾病的出现。褪黑激素、丁酸盐和 EGCG 正是对这些过程产生影响。
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引用次数: 0
Nanocarriers for melatonin delivery 用于递送褪黑素的纳米载体
Pub Date : 2023-12-31 DOI: 10.32794/mr112500165
Amirreza Ahmadi Jazi, Fatemeh Mohammadzadeh, Saeed Amirkhanlou, Zahra Arab Bafarani, Seyed Mostafa Mir
More attention has been drawn to the drug delivery systems to achieve more precise and efficient treatment for patients with less doses of medicines. The use of nanoparticles for drug delivery system has emerged for this purpose. It can enhance the treatment efficiency by use of the drugs more selectively and precisely to deliver them to the targeted organs or tissues. Drug delivery systems can also help to reduce the side effects, especially for the chemotherapeutic agents that have severe toxicity. Melatonin (N-acetyl-5-methoxytriptamine) is a small indolamine molecule that is produced by most cells and can influence on circadian manner. Melatonin also has antiapoptotic and antioxidant actions depending on the microenvironment; these actions are enhanced when it is incorporated into nanocarriers. Although the therapeutic effects of melatonin are promising, to achieve its optimal results is required. Therefore, the use of nanocarriers of melatonin is of clinical interest. Different melatonin loaded nanocarriers such as lipid-based nanocarriers, hybrid nanocarriers, synthetic ones, etc. can be used to deliver melatonin more efficiently for prevention or treatment of various diseases. In this review, we summarize the treatment efficiency of melatonin when it is incorporated into different nanocarriers.
为了用更少的药物剂量为病人提供更精确、更有效的治疗,药物输送系统受到越来越多的关注。为此,纳米颗粒给药系统应运而生。它可以更有选择性地使用药物,更精确地将药物输送到目标器官或组织,从而提高治疗效率。给药系统还有助于减少副作用,尤其是对毒性较强的化疗药物。褪黑素(N-乙酰-5-甲氧基三乙胺)是一种吲哚胺小分子,由大多数细胞产生,可影响昼夜节律。根据微环境的不同,褪黑素还具有抗凋亡和抗氧化作用;将其纳入纳米载体后,这些作用会得到加强。虽然褪黑素的治疗效果很好,但要达到最佳效果仍有必要。因此,使用褪黑素纳米载体具有临床意义。不同的褪黑素纳米载体,如脂基纳米载体、混合纳米载体、合成纳米载体等,可用于更有效地输送褪黑素,预防或治疗各种疾病。本综述总结了褪黑素加入不同纳米载体后的治疗效果。
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引用次数: 0
Melatonin and cancer: Exploring gene networks and functional categories 褪黑激素与癌症探索基因网络和功能类别
Pub Date : 2023-12-31 DOI: 10.32794/mr112500161
L. Chuffa, Robson Francisco Carvalho, Victória Larissa Schimidt Camargo, Sarah Santiloni Cury, R. Domeniconi, D. Zuccari, F. Seiva
While melatonin is known for its multifaceted properties and its potential to combat cancer, there has been limited exploration of the cancer-melatonin interaction at the gene network level. One of the ways to better understand the molecular mechanisms of melatonin’s anti-cancer effects is to use text-mining strategies to extract relevant information that creates knowledge networks of entities and their associations. In this study, we mined gene-publication associations to search for genes most relevant to the terms of “melatonin” and “cancer”. A total of 152 genes were identified and ranked, among which 15 were kinase-related and three G-protein coupled receptor genes. The hub genes (STAT3, JUN, TP53, MAPK3, EP300, SRC, HSP90AA1, AKT1, ESR1, and IL6) were involved with several pathways in cancer. After examining the melatonin-treated cancers, we mapped 25 upregulated and 51 downregulated genes; these were strongly associated with cancer hallmarks such as resisting cell death, sustaining proliferative signaling, and inducing invasion and metastasis. Upregulated genes showed molecular functions including apoptotic protease activator, caspase activator, enzyme regulator, and protein binding, whereas the downregulated genes affected protein kinase activities, transcription factor binding, protein, enzyme, DNA, and promoter bindings. By connecting gene subsets, we detected a closer relationship among breast, hepatocellular, prostate, and oral cancers, in addition to neuroblastoma and osteosarcoma in terms of changes in melatonin-related signaling pathways. TCGA data were analyzed to understand the impact of gene signatures on survival of patients, and melatonin-downregulated genes were associated with longer survival of patients with glioblastoma, bladder, breast, colon, stomach, liver, lung, and ovarian carcinomas. These results provide a global view of gene interaction networks in melatonin-treated cancers and their functional value, opening new opportunities to consider melatonin for cancer therapy.
