The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Thermoregulatory effects of melatonin in relation to sleepiness
Abstract
Thermoregulatory processes have long been implicated in the initiation of human sleep. In this paper, we review our own studies conducted over the last decade showing a crucial role for melatonin as a mediator between the thermoregulatory and arousal system in humans. Distal heat loss, via increased skin temperature, seems to be intimately coupled with increased sleepiness and sleep induction. Exogenous melatonin administration during the day when melatonin is essentially absent mimics the endogenous thermophysiological processes occurring in the evening and induces sleepiness. Using a cold thermic challenge test, it was shown that melatonin-induced sleepiness occurs in parallel with reduction in the thermoregulatory set-point (threshold); thus, melatonin may act as a circadian modulator of the thermoregulatory set-point. In addition, an orthostatic challenge can partially block the melatonin-induced effects, suggesting an important role of the sympathetic nervous system as a link between the thermoregulatory and arousal systems. A topographical analysis of finger skin temperature with infrared thermometry revealed that the most distal parts of the fingers, i.e., fingertips, represent the important skin regions for heat loss regulation, most probably via opening the arteriovenous anastomoses, and this is clearly potentiated by melatonin. Taken together, melatonin is involved in the fine-tuning of vascular tone in selective vascular beds, as circulating melatonin levels rise and fall throughout the night. Besides the role of melatonin as "nature's soporific", it can also serve as nature's nocturnal vascular modulator.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“As melatonin is known to initiate heat loss by distal vasodilation of the vessels [27,52], our findings of a higher DPG, indicating a stronger heat loss, around the middle of the night (i.e., at 03:00 and 03:35) after reading on printed material compared to reading in both smartphone conditions (cf., Figure 5) are well in line with these results.”
From Preliminary Results: The Impact of Smartphone Use and Short-Wavelength Light during the Evening on Circadian Rhythm, Sleep and Alertness (2021) · cites this paper as [52]
In the citing paper
“melatonin is known to initiate heat loss by distal vasodilation of the vessels [27,52]”
From Preliminary Results: The Impact of Smartphone Use and Short-Wavelength Light during the Evening on Circadian Rhythm, Sleep and Alertness (2021) · cites this paper as [52]
Citations
Cites
Principles and Practice of Sleep Medicine
Kryger, M. H., Roth, T. G., & Dement, W. C. (2011) · Elsevier eBooks · doi:10.1016/c2009-0-59875-3 · Cited by 5,118
Fatigue, alcohol and performance impairment
Dawson, D., & Reid, K. (1997) · Nature · doi:10.1038/40775 · Cited by 1,199
Human Sleep: Its Duration and Organization Depend on Its Circadian Phase
Czeisler, C. A., Weitzman, E. D., Moore-Ede, M. C., Zimmerman, J. C., & Knauer, R. S. (1980) · Science · doi:10.1126/science.7434029 · Cited by 903
The central autonomic nervous system: conscious visceral perception and autonomic pattern generation
Saper, C. B. (2002) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.25.032502.111311 · Cited by 837
Principles and Practice of Sleep Medicine
Stafford, R. S. (2001) · JAMA · doi:10.1001/jama.285.8.1074 · Cited by 612
Krauchi, K., & Wirz-Justice, A. (1994) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1994.267.3.r819 · Cited by 558 · cited 2×
“However, the circadian pattern of heat loss and heat production is not represented by uniform sine waves; heat loss in the evening is more dominant than reduction in heat production, and vice versa in the morning (Kräuchi and Wirz-Justice, 1994).”
BackgroundNeural Organization and Evolution of Thermal Regulation in Mammals
Satinoff, E. (1978) · Science · doi:10.1126/science.351802 · Cited by 512
Warm feet promote the rapid onset of sleep
Kräuchi, K., Cajochen, C., Werth, E., & Wirz-Justice, A. (1999) · Nature · doi:10.1038/43366 · Cited by 398
Self-citationMelatonin: a major regulator of the circadian rhythm of core temperature in humans
Cagnacci, A., Elliott, J. A., & Yen, S. S. C. (1992) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.75.2.1639946 · Cited by 396
The dependence of onset and duration of sleep on the circadian rhythm of rectal temperature
Zulley, J., Wever, R., & Aschoff, J. (1981) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/bf00581514 · Cited by 377
Ethical Principles and Standards for the Conduct of Human and Animal Biological Rhythm Research
Touitou, Y., Portaluppi, F., Smolensky, M. H., & Rensing, L. (2004) · Chronobiology International · doi:10.1081/cbi-120030045 · Cited by 367
Functional link between distal vasodilation and sleep-onset latency?
