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Rationale for the continued use of melatonin to combat the delta variant of SARS-CoV-2 继续使用褪黑素来对抗SARS-CoV-2的δ变体的理由
Pub Date : 2021-09-30 DOI: 10.32794/mr112500107
R. Reiter, D. Cardinali, R. L. Neel, Alberto Domínguez Rodríguez, Gregory M. Brown, J. Tesarik
Melatonin was shown to prevent or mitigate a number of different respiratory and non-respiratory viral diseases. Given its non-specific anti-viral action, it is likely to be effective against the delta variant of SARS-CoV-2 as well as any eventual future variants of the virus.
褪黑素被证明可以预防或减轻许多不同的呼吸道和非呼吸道病毒疾病。鉴于其非特异性抗病毒作用,它可能对SARS-CoV-2的δ型变体以及该病毒的任何最终未来变体有效。
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引用次数: 2
Protective effect of melatonin in atherosclerotic cardiovascular disease: A comprehensive review 褪黑素对动脉粥样硬化性心血管疾病的保护作用:综述
Pub Date : 2021-09-30 DOI: 10.32794/mr112500102
M. Datta, R. Majumder, A. Chattopadhyay, D. Bandyopadhyay
Heart failure is characterized by the heart losing its capacity to pump sufficient blood to match the body’s demand. It is caused by  a variety of cardiovascular impairments. Among them,  atherosclerosis is the most common one. Although, a variety of medicines selectively target this pathology, the death rate due to atherosclerosis associated heart disorders remain high. To address this issue,  the use of antioxidants combined with conventional therapy to achieve synergistic effects has gained popularity. Melatonin is one of such antioxidants. In addition to its potent antioxidant activity, this molecule acts in harmony to protect the cardiovascular tissue. This review explores the various mechanisms by which melatonin protects the cardiovascular tissue. This information will contribute further insights into the role of melatonin in maintaining cardiovascular homeostasis in normal as well as in pathological conditions. It will also help us to better understand the potential synergistic effects of melatonin with conventional therapy to successfully target the heart failure associated with atherosclerosis.  
心脏衰竭的特点是心脏失去了泵出足够血液以满足身体需求的能力。它是由多种心血管损伤引起的。其中动脉粥样硬化是最常见的一种。尽管有多种药物选择性地针对这种病理,但动脉粥样硬化相关心脏疾病的死亡率仍然很高。为了解决这一问题,使用抗氧化剂与常规治疗相结合,以达到协同效应已得到普及。褪黑素就是其中一种抗氧化剂。除了其强大的抗氧化活性外,这种分子还能协同保护心血管组织。本文综述了褪黑素保护心血管组织的各种机制。这一信息将有助于进一步了解褪黑素在维持正常和病理状态下心血管稳态中的作用。这也将帮助我们更好地理解褪黑素与传统疗法的潜在协同作用,以成功靶向与动脉粥样硬化相关的心力衰竭。
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引用次数: 2
An insight into the ameliorative effects of melatonin against chromium induced oxidative stress and DNA damage: a review 褪黑素对铬诱导的氧化应激和DNA损伤的改善作用:综述
Pub Date : 2021-09-30 DOI: 10.32794/mr112500101
P. Ghosh, T. Dey, A. Chattopadhyay, D. Bandyopadhyay
Chromium (Cr), a ubiquitous metal, has become a potent pollutant due to global industrialization, leading to pollution of air, water, and food that impacts human health. The most stable forms of Cr are Cr(III) and Cr(VI) (the major product of industrial activities). Cr(III) is a micronutrient essential for maintaining normal blood glucose and lipid profiles in our body but it can also form Cr (III)-DNA adducts. In addition, it directly produces reactive oxygen species (ROS) via Fenton and Haber-Weiss reactions; leading to tissue injuries. Cr (VI) has the capacity to generate Cr(V), Cr (IV), and Cr(III), respectively under suitable conditions. These intermediates also damage to biological macromolecules by interactions with several enzymatic and non-enzymatic antioxidants. For example, Cr(III) can make double DNA strands breaking to inhibit DNA replication, induce DNA oxidation, and DNA adducts formation. All of these lead to the development of malignancy. Melatonin, a potent radical scavenger as well as a metal chelator, effectively chelates Cr(VI) and prevents DNA oxidative damage. Melatonin can upregulate the gene expression of several antioxidant enzymes, and thereby, maintains cellular integrity from the oxidative stress. Thus, melatonin can be a prime molecule to protect against Cr(VI) induced cytotoxicity and genotoxicity. This review aims to highlight the potential benefits of melatonin on Cr(VI) induced oxidative stress and DNA damage.
