Melatonin, human aging, and age-related diseases
Abstract
The worldwide prolongation of the mean life expectancy has resulted in a rapid increase of the size of the elderly population (over the age of 60), both in numbers and as a proportion of the whole. As a consequence, increasing the number of potential beneficiaries of health and pension funds, mainly those aged 65 and over raises many social and economic problems since they are supported by a relatively smaller number of potential contributors, i.e. those in the economically active ages between 18 and 64. Therefore, there is a search for any therapeutic agent improving quality of life in the elderly. A role for melatonin as such a compound was recently suggested. In this survey, data on the possible role of melatonin in human aging and age-related diseases are briefly presented. Undoubtedly the aging process is multi-factorial, and no single factor has been identified which satisfactorily explains the phenomenon. Although many theories relating the pineal gland and its secretory product melatonin to aging have been proposed, the role of this agent in the aging process is still unclear. However, for several reasons it seems reasonable to postulate a role for melatonin in this process. Melatonin levels decline gradually over the life-span and may be related to lowered sleep efficacy, very often associated with advancing age, as well as to deterioration of many circadian rhythms. Melatonin exhibits immunomodulatory properties, and a remodeling of immune system function is an integral part of aging. Finally, because melatonin is a potent free radical scavenger, its deficiency may result in reduced antioxidant protection in the elderly which may have significance not only for aging per se but also may contribute to the incidence or severity of some age-related diseases. Presently available data do not allow us to conclude that melatonin may have a role in extending normal longevity. However, although melatonin cannot be recognized as 'rejuvenating' agent, some of its actions may be beneficial for the aging process. Administration of melatonin may improve temporal organization in advanced age. Moreover, it has beneficial effects on sleep as well as age-related diseases. Although recommendations of melatonin supplementation in elderly should be considered, there is a need for extensive studies on the use of melatonin in order to improve the quality of life in advanced age.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several studies have reported declines in melatonin levels with ageing, although others find no difference compared with younger people in a healthy population.
“Several studies have reported declines in melatonin levels with ageing, although others find no difference compared with younger people in a healthy population237,238.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [237]
Cites
Aging: a theory based on free radical and radiation chemistry
Harman, D. (1956) · Journal of Gerontology · doi:10.1093/geronj/11.3.298 · Cited by 8,567 · see citing works
The oxidant stress hypothesis in Parkinson's disease: Evidence supporting it
Fahn, S., & Cohen, G. (1992) · Annals of Neurology · doi:10.1002/ana.410320616 · Cited by 927 · see citing works
Harman, D. (1992) · Mutation Research/DNAging · doi:10.1016/0921-8734(92)90030-s · Cited by 902 · see citing works
Oxidative stress in Alzheimer’s disease
Smith, M. A., Rottkamp, C. A., Nunomura, A., Raina, A. K., & Perry, G. (2000) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/s0925-4439(00)00040-5 · Cited by 895 · see citing works
Oxidative damage in the central nervous system: protection by melatonin
Reiter, R. J. (1998) · Progress in Neurobiology · doi:10.1016/s0301-0082(98)00052-5 · Cited by 836 · see citing works
Melatonin and the Mammalian Pineal Gland
Arendt, J. (1994) · Cited by 796 · see citing works
Role of Melatonin in the Regulation of Human Circadian Rhythms and Sleep
Cajochen, C., Kräuchi, K., & Wirz‐Justice, A. (2003) · Journal of Neuroendocrinology · doi:10.1046/j.1365-2826.2003.00989.x · Cited by 735 · see citing works
Melatonin: reducing the toxicity and increasing the efficacy of drugs
Reiter, R. J., Tan, D., Sainz, R. M., Mayo, J. C., & López‐Burillo, S. (2002) · Journal of Pharmacy and Pharmacology · doi:10.1211/002235702760345374 · Cited by 418 · see citing works
A Multicenter, Placebo-controlled Trial of Melatonin for Sleep Disturbance in Alzheimer's Disease
Singer, C., Tractenberg, R. E., Kaye, J., Schafer, K., Gamst, A., Grundman, M., Thomas, R., & Thal, L. J. (2003) · Sleep · doi:10.1093/sleep/26.7.893 · Cited by 407 · see citing works
Butterfield, D. A., Hensley, K., Harris‐White, M. E., Mattson, M. P., & Carney, J. M. (1994) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.1994.1508 · Cited by 404 · see citing works
Melatonin Prevents Death of Neuroblastoma Cells Exposed to the Alzheimer Amyloid Peptide
Pappolla, M. A., Sos, M., Omar, R. A., Bick, R. J., Hickson-Bick, D. L. M., Reiter, R. J., Efthimiopoulos, S., & Robakis, N. K. (1997) · The Journal of Neuroscience · doi:10.1523/jneurosci.17-05-01683.1997 · Cited by 359 · see citing works
MILES, L. E., & Wc, D. (1980) · PubMed · Cited by 306 · see citing works
Seabra, M. D. L. V., Bignotto, M., Pinto, L. R., & Tufik, S. B. (2000) · Journal of Pineal Research · doi:10.1034/j.1600-0633.2002.290401.x · Cited by 280 · see citing works
Pineal control of aging: effect of melatonin and pineal grafting on aging mice.