Kräuchi, K., Cajochen, C., Werth, E., & Wirz-Justice, A. (2000) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2000.278.3.r741 · Cited by 356
VanSomeren, E. J. W. (2000) · Chronobiology International · doi:10.1081/cbi-100101050 · Cited by 329
Kräuchi, K., Cajochen, C., & Wirz-Justice, A. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.83.1.134 · Cited by 227
Expression of melatonin receptors in arteries involved in thermoregulation.
Viswanathan, M. N., Laitinen, J. T., & Saavedra, J. M. (1990) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.87.16.6200 · Cited by 204
Grant, R. T. (1931) · Medical Entomology and Zoology · Cited by 202
Kräuchi, K., Cajochen, C., Mori, D., Graw, P., & Wirz‐Justice, A. (1997) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1997.272.4.r1178 · Cited by 197
MT2 Melatonin Receptors Are Present and Functional in Rat Caudal Artery
Masana, M. I., Doolen, S., Erşahin, Ç. H., Al‐Ghoul, W. M., DUCKLES, S. P., Dubocovich, M. L., & Krause, D. N. (2002) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.302.3.1295 · Cited by 162
Nonthermoregulatory control of human skin blood flow
Johnson, J. M. (1986) · Journal of Applied Physiology · doi:10.1152/jappl.1986.61.5.1613 · Cited by 162
Homeostatic versus Circadian Effects of Melatonin on Core Body Temperature in Humans
Cagnacci, A., Kräuchi, K., Wirz-Justice, A., & Volpe, A. (1997) · Journal of Biological Rhythms · doi:10.1177/074873049701200604 · Cited by 151
Self-citationWhat constitutes a physiological concentration of melatonin?
Reiter, R. J., & Tan, D. X. (2002) · Journal of Pineal Research · doi:10.1034/j.1600-079x.2003.2e114.x · Cited by 129
Rapid Decline in Body Temperature Before Sleep: Fluffing the Physiological Pillow?
Campbell, S. S., & Broughton, R. (1994) · Chronobiology International · doi:10.3109/07420529409055899 · Cited by 127
Thermal Conductance in Man: Its Dependence on Time of Day and on Ambient Temperature
Aschoff, J., & Heise, A. (1972) · Springer eBooks · doi:10.1007/978-3-642-93010-2_20 · Cited by 127
Gilbert, S. S., van den Heuvel, C. J., & Dawson, D. E. (1999) · The Journal of Physiology · doi:10.1111/j.1469-7793.1999.905ad.x · Cited by 105
Energiehaushalt und Temperaturregulation
Aschoff, J., Günther, B., & Kramer, K. (1971) · Cited by 94
Modulation of voltage-dependent Ca2+ conductance by changing Cl- concentration in rat lactotrophs
García, L., Fahmi, M., Prevarskaya, N. B., DUFY, B., & Sartor, P. (1997) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.1997.272.4.c1178 · Cited by 91
van den Heuvel, C. J., Ferguson, S. A., Macchi, M. M., & Dawson, D. E. (2004) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2004.07.001 · Cited by 83
Preoptic area sleep-regulating mechanisms.
Szymusiak, R. S., Steininger, T. L., Alam, N., & McGinty, D. (2001) · PubMed · Cited by 82
Gradisar, M., & Lack, L. C. (2004) · Journal of Biological Rhythms · doi:10.1177/0748730403261560 · Cited by 82
Cajochen, C., Kräuchi, K., & Wirz‐Justice, A. (1997) · Journal of Biological Rhythms · doi:10.1177/074873049701200619 · Cited by 74
DAY-NIGHT VARIATION IN HEAT BALANCE
Aschoff, J., Biebach, H., Heise, A., & Schmidt, T. E. (1974) · Elsevier eBooks · doi:10.1016/b978-0-408-70652-0.50014-7 · Cited by 71
Molecular Pharmacology and Function Ofmelatonin Receptor Subtypes
Dubocovich, M. L., Masana, M. I., & Benloucif, S. (2005) · Kluwer Academic Publishers eBooks · doi:10.1007/0-306-46814-x_20 · Cited by 69
Paraventricular–subparaventricular hypothalamic lesions selectively affect circadian function
Moore, R. Y., & Danchenko, R. L. (2002) · Chronobiology International · doi:10.1081/cbi-120002876 · Cited by 69
Variability of skin temperature in the waking monkey
Baker, M., Cronin, M., & Mountjoy, D. G. (1976) · American Journal of Physiology-Legacy Content · doi:10.1152/ajplegacy.1976.230.2.449 · Cited by 68
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 · cited 1×
“This finding indicates that the thermoregulatory and soporific effects of melatonin can be partially blocked by orthostatic changes, probably via modulation of sympathetic nerve activity (Ray, 2003).”