虽然褪黑素以其多方面的特性和抗癌潜力而闻名,但在基因网络层面对癌症与褪黑素相互作用的探索却很有限。更好地了解褪黑激素抗癌作用的分子机制的方法之一是使用文本挖掘策略来提取相关信息,从而创建实体及其关联的知识网络。在本研究中,我们挖掘了基因-出版物关联,以搜索与 "褪黑激素 "和 "癌症 "这两个术语最相关的基因。共发现 152 个基因并进行了排序,其中 15 个与激酶相关,3 个与 G 蛋白偶联受体相关。枢纽基因(STAT3、JUN、TP53、MAPK3、EP300、SRC、HSP90AA1、AKT1、ESR1和IL6)与癌症的多个通路有关。在研究了褪黑激素治疗的癌症后,我们绘制了25个上调基因和51个下调基因的图谱,这些基因与癌症的特征密切相关,如抵抗细胞死亡、维持增殖信号、诱导侵袭和转移。上调基因的分子功能包括凋亡蛋白酶激活剂、caspase激活剂、酶调节剂和蛋白结合,而下调基因则影响蛋白激酶活性、转录因子结合、蛋白、酶、DNA和启动子结合。通过连接基因亚群,我们发现除了神经母细胞瘤和骨肉瘤外,乳腺癌、肝癌、前列腺癌和口腔癌与褪黑激素相关信号通路的变化关系更为密切。为了了解基因特征对患者生存期的影响,对TCGA数据进行了分析,结果发现褪黑激素下调基因与胶质母细胞瘤、膀胱癌、乳腺癌、结肠癌、胃癌、肝癌、肺癌和卵巢癌患者生存期的延长有关。这些结果提供了褪黑激素治疗癌症中基因相互作用网络的全局视图及其功能价值,为考虑将褪黑激素用于癌症治疗提供了新的机会。
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引用次数: 0
Melatonin and Covid-19: An opened Pandora's box and the hope for the time being 褪黑素和 Covid-19:打开的潘多拉魔盒和暂时的希望
Pub Date : 2023-12-31 DOI: 10.32794/mr112500163
Leonor Chacin-Bonilla, Ernesto Bonilla
The SARS-CoV-2 pandemic is a global health concern still ongoing. No single therapeutic intervention with high efficacy exists and virus mutations continue to improve immune evasion decreasing vaccine efficacy. Therefore, a therapy which instead targets severe symptoms of COVID-19 should be contemplated. Hyperinflammation, cytokine storm and oxidation are relevant in the evolution of COVID-19. Considering the anti-inflammatory, anti-oxidative and cytoprotective effects of melatonin (MEL) on viral infections, its potential links with COVID-19 should be researched. In addition, evidence suggests a viricidal action of MEL and an increase in the efficacy of SARS-CoV-2 vaccines. One of the neglected and excellent options for therapy is MEL. We strongly support and encourage the use of MEL as a therapy for COVID-19.