Pierpaoli, W., & Regelson, W. (1994) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.91.2.787 · Cited by 276 · see citing works
Circadian and sleep disturbances in the elderly
Someren, E. J. W. V. (2000) · Experimental Gerontology · doi:10.1016/s0531-5565(00)00191-1 · Cited by 273 · see citing works
Mishima, K., Tozawa, T., Satoh, K., Matsumoto, Y., Hishikawa, Y., & Okawa, M. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(97)00510-6 · Cited by 269 · see citing works
The immunotherapeutic potential of melatonin
Maestroni, G. J. M. (2001) · Expert Opinion on Investigational Drugs · doi:10.1517/13543784.10.3.467 · Cited by 254 · see citing works
Pappolla, M. A., Chyan, Y., Pöeggeler, B., Frangione, B., Wilson, G. L., Ghiso, J. A., & Reiter, R. J. (2000) · Journal of Neural Transmission · doi:10.1007/s007020050018 · Cited by 239 · see citing works
Alzheimer's Disease: Biology, Diagnosis and Therapeutics
Hier, D. B. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-3-199802010-00025 · Cited by 200 · see citing works
Melatonin is protective against MPTP-induced striatal and hippocampal lesions
Acuña-Castroviejo, D., Coto‐Montes, A. M., Monti, M. G., Ortíz, G. G., & Reiter, R. J. (1996) · Life Sciences · doi:10.1016/s0024-3205(96)00606-6 · Cited by 199 · see citing works
Physiological levels of melatonin contribute to the antioxidant capacity of human serum
Benot, S., Gobema, R., Reiter, R. J., García‐Mauriño, S., Osuna, C., & Guerrero, J. M. (1999) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1999.tb00597.x · Cited by 191 · see citing works
Amyloidosis and Alzheimer’s disease
Ghiso, J. A., & Frangione, B. (2002) · Advanced Drug Delivery Reviews · doi:10.1016/s0169-409x(02)00149-7 · Cited by 189 · see citing works
Petrovsky, N., & Harrison, L. C. (1997) · The Journal of Immunology · doi:10.4049/jimmunol.158.11.5163 · Cited by 168 · see citing works
Miller, J. W., Selhub, J., & Joseph, J. A. (1996) · Free Radical Biology and Medicine · doi:10.1016/0891-5849(96)00033-0 · Cited by 157 · see citing works
Alzheimer's disease : biology, diagnosis, and therapeutics
Iqbal, K., & Disorders, R. (1996) · Medical Entomology and Zoology · Cited by 155 · see citing works
Mayo, J. C., Sainz, R. M., Urı́a, H., Antolı́n, I., Esteban, M., & Rodrı́guez, C. (1998) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1998.tb00531.x · Cited by 154 · see citing works
Senescence, sleep, and circadian rhythms
Pandi-Perumal, S. R., Seils, L. K., Kayumov, L., Ralph, M. R., Lowe, A. D., Moller, H. J., & Swaab, D. F. (2002) · Ageing Research Reviews · doi:10.1016/s1568-1637(02)00014-4 · Cited by 154 · see citing works
Pierpaoli, W., Dall'Ara, A., Pedrinis, E., & Regelson, W. (1991) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1991.tb16987.x · Cited by 150 · see citing works
Melatonin: A chronobiotic with anti-aging properties?
Armstrong, S. M., & Redman, J. R. (1991) · Medical Hypotheses · doi:10.1016/0306-9877(91)90046-2 · Cited by 146 · see citing works
Melatonin treatment stabilizes chronobiologic and cognitive symptoms in Alzheimer's disease.