BackgroundAcute finger temperature changes preceding sleep onsets over a 45‐h period
Lack, L. C., & Gradisar, M. (2002) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2002.00312.x · Cited by 51
Melatonin attenuates the sympathetic nerve responses to orthostatic stress in humans
Ray, C. A. (2003) · The Journal of Physiology · doi:10.1113/jphysiol.2003.043182 · Cited by 40
Body temperature and sleep: Are they controlled by the same mechanism?
Kumar, V. M. (2004) · Sleep and Biological Rhythms · doi:10.1111/j.1479-8425.2004.00136.x · Cited by 27
Toe temperature change: a measure of sleep onset?
Cc, B. (1980) · PubMed · Cited by 16
Aizawa, S., Tokura, H., & Morita, T. (2002) · Journal of Thermal Biology · doi:10.1016/s0306-4565(01)00024-9 · Cited by 15
Principles and Practice of Sleep Medicine, 3rd ed
Chokroverty, S. (2001) · Archives of Neurology · doi:10.1001/archneur.58.8.1307-a · Cited by 10
Research works printed but not linked: 11
- Brown C. C, 1979, Waking Sleeping, 3, 353
- Cagnacci A., 1992, J. Clin. Endocrinol. Metab., 75, 447
- Dubocovich M., 2000, Melatonin After Four DecadesKluwer Academic Edition, 181
- Grant R. T., 1931, Heart, 15, 385
- Hales J. R.S, 1985, Cardiovascular Shunts. Alfred Benzon Symposium 21, 433
- Kräuchi K., 1994, Am. J. Physiol., 267, R819
- Kräuchi K., 1997, Sleep Res., 26, 79
- Kräuchi K., 1999, Sleep, 22, 285
- Kräuchi K., 2000, Am. J. Physiol., 278, R741
- Kräuchi K., 2002, Chronobiol. Int., 19, 993
- Szymusiak R., 2001, Arch. Ital. Biol., 139, 77
Cited by
Sorted by citations
Melatonin: A Multitasking Molecule
Reiter, R. J., Tan, D. X., & Fuentes‐Broto, L. (2010) · Progress in brain research · doi:10.1016/s0079-6123(08)81008-4 · Cited by 642
Functional roles of melatonin in plants, and perspectives in nutritional and agricultural science
Tan, D. X., Hardeland, R., Manchester, L. C., Korkmaz, A., Ma, S., Rosales‐Corral, S., & Reiter, R. J. (2011) · Journal of Experimental Botany · doi:10.1093/jxb/err256 · Cited by 627
Stehle, J. H., Saade, A., Rawashdeh, O., Ackermann, K., Jilg, A., Sebesteny, T., & Maronde, E. (2011) · Journal of Pineal Research · doi:10.1111/j.1600-079x.2011.00856.x · Cited by 405
Biological Rhythm and Chronotype: New Perspectives in Health
Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., & Roveda, E. (2021) · Biomolecules · doi:10.3390/biom11040487 · Cited by 400
Physiology and pharmacology of melatonin in relation to biological rhythms
Zawilska, J. B., Skene, D. J., & Arendt, J. (2009) · Pharmacological Reports · doi:10.1016/s1734-1140(09)70081-7 · Cited by 348
Metadata
- Authors
- Kräuchi, K., Cajochen, C., Pache, M., Flammer, J., & Wirz‐Justice, A.
- Affiliations
- Universitäre Psychiatrische Kliniken Basel (CH)
- University Hospital of Basel (CH)
- Corresponding author
- Kräuchi, Kurt
- Venue
- Chronobiology International
- Publisher
- Informa UK Limited
- Published
- 2006-01
- Volume
- 23
- Issue
- 1-2
- Pages
- 475-484
- ISSN
- 0742-0528 (ISSN-L)
- 1525-6073
- OpenAlex
- W2112943789
- Cited by
- 152
- References
- 40
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 7 · 2023: 8 · 2022: 10 · 2021: 12 · 2020: 9 · 2019: 16 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 1 · 2014: 6 · 2013: 12 · 2012: 6
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronobiology International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- melatonin, thermoregulation, sleepiness, sleep induction, thermoregulatory set point, circadian rhythm, arousal system, skin temperature, heat loss, orthostatic challenge, sympathetic nervous system, finger temperature, arteriovenous anastomoses
- MeSH terms
- Adult, Body Temperature Regulation, Circadian Rhythm, Hot Temperature, Humans, Male, Melatonin, Models, Biological, Skin Temperature, Sleep, Sleep Stages, Temperature, Time Factors
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