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ANTI-AGING
DRUGS AND SUPPLEMENTS |
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5.2
DRUGS WITH CONTROVERSIAL
OR UNPROVEN ANTI-AGING EFFECT (side-effects) |
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Melatonin is a hormone produced by humans in the pineal
gland - the "sleep" hormone. Its levels
increase with darkness, reach their highest level
in the middle of the night and fall until the morning.
It has no side effects, even in individuals given
doses 10000 times higher than normal. Melatonin is
an effective scavenger of the extremely toxic hydroxyl
radical and other free radicals. It may therefore
provide protection to some micromolecules, especially
DNA, but only in high doses. But high doses are not
so sound, because it makes you feel sleepy and good
for nothing on the next day. If you buy melatonin
as a supplement, be careful where you buy it from
because it may contain toxic impurities.
Below you find a list of scientific abstracts on Melatonin.
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Laboratory of Toxicology and Environmental
Health and Pharmacology Unit, School of Medicine, "Rovira
i Virgili" University, Reus, Spain.
In recent years, it has been suggested
that oxidative stress is a feature of Alzheimer's disease
in which aluminum (Al) could exacerbate oxidative events.
The goal of the present study was to assess in rats
the pro-oxidant effects induced by Al exposure, as well
as the protective role of exogenous melatonin. Two groups
of male rats were intraperitoneally injected with Al
only or melatonin only, at doses of 5 and 10 mg/kg/day,
respectively for 8 wk. During this period, a third group
of animals received Al (5 mg/kg/day) and melatonin (10
mg/kg/day). At the end of the treatment period, rats
were anesthesized and arterial blood was obtained. Thereafter,
animals were killed and liver and brain (cortex, hippocampus
and cerebellum) were removed. These tissues were processed
to examine oxidative stress markers: glutathione transferase
(GST), reduced glutathione (GSH), oxidized glutathione
(GSSG), superoxide dismutase (SOD), glutathione reductase
(GR), glutathione peroxidase (GPx), catalase (CAT),
thiobarbituric acid reactive substances (TBARS), as
well as protein content. Samples of these tissues were
also used to determine Al, Fe, Mn, Cu and Zn concentrations.
The results show that Al exposure promotes oxidative
stress in different neural areas, including those in
which Al concentrations were not significantly increased.
The biochemical changes observed in neural tissues show
that Al acts as pro-oxidant, while melatonin exerts
an antioxidant action in Al-treated animals. The protective
effects of melatonin against cellular damage caused
by Al-induced oxidative stress, together with its low
toxicity, make melatonin worthy of investigation as
a potential supplement to be included in the treatment
of neurological disorders in which the oxidative effects
must be minimized.
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Department of Psychiatry, University
of Hong Kong, Hong Kong SAR, China.
This study examined the composition
of over-the-counter (OTC) sleeping pills in Hong Kong
and reviewed the current knowledge about the hypnotic
efficacy and safety of their major herbal and dietary
supplement constituents. We conducted a cross-sectional
survey of OTC sleep aids at drug stores in a residential
district of 0.3 million population and literature search
using MEDLINE, EMBASE, PsycINFO, China Journal Net,
China Biomedical Database and relevant English and Chinese
literature. We identified 17 brands of OTC sleeping
pill: eleven of them were composed of mixtures of Chinese
and Western herbal agents and six brands contained 3
mg of melatonin. The Chinese herbal mixture suanzaorentang,
comprising zizyphi spinosi semen, poria cocos, ligusticum
wallichii, anemarrhenae rhizoma and glycyrrhizae radix
in ratio of 7:5:2:1:1, was the most common OTC sleeping
pill available in the survey. Our literature review
showed that kava, valerian and melatonin were the better-researched
herbs and dietary supplements, however, the data on
hypnotic efficacy and safety was inadequate to support
their clinical use. More rigorous investigations of
the risk-benefit relationship of herbal agents and dietary
supplements used for insomnia are needed.
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Department of Cellular and Structural
Biology, University of Texas Health Science Center,
San Antonio, Texas 78229-3900, USA.