Brusco, L. I., Márquez, M., & Cardinali, D. P. (2000) · PubMed · Cited by 140 · see citing works
Pineal Melatonin, Its Fundamental Immunoregulatory Role in Aging and Cancer
Maestroni, G. J. M., Conti, A., & Pierpaoli, W. (1988) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1988.tb35272.x · Cited by 140 · see citing works
The immune S ystem in the elderly
Ginaldi, L., Martinis, M. D., D’Ostilio, A., Marini, L., Loreto, M. F., Martorelli, V., & Quaglino, D. (1999) · Immunologic Research · doi:10.1007/bf02786467 · Cited by 139 · see citing works
Urinary melatonin levels in human breast cancer patients
Bartsch, C., Bartsch, H., Jain, A., Laumas, K. R., & Wetterberg, L. (1981) · Journal of Neural Transmission · doi:10.1007/bf01256753 · Cited by 133 · see citing works
The immune system in the elderly
Ginaldi, L., Martinis, M. D., D’Ostilio, A., Marini, L., Loreto, M. F., & Quaglino, D. (1999) · Immunologic Research · doi:10.1007/bf02786468 · Cited by 129 · see citing works
The immune S ystem in the elderly
Ginaldi, L., Martinis, M. D., D’Ostitio, A., Marini, L., Loreto, M. F., Corsi, M., & Quaglino, D. (1999) · Immunologic Research · doi:10.1007/bf02786466 · Cited by 117 · see citing works
Biesalski, H. K. (2002) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/00075197-200201000-00002 · Cited by 115 · see citing works
Bartsch, C., Bartsch, H., Schmidt, A., Ilg, S., Bichler, K., & Flüchter, S. (1992) · Clinica Chimica Acta · doi:10.1016/0009-8981(92)90164-l · Cited by 102 · see citing works
Lissoni, P., Malugani, F., Casu, M., et al. (2002) · PubMed · Cited by 87 · see citing works
Melatonin prevents β‐amyloid‐induced lipid peroxidation
Daniels, W. M. U., van Rensburg, S. J., van Zyl, J. M., & Taljaard, J. J. F. (1998) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1998.tb00370.x · Cited by 84 · see citing works
Siegrist, C., Benedetti, C., Orlando, A., Beltrán, J. M., Tuchscherr, L. P. N., Noseda, C., Brusco, L. I., & Cardinali, D. P. (2001) · Journal of Pineal Research · doi:10.1034/j.1600-079x.2001.300105.x · Cited by 72 · see citing works
Shiraki, M., Enterline, H. T., Brooks, J. J. S., Cooper, N. S., Hirschl, S., Roth, J. A., Rao, U. N. M., Enzinger, F. M., Amato, D. A., & Borden, E. C. (1989) · Cancer · doi:10.1002/1097-0142(19890715)64:2 · Cited by 68 · see citing works
Low and high melatonin excretors among healthy individuals
Bergiannaki, J., Soldatos, C. R., Paparrigopoulos, T. J., et al. (1995) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1995.tb00155.x · Cited by 68 · see citing works
Small cell carcinoma cell lines contain opioid peptides and receptors
Roth, K. A., & Barchas, J. D. (1986) · Cancer · doi:10.1002/1097-0142(19860215)57:4 · Cited by 66 · see citing works
The role of melatonin and serotonin in aging
Rozencwaig, R., Grad, B., & Ochoa, J. B. (1987) · Medical Hypotheses · doi:10.1016/0306-9877(87)90054-5 · Cited by 65 · see citing works
(2001) · Springer eBooks · doi:10.1007/978-3-642-59512-7 · Cited by 65 · see citing works
The role of melatonin and serotonin in aging: Update
Grad, B., & Rozencwaig, R. (1993) · Psychoneuroendocrinology · doi:10.1016/0306-4530(93)90025-g · Cited by 60 · see citing works
NEUROPATHOLOGY OF ALZHEIMER'S DISEASE AND RELATED DISORDERS
Perl, D. P. (2000) · Neurologic Clinics · doi:10.1016/s0733-8619(05)70229-2 · Cited by 59 · see citing works
Schulman, C., & Lunenfeld, B. (2002) · World Journal of Urology · doi:10.1007/s00345-002-0258-3 · Cited by 53 · see citing works
Plasma Melatonin Levels in Patients Suffering From Colorectal Carcinoma
Khoory, R., & Stemme, D. (1988) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1988.tb00651.x · Cited by 52 · see citing works
Guidelines for prescribing melatonin
Avery, D., Lenz, M., & Landis, C. A. (1998) · Annals of Medicine · doi:10.3109/07853899808999394 · Cited by 51 · see citing works
Mayo, J. C., Sainz, R. M., Una, H., et al. (1998) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1998.tb00380.x · Cited by 48 · see citing works
Melatonin in sleep disorders and jet-lag.