SARS-CoV-2 大流行是一个仍在持续的全球健康问题。目前还没有一种疗效显著的治疗干预措施,病毒变异也在不断提高免疫逃避能力,从而降低了疫苗的疗效。因此,应考虑针对 COVID-19 的严重症状进行治疗。过度炎症、细胞因子风暴和氧化与 COVID-19 的演变有关。考虑到褪黑激素(MEL)对病毒感染的抗炎、抗氧化和细胞保护作用,应研究其与 COVID-19 的潜在联系。此外,有证据表明褪黑激素具有杀病毒作用,可提高 SARS-CoV-2 疫苗的效力。MEL 是一种被忽视的极佳治疗方法。我们强烈支持并鼓励使用 MEL 作为 COVID-19 的疗法。
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引用次数: 0
Olfactory neuronal precursors as a model to analyze the effects of melatonin in Alzheimer's disease. 以嗅觉神经元前体为模型分析褪黑激素对阿尔茨海默病的影响
Pub Date : 2023-12-31 DOI: 10.32794/mr112500164
Valeria Santillan Morales, Gloria Acacia Benitez King
Alzheimer's disease (AD) is a multifactorial disorder of great importance affecting millions globally and its prevalence will triple in the following decades. Therefore, analysis and identification of substances which can effectively reduce the pathological process of this disease in different study models are crucial. Melatonin works as a multitasking substance and some of its activities could be used to target the neurodegenerative process of AD. These include, but not limited to, its potent antioxidant activity, regulation of sleep-wake rhythms (important for the consolidation of memory and cognition) and its action as a neurotrophic growth factor that promotes differentiation and neuronal proliferation. To evaluate the effects of melatonin at cellular level in AD, it is essential to have a study model that reflects the pathological process occurring in the CNS. In this, review we summarize the potential use of olfactory neuronal precursors derived from olfactory neuroepithelium directly obtained from patients for such purposes.
阿尔茨海默病(AD)是一种影响全球数百万人的多因素疾病,其发病率在未来几十年内将增加两倍。因此,在不同的研究模型中分析和鉴定能够有效减少这种疾病病理过程的物质至关重要。褪黑素是一种多任务物质,它的某些活性可用于针对注意力缺失症的神经退行性过程。其中包括但不限于其强大的抗氧化活性、调节睡眠-觉醒节律(对巩固记忆和认知非常重要)以及作为神经营养生长因子促进分化和神经元增殖的作用。要评估褪黑激素在细胞水平上对注意力缺失症的影响,必须有一个能反映中枢神经系统病理过程的研究模型。在这篇综述中,我们总结了直接从患者嗅神经上皮细胞中提取的嗅神经元前体在这方面的潜在用途。
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引用次数: 0
The therapeutic potential of melatonin against hepatotoxicity caused by obesity and NSAIDs: A comprehensive review 褪黑素对肥胖和非甾体抗炎药引起的肝毒性的治疗潜力:综述
Pub Date : 2023-12-31 DOI: 10.32794/mr112500162
Anupama Nath, Songita Ghosh, T. Dey, A. Chattopadhyay, Debasish Bandyopadhyay
The obesity and increased free fatty acid level are considered the etiology of hepatotoxicity leading to steatohepatitis and hepatic fibrosis. Obesity promotes inflammatory response and oxidative stress. Adipocytes secrete various proinflammatory cytokines including TNF-α, IL-1β, IL-6 and leptin to initiate a vicious cycle and cause further fat accumulation and weight gain. Specifically, to liver, the fat accumulation will cause non-alcoholic fatty liver disease (NAFLD), the most prevailing chronic liver ailment, if it is not properly treated, then it will cause severe outcomes including fatality. In addition, obesity also cause other inflammatory disorders including osteoarthritis of the knee, joint pain, etc.  Non-steroidal anti-inflammatory drugs (NSAIDs) are most often used medicines for treatment of inflammation but their serious side effects are concerning. These include gastric mucosal damage, liver injury with elevated aminotransferase (AST/ALT) levels, hepatitis, jaundice and more fatal liver diseases. Melatonin, an antioxidant and anti-inflammatory molecule can be used to treat diverse kind of inflammatory diseases. It remarkably reduces the mRNA levels of pro-inflammatory cytokines of TNF-α, IL-6, IL-1β, etc. Melatonin and its metabolites retain the properties as an effective free radical scavenger and regulate various antioxidative and pro-oxidative enzymes. This molecule can potentially abate the ill effects of hepatotoxicity induced by both NSAIDs and obesity. Therefore, this review briefly summarizes the recent available knowledge on the protective effects of melatonin against various disorders involving weight gain and hepatotoxicity.
