Melatonin in Humans
Abstract
Three centuries ago, the French philosopher René Descartes described the pineal gland as “the seat of the soul,” but it was not until the late 1950s that melatonin, the principal substance secreted by the pineal gland, was identified.1 There is now evidence that melatonin may have a role in the biologic regulation of circadian rhythms, sleep, mood, and perhaps reproduction, tumor growth, and aging (Table 1). However, uncertainties and doubts still surround the role of melatonin in human physiology and pathophysiology. This review summarizes current knowledge about melatonin in humans and its clinical implications.Physiology and PharmacologyIn humans, the . . .
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?
Melatonin has been linked to improved sleep, prevention of jet lag, enhanced immune response, antioxidant actions, and prevention of tumour growth.
“Melatonin has been linked to improved sleep, prevention of jet lag, enhanced immune response, antioxidant actions, and prevention of tumour growth (Brzezinski, 1997).”
From Melatonin attenuates the sympathetic nerve responses to orthostatic stress in humans (2003) · cites this paper as Brzezinski, 1997
The plasma melatonin levels observed in this study are unphysiological compared to peak normal physiological levels of 60 pg ml−1.
“The plasma levels observed in this study are certainly unphysiological (1830 pg ml−1) as compared to peak normal physiological levels 60 pg ml−1 (Brzezinski, 1997).”
From Melatonin attenuates the sympathetic nerve responses to orthostatic stress in humans (2003) · cites this paper as Brzezinski, 1997
Cites
Neuroendocrine rhythms and sleep in aging men
van Coevorden, A., Mockel, J., Laurent, E., Kerkhofs, M., L'Hermite-Baleriaux, M., Decoster, C., Neve, P., & Van Cauter, E. (1991) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1991.260.4.e651 · Cited by 336 · see citing works
The Circadian Rhythm of Plasma Melatonin During the Normal Menstrual Cycle and in Amenorrheic Women*
BRZEZINSKI, A., LYNCH, H. J., SEIBEL, M. M., DENG, M. H., NADER, T. M., & WURTMAN, R. J. (1988) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-66-5-891 · Cited by 177 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Rotating night shifts and risk of breast cancer in women participating in the nurses׳ health study
Schernhammer, E. S., Laden, F., Speizer, F. E., Willett, W. C., Hunter, D. J., Kawachi, I., & Colditz, G. A. (2001) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/93.20.1563 · Cited by 1,142 · see citing works
Neuropathogenesis of Delirium: Review of Current Etiologic Theories and Common Pathways
Maldonado, J. R. (2013) · The American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2013.09.005 · Cited by 745 · see citing works
Simonneaux, V., & Ribelayga, C. (2003) · Pharmacological Reviews · doi:10.1124/pr.55.2.2 · Cited by 740 · see citing works
Morin, C. M., Drake, C. L., Harvey, A. G., Krystal, A. D., Manber, R., Riemann, D., & Spiegelhalder, K. (2015) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2015.26 · Cited by 746 · see citing works
Circadian rhythm disturbances in depression
Germain, A., & Kupfer, D. J. (2008) · Human Psychopharmacology: Clinical and Experimental · doi:10.1002/hup.964 · Cited by 644 · see citing works
Cajochen, C. (2007) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.07.009 · Cited by 652 · see citing works
Dynamics of stability: the physiologic basis of functional health and frailty
Lipsitz, L. A. (2002) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/57.3.b115 · Cited by 646 · see citing works
Sleep influences on obesity, insulin resistance, and risk of type 2 diabetes
Reutrakul, S., & Van Cauter, E. (2018) · Metabolism · doi:10.1016/j.metabol.2018.02.010 · Cited by 584 · see citing works
Kell, D. B. (2009) · BMC Medical Genomics · doi:10.1186/1755-8794-2-2 · Cited by 554 · see citing works
Tryptophan metabolism in the central nervous system: medical implications
Ruddick, J. P., Evans, A. K., Nutt, D. J., Lightman, S. L., Rook, G. A. W., & Lowry, C. A. (2006) · Expert Reviews in Molecular Medicine · doi:10.1017/s1462399406000068 · Cited by 519 · see citing works
Abnormal melatonin synthesis in autism spectrum disorders
Melke, J., Goubran Botros, H., Chaste, P., Betancur, C., Nygren, G., Anckarsäter, H., Rastam, M., Ståhlberg, O., Gillberg, I. C., Delorme, R., et al. (2008) · Molecular Psychiatry · doi:10.1038/sj.mp.4002016 · Cited by 511 · see citing works
Increased breast cancer risk among women who work predominantly at night