Cardinali, D. P., Brusco, L. I., Perez‐Lloret, S., et al. (2002) · PubMed · Cited by 45 · see citing works
BASKETT, J. J., Wood, P. C., Broad, J., Duncan, J. R., English, J., & Arendt, J. (2001) · SLEEP · doi:10.1093/sleep/24.4.418 · Cited by 45 · see citing works
The Use of Melatonin for the Treatment of Insomnia
Zisapel, N. (1999) · Neurosignals · doi:10.1159/000014574 · Cited by 43 · see citing works
Pawlikowski, M., Kolomecka, M., Wojtczak, A., & Karasek, M. (2002) · PubMed · Cited by 42 · see citing works
Self-citationOncostatic action of melatonin: facts and question marks.
Pawlikowski, M., Winczyk, K., & Karasek, M. (2002) · PubMed · Cited by 41 · see citing works
Self-citationMelatonin in clinical oncology.
Bartsch, C., Bartsch, H., & Karasek, M. (2002) · PubMed · Cited by 41 · see citing works
Self-citationA Critical Assessment of the Melatonin Effect on Sleep in Humans
Monti, J. M., & Cardinali, D. P. (2000) · Neurosignals · doi:10.1159/000014656 · Cited by 33 · see citing works
Does a Centralized Clock for Ageing Exist?
Kloeden, P. E., Rössler, R., & Rössler, O. E. (2009) · Gerontology · doi:10.1159/000213216 · Cited by 32 · see citing works
Future of melatonin as a therapeutic agent.
Karasek, M., Reiter, R. J., Cardinali, D. P., & Pawlikowski, M. (2002) · PubMed · Cited by 32 · see citing works
Self-citationSerum melatonin circadian profile in women suffering from the genital tract cancers.
Karasek, M., Kowalski, A. J., & Żylińska, K. (2000) · PubMed · Cited by 25 · see citing works
Self-citationD epartment of E conomic and S ocial A ffairs ; World Population Ageing 2009
(2011) · Population and Development Review · doi:10.1111/j.1728-4457.2011.00421.x · Cited by 23 · see citing works
Bulian, D., & Pierpaoli, W. (2000) · Journal of Neuroimmunology · doi:10.1016/s0165-5728(00)00267-8 · Cited by 22 · see citing works
Where do Alzheimer s plaques and tangles come from aging-induced protein degradation inefficiency
Chen, M. (2001) · Frontiers in bioscience · doi:10.2741/chen · Cited by 22 · see citing works
Timekeeping in genetically programmed aging
Kloeden, P. E., Rössler, R., & Rössler, O. E. (1993) · Experimental Gerontology · doi:10.1016/0531-5565(93)90001-t · Cited by 20 · see citing works
Melatonin in humans-where we are 40 years after its discovery.
Karasek, M. (1999) · PubMed · Cited by 20 · see citing works
Self-citationTheoretical Considerations on the Nature of the Pineal ‘Ageing Clock’
Pierpaoli, W., & Lesnikov, V. A. (2009) · Gerontology · doi:10.1159/000213833 · Cited by 17 · see citing works
Pineal gland, melatonin and cancer. NEL Review.
Karasek, M., & Pawlikowski, M. (1999) · PubMed · Cited by 15 · see citing works
Self-citationHrushesky, W. J. M. (2001) · Springer eBooks · doi:10.1007/978-3-642-59512-7_27 · Cited by 14 · see citing works
Relationship between the Pineal Gland and Experimentally Induced Malignant Tumors
Karasek, M. (1997) · KARGER eBooks · doi:10.1159/000060988 · Cited by 10 · see citing works
Self-citationMechanisms Involved in the Immunomodulatory Effects of Melatonin on the Human Immune System
Guerrero, J. M., García‐Mauriño, S., Pozo, D., et al. (2001) · Springer eBooks · doi:10.1007/978-3-642-59512-7_22 · Cited by 7 · see citing works
Efficacy of Melatonin in the Immunotherapy of Cancer Using lnterleukin-2
Lissoni, P. (2001) · Springer eBooks · doi:10.1007/978-3-642-59512-7_26 · Cited by 7 · see citing works
Melatonin in Patients with Cancer of Extra-Reproductive Location
Kvetnaia, T. V., Kvetnoy, I. M., Bartsch, H., et al. (2001) · Springer eBooks · doi:10.1007/978-3-642-59512-7_7 · Cited by 6 · see citing works
Melatonin Rhythm of Alzheimer Patients1
Morita, Y., Uchida, K., & Okamoto, N. (2015) · Frontiers of hormone research · doi:10.1159/000425617 · Cited by 2 · see citing works
Prabhala (1991) · doi:10.1002/1097-0142(19910315)67:6
Flagged first, then by citations
Cited by
Sorted by citations