铬(Cr)是一种无处不在的金属,由于全球工业化而成为一种强有力的污染物,导致空气、水和食物污染,影响人类健康。Cr的最稳定形式是Cr(III)和Cr(VI)(工业活动的主要产物)。铬(III)是维持我们体内正常血糖和血脂所必需的微量营养素,但它也可以形成铬(III)-DNA加合物。此外,它通过Fenton和Haber-Weiss反应直接产生活性氧(ROS);导致组织损伤。在合适的条件下,Cr(VI)具有分别生成Cr(V)、Cr(IV)和Cr(III)的能力。这些中间体还通过与几种酶和非酶抗氧化剂的相互作用破坏生物大分子。例如,Cr(III)可以使双DNA链断裂,从而抑制DNA复制,诱导DNA氧化,形成DNA加合物。所有这些都会导致恶性肿瘤的发展。褪黑素是一种有效的自由基清除剂和金属螯合剂,有效地螯合铬(VI),防止DNA氧化损伤。褪黑素可以上调几种抗氧化酶的基因表达,从而维持细胞免受氧化应激的完整性。因此,褪黑素可以作为防止铬(VI)诱导的细胞毒性和遗传毒性的主要分子。本综述旨在强调褪黑素对Cr(VI)诱导的氧化应激和DNA损伤的潜在益处。
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引用次数: 5
Could melatonin be an adjunct therapy for post-TB lung disease? 褪黑素可以作为结核病后肺病的辅助治疗吗?
Pub Date : 2021-09-30 DOI: 10.32794/mr112500103
G. Maarman
Post-tuberculosis (post-TB) lung disease is a complex interplay between organism, host, and environmental factors, and it affects long-term respiratory health. It associates with underlying processes such as inflammation, fibrosis, and oxidative stress. Decades of research has demonstrated melatonin as a potent anti-inflammatory, anti-fibrotic, antioxidant, and vasodilatory agent. These effects have been observed in numerous experimental and clinical models of lung diseases. Moreover, melatonin has significant anti-microbial activity, which has also been observed in the context of TB bacterial growth. It is worth pointing out that these effects of melatonin are a reminder of the pathologic processes that underpin post-TB lung disease. Based on the intriguing evidence presented and discussed in this paper, melatonin could be considered a safe, affordable, and adjunct therapy against post-TB lung disease. Melatonin may provide health benefits in this context, mediated via its anti-inflammatory, anti-fibrotic, vasodilatory, antimicrobial and antioxidant properties.
结核后肺病是机体、宿主和环境因素之间复杂的相互作用,并影响长期呼吸系统健康。它与炎症、纤维化和氧化应激等潜在过程有关。几十年的研究已经证明褪黑素是一种有效的抗炎、抗纤维化、抗氧化剂和血管舒张剂。这些影响已经在许多肺部疾病的实验和临床模型中观察到。此外,褪黑素具有显著的抗微生物活性,这在结核病细菌生长的背景下也被观察到。值得指出的是,褪黑素的这些作用提醒人们结核后肺部疾病的病理过程。基于本文中提出和讨论的有趣证据,褪黑素可以被认为是一种安全、负担得起的辅助治疗结核病后肺部疾病。在这种情况下,褪黑素可能通过其抗炎、抗纤维化、血管舒张、抗菌和抗氧化特性提供健康益处。
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引用次数: 1
Melatonin: an ancient note in a contemporary wrap 褪黑素:披着现代外衣的古老音符
Pub Date : 2021-09-30 DOI: 10.32794/mr112500105
Adrita Banerjee, A. Chattopadhyay, D. Bandyopadhyay
At the beginning of life, natural selection is and still the principal driving force for the evolution of all organisms to adapt in the particular environments of the earth. As a result, ultimately neither the strongest, nor the supreme intelligent but the most adaptable species win the race. Not only the organisms, but also the elements which are necessary for survival of them also undergo extreme evolution. These include DNA, proteins and other biochemical moleculesAt the beginning of life, natural selection is and still the principal driving force for the evolution of all organisms to adapt in the particular environments of the earth. As a result, ultimately neither the strongest, nor the supreme intelligent but the most adaptable species win the race. Not only the organisms, but also the elements which are necessary for survival of them also undergo extreme evolution. These include DNA, proteins and other biochemical molecules. However, melatonin, an indoleamine, presents in the early life form remains unchanged in its structure from unicellular organisms to mammals. When it was discovered, it was considered to be a neuronal hormone produced exclusively in the pineal gland of vertebrates. The latter discovery of its presence in primitive bacteria drives the melatonin research in different directions. Its primary function is serving as an antioxidant in all organisms. Its chemical structure is perfect to scavenge free radicals and thus, this molecule is preserved from bacteria to mammals. However, this molecule acquired many additional functions during evolution. These include circadian regulation, immuno-enhancement, oncostatic, anti-inflammatory and anti-aging activities. In the review, we are trying to present hypothetical and most plausible chronological events in the functional evolvements of melatonin during the process of evolution.