Hansen, J. (2001) · Epidemiology · doi:10.1097/00001648-200101000-00013 · Cited by 503 · see citing works
Night work and breast cancer risk: A systematic review and meta-analysis
Megdal, S. P., Kroenke, C. H., Laden, F., Pukkala, E., & Schernhammer, E. S. (2005) · European Journal of Cancer · doi:10.1016/j.ejca.2005.05.010 · Cited by 482 · 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
Melatonin Contributes to the Seasonality of Multiple Sclerosis Relapses
Farez, M. F., Mascanfroni, I. D., Méndez-Huergo, S. P., Yeste, A., Murugaiyan, G., Garo, L. P., Balbuena Aguirre, M. E., Patel, B., Ysrraelit, M. C., Zhu, C., et al. (2015) · Cell · doi:10.1016/j.cell.2015.08.025 · Cited by 318 · 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
Reutrakul, S., & Van Cauter, E. (2014) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12355 · Cited by 321 · see citing works
Nocturnal excretion of 6-sulphatoxymelatonin in children and adolescents with autistic disorder
Tordjman, S., Anderson, G. M., Pichard, N., Charbuy, H., & Touitou, Y. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.003 · Cited by 296 · see citing works
The neurobiology of meditation and its clinical effectiveness in psychiatric disorders
Rubia, K. (2009) · Biological Psychology · doi:10.1016/j.biopsycho.2009.04.003 · Cited by 287 · see citing works
Effects of tryptophan loading on human cognition, mood, and sleep
Silber, B. Y., & Schmitt, J. A. J. (2010) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.08.005 · Cited by 260 · see citing works
Distribution, function and physiological role of melatonin in the lower gut
Chen, C.-Q. (2011) · World Journal of Gastroenterology · doi:10.3748/wjg.v17.i34.3888 · Cited by 255 · 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
Carrillo‐Vico, A., Lardone, P. J., Naji, L., Fernández‐Santos, J. M., Martín‐Lacave, I., Guerrero, J. M., & Calvo, J. R. (2005) · Journal of Pineal Research · doi:10.1111/j.1600-079x.2005.00265.x · Cited by 204 · see citing works
Sleep duration and the risk of breast cancer: the Ohsaki Cohort Study
Kakizaki, M., Kuriyama, S., Sone, T., Ohmori-Matsuda, K., Hozawa, A., Nakaya, N., Fukudo, S., & Tsuji, I. (2008) · British Journal of Cancer · doi:10.1038/sj.bjc.6604684 · Cited by 187 · see citing works
Pharmacokinetics of Oral and Intravenous Melatonin in Healthy Volunteers
Andersen, L. P. H., Werner, M. U., Rosenkilde, M. M., Harpsøe, N. G., Fuglsang, H., Rosenberg, J., & Gögenur, I. (2016) · BMC Pharmacology and Toxicology · doi:10.1186/s40360-016-0052-2 · Cited by 181 · see citing works
Melatonin as a biomarker of circadian dysregulation
Mirick, D. K., & Davis, S. (2008) · Cancer Epidemiology, Biomarkers & Prevention · doi:10.1158/1055-9965.epi-08-0605 · Cited by 176 · see citing works
Sigurdardottir, L. G., Valdimarsdottir, U. A., Fall, K., Rider, J. R., Lockley, S. W., Schernhammer, E., & Mucci, L. A. (2012) · Cancer Epidemiology, Biomarkers & Prevention · doi:10.1158/1055-9965.epi-12-0116 · Cited by 162 · see citing works
Shift work, light at night, and breast cancer on Long Island, New York
O'Leary, E. S., Schoenfeld, E. R., Stevens, R. G., Kabat, G. C., Henderson, K., Grimson, R., Gammon, M. D., & Leske, M. C. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj211 · Cited by 156 · see citing works
Circulating melatonin and the risk of breast and endometrial cancer in women
Viswanathan, A. N., & Schernhammer, E. S. (2009) · Cancer Letters · doi:10.1016/j.canlet.2008.11.002 · Cited by 153 · see citing works
Complementary and Alternative Medicine for Sleep Disturbances in Older Adults
Gooneratne, N. S. (2008) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2007.08.002 · Cited by 133 · see citing works
Night work and breast cancer – results from the German GENICA study
Pesch, B., Harth, V., Rabstein, S., Baisch, C., Schiffermann, M., Pallapies, D., Bonberg, N., Heinze, E., Spickenheuer, A., Justenhoven, C., et al. (2010) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.2890 · Cited by 132 · 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
Sleep disruption in the intensive care unit
Gabor, J. Y., Cooper, A. B., & Hanly, P. J. (2001) · Current Opinion in Critical Care · doi:10.1097/00075198-200102000-00004 · Cited by 130 · see citing works
De Leersnyder, H., Bresson, J. L., de Blois, M.-C., Souberbielle, J.-C., Mogenet, A., Delhotal-Landes, B., Salefranque, F., & Munnich, A. (2003) · Journal of Medical Genetics · doi:10.1136/jmg.40.1.74 · Cited by 126 · see citing works
Pain in the brain: are hormones to blame?