Ionizing radiation is classified
as a potent carcinogen, and its injury to living cells
is, to a large extent, due to oxidative stress. The
molecule most often reported to be damaged by ionizing
radiation is DNA. Hydroxyl radicals (*OH), considered
the most damaging of all free radicals generated in
organisms, are often responsible for DNA damage caused
by ionizing radiation. Melatonin, N-acetyl-5-methoxytryptamine,
is a well-known antioxidant that protects DNA, lipids,
and proteins from free-radical damage. The indoleamine
manifests its antioxidative properties by stimulating
the activities of antioxidant enzymes and scavenging
free radicals directly or indirectly. Among known antioxidants,
melatonin is a highly effective scavenger of *OH. Melatonin
is distributed ubiquitously in organisms and, as far
as is known, in all cellular compartments, and it quickly
passes through all biological membranes. The protective
effects of melatonin against oxidative stress caused
by ionizing radiation have been documented in in vitro
and in vivo studies in different species and in in vitro
experiments that used human tissues, as well as when
melatonin was given to humans and then tissues collected
and subjected to ionizing radiation. The radioprotective
effects of melatonin against cellular damage caused
by oxidative stress and its low toxicity make this molecule
a potential supplement in the treatment or co-treatment
in situations where the effects of ionizing radiation
are to be minimized.
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(1) In the United States melatonin
is just a dietary supplement, but in Europe its status
varies from country to country and also over time. It
is illegal in some European member states but tolerated
or authorised as a drug or dietary product elsewhere.
Melatonin, a hormone secreted by the pineal gland, has
been on the front cover of magazines throughout the
world for its claimed effects on ageing, cancer and
many other health problems, opening up a vast potential
market. (2) Only its use in jet lag, sleep disorders
and advanced cancer has been tested clinically (albeit
scantily). (3) Melatonin seems to alleviate jet lag
symptoms, but that could be linked to its moderate hypnotic
effect. (4) The use of melatonin to treat major insomnia
cannot be envisaged until its long-term safety has been
proven. With this proviso, and if efficacy is confirmed
in sufficiently large comparative trials, melatonin
could prove useful for treating major sleep disorders
in some patients, especially blind people and those
with severe neurological disabilities. (5) According
to open trials conducted by a single team, melatonin,
alone or combined with interleukin-2, could slightly
lengthen the survival of patients with some advanced
cancers, but even partial tumour remissions are rare.
(6) All other "indications" are based on simplistic
hypotheses or purely commercial considerations.
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Manhattan College, Riverdale, N.Y.,
USA.
Currently available as a dietary
supplement, the pineal hormone melatonin is portrayed
by the media as a formidable weapon against disease
and aging. Accordingly, primary health care providers
should be cognizant of which of its proposed uses are
supported by biomedical research and which are, as yet,
unproven. Melatonin entrains circadian rhythms and,
thus, can treat jet lag, delayed sleep phase syndrome,
and sleep disorders in the blind and in some neurologically
impaired children. By virtue of its hypnotic effect,
melatonin can mitigate insomnia in the elderly. Reductions
in melatonin secretion have been associated with many
disorders, including cardiovascular disease, Alzheimer's,
diabetes, SIDS, and aging; however, melatonin's role
in their etiology and/or pathophysiology is unproven.
Preliminary studies suggest a possible adjuvant therapeutic
role for melatonin in cancer therapy. Melatonin secretion
is reduced by alcohol, caffeine, and some commonly prescribed
drugs. Since tolerance, fatigue, and other side effects
have been reported, melatonin use on consecutive nights
should be avoided and only the lowest effective hypnotic
dose should be taken.
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Departement d'Atherosclerose, Inserm
U545, Institut Pasteur, 1 rue du Pr Calmette, 59019
Lille, France.
Considerable evidence supports
the hypothesis that LDL oxidation plays an important
role in atherosclerosis. Even though high melatonin
doses inhibit LDL oxidation in vitro, the effect of
melatonin on atherosclerosis has never been studied.
We have demonstrated that the feeding of hypercholesterolemic
mice with an atherogenic diet supplemented with melatonin
highly increases the surface of atherosclerotic lesions
in the proximal aorta. These observations occur without
detectable lipidic or glucidic phenotype alteration.
Melatonin treatment increased highly the sensitivity
of atherogenic lipoprotein to Cu(2+) and gamma-radiolysis
generated oxyradical ex vivo oxidation during the
fasting period. Moreover, these altered lipoproteins
were less recognized by the LDL receptor metabolic
pathway of murine fibroblasts while they transferred
many more cholesteryl esters to murine macrophages.
This study suggests that caution should be taken as
regards high melatonin dosage in hypercholesterolemic
patients.