肥胖和游离脂肪酸水平升高被认为是导致脂肪性肝炎和肝纤维化的肝毒性病因。肥胖会促进炎症反应和氧化应激。脂肪细胞会分泌各种促炎细胞因子,包括 TNF-α、IL-1β、IL-6 和瘦素,从而引发恶性循环,导致脂肪进一步堆积和体重增加。具体到肝脏,脂肪堆积会导致非酒精性脂肪肝(NAFLD),这是一种最常见的慢性肝病,如果治疗不当,将导致包括死亡在内的严重后果。此外,肥胖还会引起其他炎症,包括膝关节骨关节炎、关节疼痛等。 非甾体抗炎药(NSAIDs)是治疗炎症最常用的药物,但其严重的副作用令人担忧。这些副作用包括胃黏膜损伤、转氨酶(AST/ALT)水平升高引起的肝损伤、肝炎、黄疸和更多致命的肝病。褪黑素是一种抗氧化剂和抗炎分子,可用于治疗各种炎症性疾病。它能显著降低 TNF-α、IL-6、IL-1β 等促炎细胞因子的 mRNA 水平。褪黑素及其代谢物具有有效清除自由基的特性,并能调节各种抗氧化酶和促氧化酶。这种分子有可能减轻非甾体抗炎药和肥胖引起的肝毒性的不良影响。因此,本综述简要总结了褪黑素对各种体重增加和肝毒性疾病的保护作用的最新知识。
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引用次数: 0
The cardioprotective potential of melatonin on cardiac hypertrophy: A mechanistic overview 褪黑素对心脏肥厚的保护作用:机制综述
Pub Date : 2023-09-30 DOI: 10.32794/mr112500157
Razia Khatoon, Swaimanti Sarkar, Aindrila Chattopadhyay, Debasish Bandyopadhyay
Cardiac hypertrophy (CH) is an increment of muscle mass to maintain the heart regular operations. A physiological cardiac hypertrophy due to exercise or other normal physiological process is characterized by normal contractile function and structural framework of heart tissue. In contrast, pathological hypertrophy occurs in response to increased pressure or volume overload from several cardiovascular diseases including hypertension, valvular diseases, cardiac infarction and heart failure. It is of major concern as it is one of the leading causes of death worldwide. Despite much progress in this field there is a scope for understanding of the molecular mechanisms of this condition. In this review, various types of cardiac hypertrophy and their intricate physio-pathological mechanisms have been discussed. In addition, the genetic mutations in sarcomere genes and oxidative stress are also closely linked to hypertrophic cardiomyopathy. Although several drugs against cardiac hypertrophy have been used, it appears that melatonin, due to its high bioavailability and low side effects, is a better candidate than the conventional medicine for treatment of hypertrophic cardiomyopathy. Melatonin, a hormone and a potent antioxidant, is secreted mainly from the pineal gland, but it is also synthesized from different peripheral tissues including the heart. This molecule can regulate a myriad of cellular functions. It can protect against cardiac hypertrophy via reducing oxidative stress, elevating Cu-Mn SOD via controlling several cell signalling pathways of Akt/mTOR, ROR-α and NLRP3 cascades. Melatonin also mitigates cardiac hypertrophy by suppressing pro-inflammatory cytokines including TNF-α and TGF-β and cardiac hypertrophy markers like β-MHC, ANP, BNP, LDH. This review focuses on the molecular mechanisms of cardiac hypertrophy and the defensive role of melatonin on it. We propose melatoninas a propitious adjunct for the treatment of cardiac hypertrophy.