Blackburn-Munro, G., & Blackburn-Munro, R. (2003) · Trends in Endocrinology & Metabolism · doi:10.1016/s1043-2760(02)00004-8 · Cited by 124 · see citing works
Radical–radical reactions of superoxide: A potential route to toxicity
Winterbourn, C. C., & Kettle, A. J. (2003) · Biochemical and Biophysical Research Communications · doi:10.1016/s0006-291x(03)00810-6 · Cited by 118 · see citing works
She, M., Deng, X., Guo, Z., Laudon, M., Hu, Z., Liao, D., Hu, X., Luo, Y., Shen, Q., & Su, Z. (2009) · Pharmacological Research · doi:10.1016/j.phrs.2009.01.005 · Cited by 118 · see citing works
Exposure to light at night and risk of depression in the elderly.
Obayashi, K., Saeki, K., Iwamoto, J., Ikada, Y., & Kurumatani, N. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.06.018 · Cited by 117 · see citing works
De Leersnyder, H., de Blois, M.-C., Vekemans, M., Sidi, D., Villain, E., Kindermans, C., & Munnich, A. (2001) · Journal of Medical Genetics · doi:10.1136/jmg.38.9.586 · Cited by 113 · see citing works
Illuminating rationale and uses for light therapy
Shirani, A., & St. Louis, E. K. (2009) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27445 · Cited by 97 · see citing works
The Role of Melatonin in the Treatment of Primary Headache Disorders
Gelfand, A. A., & Goadsby, P. J. (2016) · Headache The Journal of Head and Face Pain · doi:10.1111/head.12862 · Cited by 95 · see citing works
Vural, E. M. S., van Munster, B. C., & de Rooij, S. E. (2014) · Drugs & Aging · doi:10.1007/s40266-014-0178-0 · Cited by 92 · see citing works
Sleep interventions and glucose metabolism: systematic review and meta-analysis
Kothari, V., Cardona, Z., Chirakalwasan, N., Anothaisintawee, T., & Reutrakul, S. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2020.11.035 · Cited by 86 · see citing works
Superoxide-dependent Oxidation of Melatonin by Myeloperoxidase
Ximenes, V. F., Silva, S. D. O., Rodrigues, M. R., Catalani, L. H., Maghzal, G. J., Kettle, A. J., & Campa, A. (2005) · Journal of Biological Chemistry · doi:10.1074/jbc.m506384200 · Cited by 83 · see citing works
Autophagy in traumatic brain injury: a new target for therapeutic intervention
Zhang, L., & Wang, H. (2018) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2018.00190 · Cited by 82 · see citing works
Zhang, Q., Gao, F., Zhang, S., Sun, W., & Li, Z. (2019) · Sleep and Breathing · doi:10.1007/s11325-019-01831-5 · Cited by 71 · see citing works
Th17 cell pathogenicity in autoimmune disease
Park, E., & Ciofani, M. (2025) · Experimental & Molecular Medicine · doi:10.1038/s12276-025-01535-9 · Cited by 75 · see citing works
Kubo, T., Oyama, I., Nakamura, T., Kunimoto, M., Kadowaki, K., Otomo, H., Fujino, Y., Fujimoto, N., Matsumoto, T., & Matsuda, S. (2011) · International Journal of Urology · doi:10.1111/j.1442-2042.2010.02714.x · Cited by 70 · see citing works
Can melatonin improve adaptation to night shift?