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Instituto de Investigaciones Clinicas
Dr Americo Negrette, Facultad de Medicina, Universidad
del Zulia, Apartado Postal 1151 Maracaibo, Venezuela.
According to the free radical
theory of aging, free radicals are involved in the
production of changes in cellular metabolism that
lead to a time-dependent functional decline in all
living beings. Consequently, antioxidant and/or free
radicals scavengers may retard the aging process.
We explored the effect of melatonin on the life span
of Drosophila melanogaster (Oregon wild strain). It
was presumed that given the antioxidant and free radicals
scavenger properties of melatonin, this hormone would
prevent oxidative damage to the fly tissues and slow
down the process of aging. Melatonin, added daily
to the nutrition medium at a concentration of 100
microg/ml, increased significantly the life span of
D. melanogaster. The maximum life span was 61.2 days
in controls and 81.5 days in melatonin fed flies.
Relative to the controls, the percentage increase
in the melatonin fed flies was 33.2% in maximum life
span, 19.3% in the onset of 90% mortality, and 13.5%
in median life span. Furthermore, in a test of superoxide
mediated toxicity it was shown that melatonin treatment
increased the resistance of D. melanogaster to paraquat.
Finally, the augmented resistance to an ambient temperature
of 36 degrees C was also a demonstration of the antioxidative
protection provided by the hormone.
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VA Puget Sound Health Care System,
Department of Psychiatry and Behavioral Sciences, University
of Washington, Seattle 98195, USA.
Pineal melatonin secretion
has been reported to commonly decrease with aging,
whereas intra-abdominal adiposity, plasma insulin
and plasma leptin levels tend to increase. We recently
demonstrated that daily melatonin administration starting
at middle age suppressed male rat intra-abdominal
fat, plasma leptin and plasma insulin to youthful
levels, suggesting that aging-related changes in pineal
melatonin secretion and in energy regulation may be
functionally related. Accordingly, we have now investigated
the effects of daily melatonin treatment on energy
regulation in young versus middle-aged male Sprague
Dawley rats. Addition of melatonin to the drinking
water (0.2 microg/mL) produced nocturnal and diurnal
plasma melatonin concentrations in middle-aged rats
(12 months) equivalent to those of young adult (5
months) rats. Administration of this melatonin dosage
every day for 10 wk starting at 10 months of age suppressed
(P < 0.01) relative intra-abdominal fat, non-fasted
plasma insulin and plasma leptin by 27, 39, and 51%,
respectively (vs. vehicle-treated controls). In contrast,
administration of melatonin for 10 wk starting at
3 months of age did not significantly alter (P>
0.10) any of these parameters. The melatonin administration
stimulated (102%, P < 0.001) behavioral responsiveness
of the middle-aged rats in a test of response to novelty,
restoring youthful levels, but did not significantly
alter behavioral responsiveness of the young rats.
These results suggest that suppression of intra-abdominal
adiposity and plasma leptin and insulin levels and
stimulation of behavioral responsiveness in response
to daily exogenous melatonin begins at middle age,
coincident with and likely dependent upon the aging-associated
decline in endogenous pineal melatonin secretion.
These results further suggest that appropriate melatonin
supplementation may potentially provide therapy or
prophylaxis not only for the insulin resistance, increased
intra-abdominal fat and resulting pathologies that
occur with aging, but also for some aging-associated
behavioral changes.
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Cooperative Research, Lincoln University,
Jefferson City, MO 65102-0029, USA.
The primary objective of the
present experiment was to determine if lifelong supplementation
with melatonin delayed reproductive senescence through
decreased loss of ovarian primordial follicles. Holtzman
rats were divided into three treatments on Day 10
after pupping (Day 0 = day of pupping). Treatment
1 pups had access to water, whereas Treatment 2 and
3 pups had access to water containing 10 microg/ml
melatonin only at night (Treatment 2) or continuously
(Treatment 3). Estrous cycles and weights of pups
were monitored at selected times during the experiment;
ovaries were removed for histology at 75 and 380 days
of age. Vaginal opening in Treatment 2 was delayed
(P <.01) compared with Treatments 1 and 3, but
there was no difference (P > 0.05) among treatments
in percentage of normal length estrous cycles from
vaginal opening to 75 days of age. There were fewer
(P < 0.001) abnormal-length estrous cycles from
180 to 380 days of age in Treatment 2 as compared
with Treatments 1 or 3. There was no effect of treatment
(P > 0.05) on number of primordial follicles. In
conclusion, nighttime, but not continuous supplementation
with melatonin, delayed puberty and reproductive senescence
without any effect on number of primordial follicles.