Rhythms of life: circadian disruption and brain disorders across the lifespan
Logan, R. W., & McClung, C. A. (2019) · Nature Reviews Neuroscience · doi:10.1038/s41583-018-0088-y · Cited by 713 · see citing works
Metabolism and Circadian Rhythms—Implications for Obesity
Froy, O. (2010) · Endocrine Reviews · doi:10.1210/er.2009-0014 · Cited by 505 · see citing works
Melatonin: Action as antioxidant and potential applications in human disease and aging
Bonnefont-Rousselot, D., & Collin, F. (2010) · Toxicology · doi:10.1016/j.tox.2010.04.008 · Cited by 320 · see citing works
Crosstalk between the circadian clock circuitry and the immune system
Cermakian, N., Lange, T., Golombek, D., Sarkar, D., Nakao, A., Shibata, S., & Mazzoccoli, G. (2013) · Chronobiology International · doi:10.3109/07420528.2013.782315 · Cited by 279 · see citing works
Coomans, C. P., van den Berg, S. A. A., Houben, T., van Klinken, J., van den Berg, R., Pronk, A. C. M., Havekes, L. M., Romijn, J. A., van Dijk, K. W., Biermasz, N. R., et al. (2013) · The FASEB Journal · doi:10.1096/fj.12-210898 · Cited by 252 · see citing works
Gale, J. E., Cox, H. I., Qian, J., Block, G. D., Colwell, C. S., & Matveyenko, A. V. (2011) · Journal of Biological Rhythms · doi:10.1177/0748730411416341 · Cited by 247 · see citing works
Melatonin as an anti-inflammatory agent modulating inflammasome activation
Favero, G., Franceschetti, L., Bonomini, F., Rodella, L. F., & Rezzani, R. (2017) · International Journal of Endocrinology · doi:10.1155/2017/1835195 · Cited by 233 · see citing works
Is Melatonin the Cornucopia of the 21st Century?
Ferlazzo, N., Andolina, G., Cannata, A., Costanzo, M. G., Rizzo, V., Currò, M., Ientile, R., & Caccamo, D. (2020) · Antioxidants · doi:10.3390/antiox9111088 · Cited by 189 · see citing works
Circadian rhythms – from genes to physiology and disease
Bollinger, T., & Schibler, U. (2014) · Swiss Medical Weekly · doi:10.4414/smw.2014.13984 · Cited by 152 · see citing works
Physiological melatonin levels in healthy older people: A systematic review
Scholtens, R. M., van Munster, B. C., van Kempen, M. F., & de Rooij, S. E. J. A. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.05.005 · Cited by 132 · see citing works
Panossian, A., Seo, E.-J., & Efferth, T. (2018) · Phytomedicine · doi:10.1016/j.phymed.2018.09.204 · Cited by 127 · see citing works
Neuroscience-driven discovery and development of sleep therapeutics
Dresler, M., Spoormaker, V. I., Beitinger, P., Czisch, M., Kimura, M., Steiger, A., & Holsboer, F. (2014) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2013.10.012 · Cited by 63 · see citing works
Mendes, C., Gomes, G., Belpiede, L. T., do Carmo Buonfiglio, D., Motta-Teixeira, L. C., Amaral, F. G., & Cipolla-Neto, J. (2021) · Life Sciences · doi:10.1016/j.lfs.2020.118769 · Cited by 17 · see citing works
- Authors
- Karasek, M.
- Affiliations
- Medical University of Lodz (PL)
- Corresponding author
- Karasek, M.
- Venue
- Experimental Gerontology
- Publisher
- Elsevier BV
- Published
- 2004-11
- Volume
- 39
- Issue
- 11-12
- Pages
- 1723-1729
- ISSN
- 0531-5565 (ISSN-L)
- OpenAlex
- W2036542466
- Cited by
- 380
- References
- 75
- Citations by year
- 2026: 13 · 2025: 30 · 2024: 21 · 2023: 24 · 2022: 20 · 2021: 25 · 2020: 17 · 2019: 18 · 2018: 20 · 2017: 21 · 2016: 12 · 2015: 15 · 2014: 17 · 2013: 22 · 2012: 11
- FWCI
- 3.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Experimental Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Keywords
- melatonin, human aging, age-related diseases, pineal gland, circadian rhythm, sleep quality, immunomodulation, free radical scavenging, antioxidant defense, melatonin supplementation, quality of life in old age, longevity
- MeSH terms
- Aged, Aging, Antioxidants, Circadian Rhythm, Female, Humans, Immunocompetence, Longevity, Male, Melatonin, Middle Aged, Pineal Gland, Sleep Wake Disorders, Neurodegenerative Diseases
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review