在生命之初,自然选择一直是并且仍然是所有生物进化以适应地球特定环境的主要驱动力。结果,最终不是最强壮的,也不是最聪明的,而是适应性最强的物种赢得了比赛。不仅是生物体,就连它们赖以生存的要素也要经历极端的进化。这些包括DNA、蛋白质和其他生物化学分子。在生命之初,自然选择是而且仍然是所有生物进化以适应地球特定环境的主要驱动力。结果,最终不是最强壮的,也不是最聪明的,而是适应性最强的物种赢得了比赛。不仅是生物体,就连它们赖以生存的要素也要经历极端的进化。这些包括DNA、蛋白质和其他生化分子。然而,从单细胞生物到哺乳动物,褪黑素(一种吲哚胺)在早期生命形式中呈现,其结构保持不变。当它被发现时,它被认为是脊椎动物松果体中产生的一种神经元激素。后者在原始细菌中发现褪黑素的存在,推动了褪黑素研究的不同方向。它的主要功能是在所有生物体中充当抗氧化剂。它的化学结构非常适合清除自由基,因此,这种分子从细菌到哺乳动物都被保存下来。然而,这种分子在进化过程中获得了许多额外的功能。这些包括昼夜节律调节、免疫增强、肿瘤抑制、抗炎和抗衰老活动。在这篇综述中,我们试图提出在进化过程中褪黑素功能进化的假设和最可信的时间顺序事件。
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引用次数: 1
A combination of melatonin and moderate-intensity aerobic exercise improves pancreatic beta-cell function and glycemic homeostasis in type 2 diabetic model of animals 褪黑素和中等强度有氧运动的结合改善2型糖尿病模型动物胰腺β细胞功能和血糖稳态
Pub Date : 2021-09-27 DOI: 10.32794/mr112500106
Eduardo Almeida Leite, P. R. Gomes, E. A. Vilas-Boas, A. C. Munhoz, L. C. Motta-Teixeira, José Sinésio Silva Júnior, A. Carpinelli, J. Cipolla Neto
Nocturnal melatonin secretion is important for preservation of ß-cell mass and function. Knowing that type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by hyperglycemia caused by the elevated resistance of peripheral tissues to insulin, reduction in pineal melatonin and disturbances of insulin secretion by pancreatic ß-cells.  In this context, exercise is considered one of the most valuable non-pharmacological approaches for treatment of T2DM. Considering the beneficial role of melatonin on glycemic metabolism in physical exercise, we investigated the effects of moderate-intensity aerobic exercise plus melatonin on glycemic homeostasis, the morphology and architecture of pancreas in spontaneous T2DM animals [Goto-Kakizaki (GK) rats]. The results confirmed that melatonin alone reduced the mass of epididymal white adipose tissue (WAT); however, only the combination of melatonin and physical exercise significantly reduced caloric intake, body weight, WAT and improved glucose tolerance and insulin sensitivity in T2DM rats. This combination also reduced apoptosis of cells in pancreatic islets. We observed either melatonin or the combination was able to reduce insulinemia. However, only the combination improved the morphology of the pancreatic islets. Thus, we conclude that in GK rats, melatonin plays a crucial role in the functionality of the pancreas to improve insulin sensitivity of peripheral tissues and, consequently, to maintain the glucose homeostasis. In addition, the combination is more efficiency to improve glucose tolerance and integrity of pancreatic islets in GK rats than melatonin alone.
