Melatonin and inflammation-Story of a double-edged blade
Open accessAbstract
Melatonin is an immune modulator that displays both pro‐ and anti‐inflammatory properties. Proinflammatory actions, which are well documented by many studies in isolated cells or leukocyte‐derived cell lines, can be assumed to enhance the resistance against pathogens. However, they can be detrimental in autoimmune diseases. Anti‐inflammatory actions are of particular medicinal interest, because they are observed in high‐grade inflammation such as sepsis, ischemia/reperfusion, and brain injury, and also in low‐grade inflammation during aging and in neurodegenerative diseases. The mechanisms contributing to anti‐inflammatory effects are manifold and comprise various pathways of secondary signaling. These include numerous antioxidant effects, downregulation of inducible and inhibition of neuronal NO synthases, downregulation of cyclooxygenase‐2, inhibition of high‐mobility group box‐1 signaling and toll‐like receptor‐4 activation, prevention of inflammasome NLRP3 activation, inhibition of NF‐κB activation and upregulation of nuclear factor erythroid 2‐related factor 2 (Nrf2). These effects are also reflected by downregulation of proinflammatory and upregulation of anti‐inflammatory cytokines. Proinflammatory actions of amyloid‐β peptides are reduced by enhancing α‐secretase and inhibition of β‐ and γ‐secretases. A particular role in melatonin's actions seems to be associated with the upregulation of sirtuin‐1 (SIRT1), which shares various effects known from melatonin and additionally interferes with the signaling by the mechanistic target of rapamycin (mTOR) and Notch, and reduces the expression of the proinflammatory lncRNA‐CCL2. The conclusion on a partial mediation by SIRT1 is supported by repeatedly observed inhibitions of melatonin effects by sirtuin inhibitors or knockdown.
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Melatonin has anti-inflammatory effects on activated microglia.
“Anti-inflammatory effects of melatonin on activated microglia have already been demonstrated with several in vitro and in vivo experiments (6, 9).”
From Melatonin Attenuates LPS-Induced Acute Depressive-Like Behaviors and Microglial NLRP3 Inflammasome Activation Through the SIRT1/Nrf2 Pathway (2019) · cites this paper as [9]
Indirect Nrf2 activation by melatonin has been shown in many experimental inflammation and inflammasome studies.
“Indirect Nrf2 activation by melatonin has been shown in many experimental inflammation and inflammasome studies (9).”
From Melatonin Attenuates LPS-Induced Acute Depressive-Like Behaviors and Microglial NLRP3 Inflammasome Activation Through the SIRT1/Nrf2 Pathway (2019) · cites this paper as [9]
SIRT1 is a key molecule that can mediate many functions of melatonin.
“It is well known that SIRT1 is a key molecule that can mediate many functions of melatonin (9, 37).”
From Melatonin Attenuates LPS-Induced Acute Depressive-Like Behaviors and Microglial NLRP3 Inflammasome Activation Through the SIRT1/Nrf2 Pathway (2019) · cites this paper as [9]
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Flagged first, then by citations
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“Previous studies have shown multiple antiinflammatory effects, including inhibition of the expression of neuronal NO synthase and cyclooxygenase2, reducing the BOX-1 signal of the high-mobility group and activating Toll-like receptor-4, negatively regulating NLRP3, inhibiting the activation of NF-κB, and positively re…”
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- Authors
- Hardeland, R.
- Affiliations
- University of Göttingen (DE)
- Corresponding author
- Hardeland, Rüdiger
- ORCID
- Hardeland, Rüdiger
- Venue
- Journal of Pineal Research
- Publisher
- Wiley
- Published
- 2018-10-12
- Volume
- 65
- Issue
- 4
- Pages
- e12525-e12525
- ISSN
- 0742-3098 (ISSN-L)
- 1600-079X
- OpenAlex
- W2893502788
- Cited by
- 455
- References
- 322
- Citations by year
- 2026: 42 · 2025: 53 · 2024: 58 · 2023: 51 · 2022: 74 · 2021: 70 · 2020: 56 · 2019: 49 · 2018: 2
- FWCI
- 6.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Pineal Research (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- melatonin, inflammation, pro-inflammatory effects, anti-inflammatory activity, autoimmune disease, sepsis, ischemia-reperfusion injury, brain injury, aging, neurodegenerative diseases, antioxidant activity, nitric oxide synthase, cyclooxygenase-2, HMGB1, TLR4, NLRP3 inflammasome, NF-κB, Nrf2, cytokines, amyloid-beta, secretases, SIRT1, mTOR, notches
- MeSH terms
- Animals, Humans, Inflammation, Melatonin, Signal Transduction, NF-E2-Related Factor 2, Sirtuin 1
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