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Immunology Center, Gerontology
Research Department, INRCA, Ancona, Italy.
In this study we evaluated
the effect of long-term melatonin (MEL) treatment
on the cytotoxic activity and number of natural killer
(NK) cells and the proliferative response of spleen
lymphocytes to phytohemagglutinin (PHA) or interleukin-2
(IL-2) in old mice. Seventeen-eighteen month-old Balb/c
mice were supplemented with MEL (40-50 microg/day/mouse)
and sacrificed after eight months. The MEL supplementation
was unable to recover the low levels of both endogenous
and IL-2-induced NK cell activity found in old untreated
mice. Also the NK cell number was unaffected by MEL
treatment. The spleen lymphocyte proliferative response
to both PHA and IL-2 was not different in old MEL-treated
compared to old untreated mice. These results indicate
that long-term MEL supplementation does not recover
the age-related deterioration of NK cell activity
and lymphocyte proliferative capacity.
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Laboratory of Experimental Tumors,
N.N. Petrov Research Institute of Oncology, St. Petersburg,
Russia.
It was shown previously that
epithalamin delays age-related changes in reproductive
and immune systems and increases the life span of
mice and rats. These effects could be mediated by
stimulating influences of epithalamin on synthesis
and secretion of melatonin and on free radical processes.
A comparative study on the effect of epithalamin and
melatonin on both the life span of Drosophila melanogaster
(strain HEM) and on the intensity of lipid peroxidation
and activity of antioxidative enzymes in their tissues
was the main aim of this work. Melatonin and epithalamin
was added to the nutrition medium (100 micrograms/ml)
during 2-3rd age of larvas. For survival analysis
the flies were passed (five coupes per vessel) each
3-7 days. Lipid peroxidation was evaluated as the
level of ketodienes (KD) and conjugated hydroperoxides
(CHP) in fly tissues at the age of 11 days. Activity
of Cu, Zn-superoxide dismuatse (SOD) and catalase
was evaluated as well. The mean, median and maximum
life span (MLS) were estimated. Mortality rate (MR)
was calculated as alpha in the Gompertz equation (R
= Ro (exp alpha t) and mortality rate doubling time
(MRDT) as in 2/alpha. These parameters in groups of
male and female flies exposed to melatonin and in
male flies exposed to epithalamin were no different
from the parameters for controls. However, exposure
to epithalamin was followed in females by a significant
increase in mean life span (by 17%, P < 0.02),
of median (by 26%), of MLS by 14% and by a 2.12 times
decrease of MR (P < 0.01) and MRDT (by 32%) compared
with female controls. The level of CHP and KD in the
tissues of male control flies was 40 and 49% less
than that in females and indirectly correlates with
male life span. Exposure to melatonin was followed
by a decrease in the level of CHP and KD in females
and the deletion of sex differences in them. Exposure
to epithalamin significantly decreased the level of
CHP and KD in female flies compared to controls (2.3
and 3.4 times, respectively, P < 0.001). Exposure
to melatonin failed to influence the activity of catalase
in males but increased it in females by 24% (P <
0.02) and failed to influence SOD activity both in
males and females. Exposure to epithalamin was followed
by a significant increase in activity of catalse,
20% in males and 7% in females and by an increase
in SOD activity in males (41%). Thus, it was shown
that exposure to epithalamin significantly increases
the mean life span and MLS of female D.melanogaster
and slowed down their aging rate by 2.12 times. This
effect is in good agreement with the inhibiting effect
of epithalamin in lipid peroxidation processes in
fly tissues.
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N. N. Petrov Research Institute
of Oncology, Ministry of Health of the RF, St. Petersburg.
Fifty female CBA mice were
given melatonin with drinking water (20 mg/l) for
5 consecutive days monthly, beginning from the age
of 6 months, until natural death. Another 50 intact
mice were used as controls. Melatonin failed to significantly
influence body weight or food consumption. Age-related
switching-off of estrus function was delayed, body
temperature decreased. Somewhat decreased motor activity
did not affect physical one or endurance. Increase
in life span led to higher spontaneous tumor incidence.
Another experiment using 20 animals of the same line
showed melatonin to inhibit free-radical processes.
A conclusion was drawn that caution should be exercised
before melatonin is recommended for long-term administration
as a geroprotector.