夜间褪黑素分泌对维持ß-细胞质量和功能很重要。2型糖尿病(T2DM)是一种慢性代谢性疾病,其特征是外周组织对胰岛素抵抗升高,松果体褪黑素减少,胰腺ß-细胞分泌胰岛素紊乱,导致高血糖。在这种情况下,运动被认为是治疗2型糖尿病最有价值的非药物方法之一。考虑到褪黑激素在体育锻炼中对血糖代谢的有益作用,我们研究了中等强度有氧运动加褪黑激素对自发性T2DM动物血糖稳态、胰腺形态和结构的影响[Goto-Kakizaki (GK)大鼠]。结果证实,单独褪黑素可减少附睾白色脂肪组织(WAT)的质量;然而,只有褪黑素与体育锻炼相结合才能显著降低T2DM大鼠的热量摄入、体重、WAT,并改善葡萄糖耐量和胰岛素敏感性。这种组合也减少了胰岛细胞的凋亡。我们观察到褪黑素或两者结合都能减少胰岛素血症。然而,只有联合用药才能改善胰岛的形态。因此,我们得出结论,在GK大鼠中,褪黑素在胰腺功能中起着至关重要的作用,可以改善外周组织的胰岛素敏感性,从而维持葡萄糖稳态。此外,联合使用比单独使用褪黑素更有效地改善GK大鼠的葡萄糖耐量和胰岛的完整性。
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引用次数: 0
Melatonin receptor-mediated attenuation of excitotoxic cell death in cultured spinal cord slices 褪黑素受体介导的脊髓切片兴奋毒性细胞死亡衰减
Pub Date : 2021-04-30 DOI: 10.32794/mr11250098
A. Haque, D. Shields, Arabinda Das, A. Varma, R. Reiter, N. Banik
Recent studies suggest ex vivo modeling of neuronal injury is a robust approach for the mechanistic study of neurodegeneration. Melatonin, an indolamine, is a versatile molecule with antioxidative, antiapoptotic, neuroprotective, and anti-inflammatory properties. While melatonin has been studied as a therapeutic agent for spinal cord injury (SCI) related neuronal cell loss, its actions in organotypic slice cultures approximating SCI effects are less well understood. The actions of melatonin were therefore examined following exposure of cultured rat spinal cord slices to glutamate excitotoxicity. Exposure to glutamate (500 μM) for 4 hours induced neuronal degeneration that was prevented by 0.5 μM melatonin (applied immediately or 4 hours following glutamate exposure). Decreased internucleosomal DNA fragmentation, Bax:Bcl-2 and calpain:calpastatin ratios,  caspase 8, 9 and 3 activities in slice cultures were measured following melatonin treatment.  Melatonin receptor (MTR1, MTR2) mRNA levels were increased in the melatonin treated spinal cord slices. To confirm melatonin receptor-mediated protection, slice cultures were treated with 10 or 25 μM luzindole (melatonin receptor antagonist) at 0 and 4 hours, respectively, after glutamate exposure. Luzindole significantly decreased the ability of melatonin to prevent cell death in the sliced culture model. These results suggest melatonin receptors may provide a pathway for therapeutic applications to prevent penumbral neuron loss following SCI.  
最近的研究表明,神经损伤的离体模型是神经变性机制研究的一个强有力的方法。褪黑素是一种吲哚胺,是一种具有抗氧化、抗细胞凋亡、神经保护和抗炎特性的多功能分子。虽然褪黑激素已被研究作为脊髓损伤(SCI)相关神经元细胞损失的治疗剂,但其在接近SCI效应的器官型切片培养中的作用尚不清楚。因此,在培养的大鼠脊髓切片暴露于谷氨酸兴奋毒性后,研究了褪黑素的作用。暴露于谷氨酸(500 μM) 4小时诱导神经元变性,0.5 μM褪黑素(立即应用或暴露于谷氨酸后4小时)可防止神经元变性。褪黑素处理后,测定切片培养中核小体间DNA片段减少,Bax:Bcl-2和calpain:calpastatin比值,caspase 8、9和3活性。褪黑素处理后脊髓切片中褪黑素受体(MTR1、MTR2) mRNA水平升高。为了证实褪黑激素受体介导的保护作用,在谷氨酸暴露后0和4小时,分别用10或25 μM的luzindole(褪黑激素受体拮抗剂)处理薄片培养物。在切片培养模型中,卢津多尔显著降低褪黑素防止细胞死亡的能力。这些结果表明,褪黑激素受体可能为预防脊髓损伤后半影神经元丢失的治疗应用提供了一条途径。
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引用次数: 0
Melatonin as a prospective metabolic regulator in pathologically altered cardiac energy homeostasis 褪黑素在病理改变的心脏能量稳态中作为一种潜在的代谢调节剂
Pub Date : 2021-04-30 DOI: 10.32794/MR11250097
Swaimanti Sarkar, A. Chattopadhyay, D. Bandyopadhyay
A constant energy supply is indispensable for the relentlessly working heart. The unique metabolic flexibility of the cardiac tissue enables it to maintain its energy requirement under variable physiological conditions. However, some physiopathological statuses including aging, ischemia-reperfusion injury, diabetic cardiomyopathy, pathological cardiac hypertrophy, and heart failure frequently cause cardiac dysfunction and detrimental metabolic alteration. If the ATP supply fails to match the requirement of a working heart, the heart loses its functional capacity, resulting in