心肌肥厚(CH)是心肌质量的增加,以维持心脏的正常运作。由于运动或其他正常生理过程引起的生理性心肌肥大,其特征是心脏组织的正常收缩功能和结构框架。相比之下,病理性肥厚发生在一些心血管疾病(包括高血压、瓣膜疾病、心肌梗死和心力衰竭)引起的压力或容量过载增加的反应中。这是一个重大问题,因为它是全世界死亡的主要原因之一。尽管在这一领域取得了很大的进展,但对这种情况的分子机制的理解仍有很大的余地。本文就不同类型的心肌肥厚及其复杂的生理病理机制进行综述。此外,肌瘤基因突变和氧化应激也与肥厚性心肌病密切相关。虽然已经使用了几种抗心肌肥厚的药物,但褪黑素由于其高生物利用度和低副作用,似乎比传统药物更适合治疗肥厚性心肌病。褪黑素是一种激素和一种有效的抗氧化剂,主要由松果体分泌,但它也由包括心脏在内的不同外周组织合成。这种分子可以调节无数的细胞功能。它可以通过控制Akt/mTOR、ROR-α和NLRP3级联的多种细胞信号通路,减少氧化应激,升高Cu-Mn SOD,从而防止心脏肥厚。褪黑素还通过抑制促炎细胞因子如TNF-α、TGF-β和心肌肥大标志物如β-MHC、ANP、BNP、LDH来减轻心肌肥大。本文就心肌肥厚的分子机制及褪黑素在心肌肥厚中的防御作用作一综述。我们认为褪黑激素是治疗心脏肥厚的一种有利的辅助药物。
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引用次数: 0
CREB1 spatio-temporal dynamics within the rat pineal gland 大鼠松果体内CREB1的时空动态
Pub Date : 2023-09-30 DOI: 10.32794/mr112500153
Luz E . Farias Altamirano, Elena Vásquez, Carlos L. Freites, Jorge E. Ibañez, Mario E . Guido, Estela M . Muñoz
In the rat pineal gland (PG), cyclic AMP responsive element-binding protein 1 (CREB1) participates in the nocturnal melatonin synthesis that rhythmically modulates physiology and behavior. Phosphorylation of CREB1 is one of the key regulatory steps that drives pineal transcription. The spatio-temporal dynamics of CREB1 itself in the different PG cell types have not yet been documented. In this study we analyzed total CREB1 in the rat PG via Western blot and fluorescence immunohistochemistry followed by confocal laser-scanning microscopy and quantitative analysis. Total CREB1 levels remained constant in the PG throughout the light:dark cycle. The distribution pattern of nuclear CREB1 did vary among PG cell types. Pinealocytes emerged to have discrete CREB1 domains within their nucleoplasm that were especially distinct. The number, size, and location of CREB1 foci fluctuated among pinealocytes, within the same PG and among Zeitgeber times (ZTs). A significantly larger dispersion of CREB1-immunoreactive nuclear sites was found at night than during the day. However, the overall transcription activity was mostly conserved between the light and dark phases, as shown by the expression of a particular phosphorylated form of the RNA polymerase II (RNAPII-pSer5CTD). Suppression of the nocturnal norepinephrine pulse by chronic bilateral superior cervical ganglionectomy increased CREB1 dispersion in pinealocyte nuclei at early night, as compared to sham-derived cells. In addition, differences in CREB1 distribution were found between sham-operated and non-operated rats at ZT14. Together, these data suggest that in mature pinealocytes, nuclear CREB1 is subjected to a dynamic spatio-temporal distribution. Further studies are necessary to elucidate the underlying mechanisms and to understand the impact of CREB1 reorganization in the pineal transcriptome.
在大鼠松果体(PG)中,环AMP响应元件结合蛋白1 (CREB1)参与夜间褪黑激素合成,节律性调节生理和行为。CREB1的磷酸化是驱动松果体转录的关键调控步骤之一。CREB1本身在不同PG细胞类型中的时空动态尚未被记录。本研究采用Western blot、荧光免疫组化、共聚焦激光扫描显微镜和定量分析方法分析大鼠PG中总CREB1。在整个明暗循环中,PG中的总CREB1水平保持不变。细胞核CREB1的分布模式在PG细胞类型之间存在差异。松果体细胞在其核质中出现了离散的CREB1结构域,这些结构域特别明显。CREB1病灶的数量、大小和位置在松果体细胞之间、在同一PG内以及在授时时间(ZTs)之间存在波动。夜间发现creb1免疫反应性核位点的分布明显大于白天。然而,整体转录活性在光照期和暗期之间大多是保守的,正如RNA聚合酶II的一种特殊磷酸化形式(RNAPII-pSer5CTD)的表达所表明的那样。与假源性细胞相比,慢性双侧颈上神经节切除术抑制夜间去甲肾上腺素脉冲增加了夜间早期松果体细胞核中CREB1的弥散。此外,在ZT14时,假手术大鼠和非手术大鼠之间的CREB1分布存在差异。总之,这些数据表明,在成熟的松果体细胞中,核CREB1受到动态时空分布的影响。需要进一步的研究来阐明其潜在的机制,并了解CREB1重组在松果体转录组中的影响。
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Melatonin Research
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