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Department of Physiology, University
of Texas Health Science Center, San Antonio, Texas 78229,
USA.
The aim of this study was to
determine if long-term treatment with melatonin (MEL),
a purported anti-aging agent, was as effective as
calorie restriction (CR) in modulating immune parameters
in aging Fischer 344 male rats. Splenic lymphocytes
were isolated from 17-month-old rats that, beginning
at 6 weeks of age, were treated with MEL (4 or 16
microg/ml in drinking water) and from 17-month-old
rats fed ad libitum (AL) or rats fed a CR diet (55%
of AL intake). The number of splenic T cell populations
and T cell subsets was measured by flow cytometry,
the proliferative response of splenocytes to Concanavalin
A (Con A) and lipopolysaccharide (LPS) was measured
by [(3)H]thymidine incorporation, and the induction
of cytokine production (IL-2 and IFN-gamma) was measured
by ELISA assay. In addition, the level of the natural
killer (NK) cell activity was assessed by fluorimetric
assay. CR rats had a higher number of lymphocytes
expressing the naive T cell marker (CD3 OX22) than
AL rats (P < 0.05). CR rats also showed greater
induction of proliferative response, IL-2 and IFN-gamma
levels following Con A simulation, and NK cell activity
than AL rats (P < 0.05). MEL-treated rats did not
differ from AL rats in any of these parameters or
in any other measurement. These results indicate that
MEL treatment is unable to modulate immune function
in a manner comparable with that of CR.
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VA Puget Sound Health Care System,
and Department of Medicine, University of Washington,
Seattle 98195, USA.
Human and rat pineal melatonin
secretion decline with aging, whereas visceral fat
and plasma insulin levels increase. Melatonin modulates
fat metabolism in some mammalian species, so these
aging-associated melatonin, fat and insulin changes
could be functionally related. Accordingly, we investigated
the effects of daily melatonin supplementation to
male Sprague-Dawley rats, starting at middle age (10
months) and continuing into old age (22 months). Melatonin
was added to the drinking water (92% of which was
consumed at night) at a dosage (4 microg/ml) previously
reported to attenuate the aging-associated decrease
in survival rate in male rats, as well as at a 10-fold
lower dosage. The higher dosage produced nocturnal
plasma melatonin levels in middle-aged rats which
were 15-fold higher than in young (4 months) rats;
nocturnal plasma melatonin levels in middle-aged rats
receiving the lower dosage were not significantly
different from young or middle-aged controls. Relative
(% of body wt) retroperitoneal and epididymal fat,
as well as plasma insulin and leptin levels, were
all significantly increased at middle age when compared
to young rats. All were restored within 10 weeks to
youthful (4 month) levels in response to both dosages
of melatonin. Continued treatment until old age maintained
suppression of visceral (retroperitoneal + epididymal)
fat levels. Plasma corticosterone and total thyroxine
(T4) levels were not significantly altered by aging
or melatonin treatment. Plasma testosterone, insulin-like
growth factor I (IGF-I) and total triiodothyronine
(T3) decreased by middle age; these aging-associated
decreases were not significantly altered by melatonin
treatment. Thus, visceral fat, insulin and leptin
responses to melatonin administration may be independent
of marked changes in gonadal, thyroid, adrenal or
somatotropin regulation. Since increased visceral
fat is associated with increased insulin resistance,
diabetes, and cardiovascular disease, these results
suggest that appropriate melatonin supplementation
may potentially provide prophylaxis or therapy for
some prominent pathologies associated with aging.
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Laboratory of Molecular Endocrinology,
CHUL Research Center, Quebec, Canada.
It is well documented that
in the rat of both sexes aging is associated with
a decline in reproductive functions. We have recently
shown that melatonin exerts a positive influence on
GnRH gene expression in the adult male rats. In order
to evaluate the effect of aging as well as melatonin
on GnRH mRNA levels, we have studied the effect of
2.5-day administration of melatonin to young (50-55
day of age) and aged (18 month of age) rats of both
sexes. In the young males melatonin induced a 11%
increase in the hybridization signal. In the aged
males, the GnRH mRNA levels were 13% lower than those
observed in the young animals. Melatonin administration
to aged animals completely restored GnRH mRNA levels
when compared to those observed in the young untreated
male rats. In contrast, melatonin did not modify the
hybridization signal in young female rats, while aging
induced a 20% decrease in mRNA levels. Melatonin administration
to aged female induced a 18% increase in GnRH mRNA
levels, thus completely reversing the influence of
aging. These results indicate that the decrease in
GnRH gene expression which is likely involved in the
decline of reproductive functions in aging can be
totally reversed by a short term administration of
melatonin, then suggesting that the pineal hormone
may be involved in the decrease of GnRH neuronal activity
during aging.