James, M., Tremea, M. O., Jones, J. S., & Krohmer, J. R. (1998) · The American Journal of Emergency Medicine · doi:10.1016/s0735-6757(98)90129-2 · Cited by 71 · see citing works
Randomized clinical trial of melatonin after night-shift work: Efficacy and neuropsychologic effects
Wright, S. W., Lawrence, L. M., Wrenn, K. D., Haynes, M. L., Welch, L. W., & Schlack, H. M. (1998) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(98)70010-1 · Cited by 64 · see citing works
Psychiatric aspects of jet lag: review and hypothesis
Katz, G., Durst, R., Zislin, Y., Barel, Y., & Knobler, H. Y. (2001) · Medical Hypotheses · doi:10.1054/mehy.2000.1094 · Cited by 64 · see citing works
Geomagnetic activity and human melatonin metabolite excretion
Burch, J. B., Reif, J. S., & Yost, M. G. (2008) · Neuroscience Letters · doi:10.1016/j.neulet.2008.04.031 · Cited by 52 · see citing works
Lund Rasmussen, C., Klee Olsen, M., Thit Johnsen, A., Aagaard Petersen, M., Lindholm, H., Andersen, L., Villadsen, B., Groenvold, M., & Pedersen, L. (2015) · Cancer · doi:10.1002/cncr.29563 · Cited by 52 · see citing works
Boone, P. M., Reiter, R. J., Glaze, D. G., Tan, D., Lupski, J. R., & Potocki, L. (2011) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.34098 · Cited by 47 · see citing works
Melatonin improves memory acquisition under stress independent of stress hormone release
Rimmele, U., Spillmann, M., Bärtschi, C., Wolf, O. T., Weber, C. S., Ehlert, U., & Wirtz, P. H. (2009) · Psychopharmacology · doi:10.1007/s00213-008-1344-z · Cited by 46 · see citing works
Melatonin attenuates the sympathetic nerve responses to orthostatic stress in humans
Ray, C. A. (2003) · The Journal of Physiology · doi:10.1111/j.1469-7793.2003.01043.x · Cited by 51 · see citing works
Circadian rhythm sleep-wake phase disorders
Culnan, E., McCullough, L. M., & Wyatt, J. K. (2019) · Neurologic Clinics · doi:10.1016/j.ncl.2019.04.003 · Cited by 42 · see citing works
Lauritzen, E. S., Kampmann, U., Pedersen, M. G. B., Christensen, L., Jessen, N., Møller, N., & Støy, J. (2022) · Journal of Pineal Research · doi:10.1111/jpi.12809 · Cited by 29 · see citing works
La melatonina reduce la respuesta de cortisol al ACTH en humanos
Campino, C., Valenzuela, F., Arteaga, E., Torres-Farfán, C., Trucco, C., Velasco, A., Guzmán, S., & Serón-Ferré, M. (2008) · Revista medica de Chile · doi:10.4067/s0034-98872008001100004 · Cited by 23 · see citing works
Furster, C., & Hallerbäck, M. U. (2015) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-015-1866-3 · Cited by 19 · see citing works
Neurologic disorders masquerading as pediatric sleep problems
Grigg-Damberger, M. (2004) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(03)00180-9 · Cited by 18 · see citing works
Phase I dose-finding study for melatonin in pediatric oncology patients with relapsed solid tumors
Johnston, D. L., Zupanec, S., Nicksy, D., Morgenstern, D., Narendran, A., Deyell, R. J., Samson, Y., Wu, B., & Baruchel, S. (2019) · Pediatric Blood & Cancer · doi:10.1002/pbc.27676 · Cited by 8 · see citing works
- Authors
- Brzezinski, A.
- Affiliations
- Hebrew University of Jerusalem (IL)
- Corresponding author
- Brzezinski, Amnon
- ORCID
- Brzezinski, Amnon
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1997-01-16
- Volume
- 336
- Issue
- 3
- Pages
- 186-195
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2323516874
- Cited by
- 1,549
- References
- 2
- Citations by year
- 2026: 18 · 2025: 37 · 2024: 37 · 2023: 44 · 2022: 58 · 2021: 49 · 2020: 62 · 2019: 70 · 2018: 53 · 2017: 55 · 2016: 46 · 2015: 65 · 2014: 75 · 2013: 58 · 2012: 35
- FWCI
- 8.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Physical Sciences › Environmental Science › Global and Planetary Change › Impact of Light on Environment and Health
- Keywords
- melatonin, pineal gland, circadian rhythm, sleep regulation, mood, reproduction, tumor growth, aging, clinical implications
- MeSH terms
- Aging, Animals, Circadian Rhythm, Female, Humans, Male, Melatonin, Neoplasms, Pineal Gland, Puberty, Receptors, Cell Surface, Reproduction, Sleep
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