slower recovery. A decrease in energy generation is often the ramifications of myocardial mitochondrial dysfunction and oxidative stress. Melatonin, a broad-spectrum antioxidant molecule has an appreciable role in the maintenance of metabolic homeostasis― from a single cell to an entire organism. Melatonin has the capacity to reduce ROS generation, preserve mitochondrial stability, and restore a robust mitochondrial function for unabated ATP production in cardiac tissues. Additionally, melatonin can promote carbohydrate and fat metabolism to further improve the ATP production in heart. In cardiac cells, melatonin upregulates GLUT4 expression either by impeding oxidative stress or by enhancing AMPK activation which accelerates fatty acid oxidation by upregulating PPAR-α and CPT-1α. Melatonin plays a pivotal role in the maintenance of calcium homeostasis in cardiomyocytes by obviating oxidative stress-mediated disruption of SERCA and NCX proteins. A possible role of melatonin to convert the Warburg effect to oxidative metabolism in pathological cardiac events has been recently contemplated. The current review will discuss the possible role of melatonin protecting against cardiac metabolic imbalances under pathological states.
源源不断的能量供应对于坚持不懈地工作的心脏是必不可少的。心脏组织独特的代谢灵活性使其能够在各种生理条件下维持其能量需求。然而,一些生理病理状态,包括衰老、缺血再灌注损伤、糖尿病性心肌病、病理性心肌肥厚和心力衰竭,经常引起心功能障碍和有害的代谢改变。如果ATP供应不能满足心脏工作的需要,心脏就会失去功能,导致恢复速度变慢。能量产生的减少通常是心肌线粒体功能障碍和氧化应激的后果。褪黑素是一种广谱抗氧化分子,在维持从单个细胞到整个生物体的代谢稳态中起着重要作用。褪黑素能够减少ROS的产生,保持线粒体的稳定性,并恢复线粒体功能,使心脏组织中ATP的产生不减少。此外,褪黑素可以促进碳水化合物和脂肪的代谢,进一步改善心脏中ATP的产生。在心脏细胞中,褪黑素通过抑制氧化应激或通过增强AMPK的激活来上调GLUT4的表达,AMPK通过上调PPAR-α和CPT-1α来加速脂肪酸氧化。褪黑素通过消除氧化应激介导的SERCA和NCX蛋白的破坏,在维持心肌细胞钙稳态中起关键作用。褪黑素在病理心脏事件中将Warburg效应转化为氧化代谢的可能作用最近已被考虑。本综述将讨论褪黑素在病理状态下保护心脏代谢失衡的可能作用。
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引用次数: 2
Does the melatonin supplementation decrease the severity of the outcomes in COVID-19 patients? A mini review of observational data in the in vivo and in vitro studies 补充褪黑激素是否会降低COVID-19患者预后的严重程度?对体内和体外研究的观察性数据进行简要回顾
Pub Date : 2021-04-21 DOI: 10.32794/MR11250099
M. Gholizadeh, Faezeh Abaj, H. Hasani, A. Mirzababaei, K. Mirzaei
The Coronavirus Disease 2019 (COVID-19) is a global pandemic and there is no specific treatment for reducing the severity of this disease up to date. The majority of the treatments remain supportive and empirical. The aim of present study is to assess the relationship between melatonin supplementation and its effect on the severity of the outcomes in covid-19 patients. All published studies up to April 4 of 2021 were searched by using the databases of PubMed, ISI Web of Science, SCOPUS and Google Scholar.  Finally, 201 studies have been acquired.      After screening titles, abstracts and justifying the inclusion criteria, eight studies were finally selected in our study. Four studies were observational and case series with total 216,792 participants. Three studies performed on laboratory in the molecular level and one was carried out in mice. The results have suggested that melatonin decreases the severity of the outcomes of COVID-19 patients in their early stage or even in their critical conditions. Furthermore, the melatonin decreases pneumonia and reduces the ground glass lung damage observed in the image findings. Also, it plays an important role as anti-inflammatory, anti-viral and antioxidant activities. Melatonin inhibits the main protease of sares-cov-2 virus and decreases the viral load in molecular level. Regarding the in vivo studies, melatonin is more effective for reducing acute lung injury than other treatments. Although, further clinical studies are required.