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Institute of Pathological Anatomy,
University of Modena, Italy.
In female rat age-related reproductive
decline is accompanied by progressive impairment of
the neuroendocrine mechanisms that regulate LH secretion.
The biosynthetic activity of the pineal gland is markedly
depressed and the nocturnal secretion of melatonin
decreases significantly. The aim of the present study
was to evaluate whether the nocturnal administration
of melatonin via the drinking water (0.4 micrograms/ml)
throughout the course of aging from 14 to 24 months
of age could (1) influence the age-related changes
that occur in basal serum levels of LH and in the
LH response to GnRH or to naloxone stimulation at
16, 18 and 20 months of age, and (2) delay the onset
of the postreproductive constant estrous-anovulatory
state as evaluated by the daily recording of vaginal
smears and by occurrence of polyfollicular ovaries
at 24 months of age. Our results demonstrate that
melatonin replacement delays the increase in LH serum
levels and the decrease in LH response to GnRH that
occur in 18-month-old control animals. Furthermore,
they show that melatonin treatment prevents the loss
of LH response to naloxone manifested in control rats
between 16 and 20 months of age. Melatonin also appears
to prevent the progressive increase in the monthly
occurrence of estrus phases as well as to decrease
the number of rats with polyfollicular ovaries at
24 months of age in comparison to control animals.
These results suggest that the age-related decrease
in circulating melatonin during the night may contribute
to the reproductive decline of aging, and that this
effect may involve the central opioid system.
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Department of Neurobiochemistry,
The George S. Wise Faculty of Life Sciences, Tel Aviv
University, Tel Aviv, Israel.
The pineal product melatonin
is involved in the regulation of the sleep/wake cycle
in humans. In blind individuals and in people travelling
through time zones, melatonin rhythms are sometimes
unsynchronized with the diel cycle, and nocturnal
sleep may be disturbed. Low or distorted melatonin
rhythms have repeatedly been reported in middle aged
and elderly insomniacs. Melatonin administration effectively
synchronized the sleep wake cycle in blind individuals
and in subjects suffering from jet lag and advanced
sleep onset in subjects suffering from delayed sleep
phase syndrome. In elderly insomniacs, melatonin replacement
therapy significantly decreased sleep latency, and/or
increased sleep efficiency and decreased wake time
after sleep onset. In addition, melatonin substitution
facilitated benzodiazepine discontinuation in chronic
users. These data show an association between melatonin
rhythm disturbances and difficulties to promote or
maintain sleep at night. Specific melatonin formulations
may be useful to treat circadian-rhythm-related sleep
disorders and age-related insomnia.
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Department of Optometry and Radiography,
The Hong Kong Polytechnic University, Hung Hom, Kowloon.
Free radical-induced oxidation
can cause severe cell damage in biological systems.
Melatonin, a pineal secretory product, is a recently
identified antioxidant that protects cells from the
damaging effects of free radicals. We compared the
effect of melatonin and vitamin E, another antioxidant,
against lipid peroxidation (LPO) in rat retinal homogenates.
The aim was to characterize the antioxidative efficacy
of melatonin in retina, a tissue highly susceptible
to oxidative damage. The LPO product, malondialdehyde
(MDA), was determined to provide an index of cell
damage in vitro. After the incubation with iron(II)
ions, the free radical scavenging effectiveness of
four different concentrations (i.e., 0.5, 1.0, 2.0,
and 4.0 mM) of vitamin E and melatonin were determined
by comparing the final levels of MDA. Lipid peroxidation
product levels were significantly reduced in a dose-response
manner by all concentrations of vitamin E. Melatonin,
in concentrations of either 2.0 or 4.0 mM, also significantly
reduced LPO. Statistical analysis of the data showed
that vitamin E treatment always yielded a lower level
of LPO products than did the same concentration of
melatonin. The concentrations of each agent required
to inhibit 50% of the lipid damage (IC50) were 0.69
mM and 4.98 mM for vitamin E and melatonin, respectively.
Both vitamin E and melatonin protect the retina against
LPO in a dose-dependent manner. Although the IC50
value for melatonin is about 7.2 times higher than
that of vitamin E, melatonin's pharmacological and
physiological role in the treatment and/or prevention
of certain retinal diseases in vivo should be further
investigated.
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Laboratory of Electron Microscopy,
Chair of Pathomorphology, Medical University of Lodz,
92-216 Lodz, Czechoslowacka 8/10, Poland.
Although many theories relating
the pineal secretory product melatonin to aging have
been put forward, the role of this agent in the aging
process is not clear. However, there are several reasons
to postulate a role for melatonin in this process.
Melatonin levels fall gradually over the life-span.
Melatonin is a potent free radical scavenger. Melatonin
deficiency is related to suppressed immunocompetence.
In at least one animal model melatonin supplementation
increased life-span although several other studies
have failed. The aging process is multifactorial,
and no single element seems to be of basic importance.
It seems, however, that although melatonin can not
be univocally recognized as a substance delaying aging,
some of its actions may be beneficial for the process
of aging. However, the precise role of melatonin in
the aging process remains to be determined.
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Department of Cellular and Structural
Biology, The University of Texas Health Science Center,
San Antonio, Texas 78229-3900, USA.
Melatonin has a number of properties
as a consequence of which it could be beneficial to
animals as they age. Of particular interest are its
ubiquitous actions as a direct and indirect antioxidant
and free radical scavenger. Besides directly detoxifying
a variety of reactive oxygen and reactive nitrogen
species, at least one product that is formed as a
result of these interactions is also a potent free
radical scavenger. Thus, the product that is formed
when melatonin detoxifies hydrogen peroxide, that
is, N1-acetyl-N2-formyl-5-methoxykynuramine is an
efficient scavenger, at least equivalent to melatonin
itself. This antioxidant cascade increases the ability
of melatonin to resist oxidative damage. Other actions
of melatonin, such as stimulation of antioxidative
enzymes also improves its status as an antioxidant.
Finally, recent observations documenting melatonin's
ability to stimulate electron transport and ATP production
in the inner-mitochondrial membrane also has relevance
for melatonin as an agent that could alter processes
of aging. These findings, coupled with diminished
melatonin production in advanced age, has prompted
scientists to consider melatonin in the context of
aging. As of this writing there is no definitive evidence
to prove that melatonin alters the rate of aging,
although data relating to melatonin deferring some
age-related degenerative conditions is accumulating
rapidly.
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Department of Medicine, University
of Maryland, USA.
Since ancient times, humans
have been concerned with developing and preserving
youthful vigor. Today, there is enough understanding
of the aging process to attempt to delay it. This
review considers four popular and easily obtainable
anti-aging hormones: melatonin, growth hormone, testosterone,
and dehydroepiandrosterone (DHEA). Many of the benefits
of using these hormones, which are promoted in the
lay literature, are based on animal studies and weak
associations. This review critically examines the
scientific literature. At this time, there is insufficient
evidence to recommend these hormones as therapies
for aging, and there are potential risks from their
use. The information provided here will help physicians
discuss the use of these hormones with inquiring patients.
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Department of Cellular and Structural
Biology, University of Texas Health Science Center,
San Antonio 78284-7762.
Melatonin is a very potent
and efficient endogenous radical scavenger. The pineal
indolamine reacts with the highly toxic hydroxyl radical
and provides on-site protection against oxidative
damage to biomolecules within every cellular compartment.
Melatonin acts as a primary non-enzymatic antioxidative
defense against the devastating actions of the extremely
reactive hydroxyl radical. Melatonin and structurally
related tryptophan metabolites are evolutionary conservative
molecules principally involved in the prevention of
oxidative stress in organisms as different as algae
and rats. The rate of aging and the time of onset
of age-related diseases in rodents can be retarded
by the administration of melatonin or treatments that
preserve the endogenous rhythm of melatonin formation.
The release of excitatory amino acids such as glutamate
enhances endogenous hydroxyl radical formation. The
activation of central excitatory amino acid receptors
suppress melatonin synthesis and is therefore accompanied
by a reduced detoxification rate of hydroxyl radicals.
Aged animals and humans are melatonin-deficient and
more sensitive to oxidative stress. Experiments investigating
the effects of endogenous excitatory amino acid antagonists
and stimulants of melatonin biosynthesis such as magnesium
may finally lead to novel therapeutic approaches for
the prevention of degeneration and dysdifferentiation
associated with diseases related to premature aging.
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