2019冠状病毒病(COVID-19)是一种全球大流行疾病,迄今为止还没有降低这种疾病严重程度的特定治疗方法。大多数治疗仍然是支持性和经验性的。本研究的目的是评估补充褪黑素与其对covid-19患者预后严重程度的影响之间的关系。通过PubMed、ISI Web of Science、SCOPUS和Google Scholar数据库检索截至2021年4月4日的所有已发表的研究。最后获得201项研究。在筛选标题、摘要、论证纳入标准后,最终筛选出8篇研究纳入我们的研究。四项研究是观察性和病例系列研究,共有216,792名参与者。在分子水平上进行了三项实验室研究,在小鼠身上进行了一项研究。研究结果表明,褪黑素可以降低新冠肺炎患者早期甚至危重期预后的严重程度。此外,褪黑素可以减少肺炎,减少图像中观察到的磨玻璃肺损伤。此外,它还具有抗炎、抗病毒和抗氧化作用。褪黑素在分子水平上抑制sars -cov-2病毒的主要蛋白酶,降低病毒载量。在体内研究中,褪黑素对减轻急性肺损伤比其他治疗方法更有效。不过,还需要进一步的临床研究。
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引用次数: 3
Melatonin promotes gastric healing by modulating the components of matrix metalloproteinase signaling pathway: a novel scenario for gastric ulcer management 褪黑素通过调节基质金属蛋白酶信号通路的成分促进胃愈合:胃溃疡治疗的新方案
Pub Date : 2021-03-30 DOI: 10.32794/mr11250092
R. Majumder, M. Datta, A. Chattopadhyay, D. Bandyopadhyay
Over the past few decades, since the induction of antibiotics and proton pump inhibitors (PPI) as a therapeutic tool in controlling gastropathy, a substantial decline in the incidence of gastric ulcer and its related manifestations has been achieved globally. However, there are a lot of skeptics on the steady rise in the list of complications following long-term use of these drugs, especially in chronic and elderly patients. Hence, the search for a sustainable cure for these gastropathies has never actually ended; this let us consider that melatonin, an endogenous antioxidant, might have a utility in this respect. Although researchers have linked melatonin with accelerated post ulcerative wound healing, many of these studies have failed to identify the confounding factors and plausible healing mechanisms. In this review, we attempt to identify the underline mechanisms as to the protective effects of melatonin on a variety of gastropathies.  Based on the evidence, we select the matrix metalloproteinases (MMPs) to be the main targets of melatonin. MMPs play a key role in maintaining the balance between extracellular matrix degradation and tissue remodeling, therefore, they act as the integral connection between the ulcer manifestation and healing. Thus, gastric ulceration occurs where this balance is disrupted. Melatonin can preserve this balance during the onset of gastric ulcers. In this review, we have also discussed the effects of melatonin on the different isoforms of MMPs and their roles in gastric ulceration, respectively. We hope that this will bestow us with a better understanding of the development of the gastric ulcer, as well as its cure.
在过去的几十年里,由于抗生素和质子泵抑制剂(PPI)的诱导作为控制胃病的治疗工具,胃溃疡及其相关症状的发病率在全球范围内大幅下降。然而,有很多人对长期使用这些药物后并发症的稳步上升持怀疑态度,特别是在慢性和老年患者中。因此,对这些胃病的可持续治疗的探索从未真正结束;这让我们考虑到褪黑素,一种内源性抗氧化剂,可能在这方面有效用。尽管研究人员将褪黑素与溃疡后伤口加速愈合联系起来,但许多研究未能确定混淆因素和合理的愈合机制。在这篇综述中,我们试图确定褪黑素对各种胃病的保护作用的潜在机制。基于这些证据,我们选择基质金属蛋白酶(MMPs)作为褪黑激素的主要靶点。MMPs在维持细胞外基质降解和组织重塑之间的平衡中起着关键作用,因此,它们是溃疡表现和愈合之间的整体联系。因此,当这种平衡被破坏时,就会发生胃溃疡。褪黑素可以在胃溃疡发作期间保持这种平衡。在这篇综述中,我们还讨论了褪黑素对MMPs不同亚型的影响及其在胃溃疡中的作用。我们希望这将使我们对胃溃疡的发展及其治疗有更好的了解。
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引用次数: 1
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Melatonin Research
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