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The Circadian Rhythm of Plasma Melatonin During the Normal Menstrual Cycle and in Amenorrheic Women*
Abstract
Plasma melatonin, PRL, and LH levels were measured in samples collected every 2 h for 24 h from 14 normally cycling women during the early follicular, periovulatory, and luteal phases of their menstrual cycles. Plasma melatonin levels also were measured in samples collected at the same interval from 7 patients with hypothalamic amenorrhea. A distinct daily rhythm in plasma melatonin was evident in all subjects, with peaks occurring around 0300 h. Each woman's rhythm was remarkably consistent throughout the menstrual cycle (in terms of the phase, amplitude, and total melatonin secreted). Plasma PRL levels also exhibited daily rhythms which did not change during the menstrual cycle; the nocturnal peak plasma PRL level tended to occur 1-2 h after that for melatonin. Among the amenorrheic women, both daytime and nighttime melatonin levels were significantly higher (P less than 0.005) than in the normal women. Their plasma PRL levels were similar to those in the normal women. We conclude that, as for PRL, the circadian rhythm of melatonin secretion does not change significantly during the normal menstrual cycle. The elevated plasma melatonin levels in women with hypothalamic amenorrhea suggest that the hormone may be involved in the neuroendocrine pathology underlying this disorder.
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“PRL showed either a trend for increased amplitude during the LP compared to the FP [64] or no change across the menstrual cycle [60].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [60]
In the citing paper
“Most other studies have found no change in the patterns of melatonin secretion (including onset, offset, duration, midpoint, and AUC) across the menstrual cycle in healthy women [47, 60–62, 65, 67].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [60]
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Melatonin in relation to physiology in adult humans
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BackgroundResultInfluentialGeomagnetic Storms: Association with Incidence of Depression as Measured by Hospital Admission
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“Increases in circulating melatonin levels have been associated with hypothalamic amenorrhea (25,26), and with certain types of hypogonadism (27,28).”
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“Initial assays for melatonin, estradiol, and progesterone have been described elsewhere (24, 25).”
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“In more extensive normal control studies, Brzezinski et al.(13) (sampling every 2 h) and Berga and Yen(14) (sampling every 30 min) found that melatonin circadian rhythms were relatively stable and resistant to hormonal influences during the menstrual cycle.”
BackgroundPhillips, L., & Appleton, R. E. (2004) · Developmental Medicine & Child Neurology · doi:10.1017/s001216220400132x · Cited by 91
Melatonin in perimenopausal and postmenopausal women
Toffol, E., Kalleinen, N., Haukka, J. K., Vakkuri, O., Partonen, T., & Polo‐Kantola, P. (2013) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e3182a6c8f3 · Cited by 92
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Melatonin-Related Hypogonadotropic Hypogonadism
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“For example, previous studies have indicated a relationship between the urine levels of melatonin metabolites and work schedule and amenorrhea (Brzezinski et al., 1988; Hansen et al., 2006; Schernhammer et al., 2004; Schernhammer et al., 2006).”
ResultInfluence of melatonin and photoperiod on animal and human reproduction
Cagnacci, A., & Volpe, A. (1996) · Journal of Endocrinological Investigation · doi:10.1007/bf03344974 · Cited by 61
Gonadal steroid modulation of neuroendocrine transduction: A transynaptic view
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SEMINAL PLASMA MELATONIN AND GONADAL STEROIDS CONCENTRATIONS IN NORMAL MEN
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Melatonin: a contraceptive for the nineties
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Chapter II Neurobiology and neuropathology of the human hypothalamus
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Melatonin concentrations in the sudden infant death syndrome
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Self-citationThe pineal gland in human beings: Relevance to pediatrics†
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Light Exposure, Melatonin Secretion, and Menstrual Cycle Parameters: An Integrative Review
Barron, M. L. (2007) · Biological Research For Nursing · doi:10.1177/1099800407303337 · Cited by 48
“…including polycystic ovarian syndrome (PCOS), suggesting that melatonin has a role in promoting ovulation (Bellipani, Bianchi, Pierpaoli, Bulian, & Ilyia, 2001; Berga, Mortola, & Yen, 1988; Brzezinski et al., 1988; Luboshitzsky et al., 2001; Tang, Chan, Tang, & Pang, 1998; Turi & Garzetti, 1993).”
BackgroundAMPLIFICATION OF PULSATILE LH SECRETION BY EXOGENOUS MELATONIN IN WOMEN
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“Nocturnal melatonin production has been shown to increase in women with amenorrhoea in association with changes in hypothalamic-pituitary-gonadal dysfunction (Berga et al., 1988; Brzezinski et al., 1988; Walker et al., 1996).”
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Influence of Melatonin on the Sleep‐Independent Component of Prolactin Secretion
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“Multiple-day assessments of 24-h melatonin levels have been performed before, for example, to study the consistency of plasma melatonin levels between days of different menstruation phases (Brzezinski et al., 1988).”
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Plasma Melatonin Levels in Anorexia Nervosa
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“Furthermore, a widened and lengthened nocturnal MT peak was documented in patients with functional hypothalamic amenorrhoea (Berga et al., 1988; Brzezinski et al., 1988).”
BackgroundMelatonin Pharmacokinetics in Premenopausal and Postmenopausal Healthy Female Volunteers
Markantonis, S. L., Tsakalozou, E., Paraskeva, A., Staikou, ., & Fassoulaki, A. (2007) · The Journal of Clinical Pharmacology · doi:10.1177/0091270007311112 · Cited by 31
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Abnormal melatonin secretion in male patients with hypogonadism
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“Increased melatonin levels were demonstrated in women with hypothalamic ammenorrhea (Berga et al., 1988; Brzezinski et al., 1988; Laughlin et al., 1991), anorexia nervosa (Tortosa et al.”
BackgroundSeasonal Variation of Gonadotropins and Gonadal Steroids Receptors in the Human Pineal Gland
Luboshitzky, R., Dharan, M., Goldman, D., Herer, P., Hiss, Y., & Lavie, P. (1997) · Brain Research Bulletin · doi:10.1016/s0361-9230(97)00106-8 · Cited by 30
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“with varying levels of the normal range of E2) of the normal menstrual cycle, there was no significant difference in nocturnal melatonin secretion ( 2 , 15).”
BackgroundMultiple Sclerosis: The Role of Puberty and the Pineal Gland in its Pathogenesis
Sandyk, R. (1993) · International Journal of Neuroscience · doi:10.3109/00207459308994277 · Cited by 28
Development of pre-implantation, mouse embryos under the influence of pineal indoles
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“Patients with hypothalamic hypogonadism have unusually high plasma melatonin concentrations (Berga etal., 1988; Brzezinski etal., 1988; Tortosa etal., 1989), suggesting that an increased pineal activity may be involved in the pathogenesis of this condition.”
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Effects of exogenous melatonin on pituitary hormones in humans
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“Initial assays for melatonin were described in previously published papers (Anderson et al., 1976; Brzezinski et al., 1988).”
MethodSpontaneous episodic release of adenohypophyseal hormones in hypothalamic amenorrhea
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Menstrual cycle, exercise and health
Dawson, E. A., & Reilly, T. (2008) · Biological Rhythm Research · doi:10.1080/09291010802067213 · Cited by 25
“Brzezinski et al. (1988) reported that women with hypothalamic amenorrhea had elevated levels of melatonin, suggesting that disturbances in the hormone may be involved in the neuroendocrine pathology underlying this disorder.”
BackgroundInfluentialParry, B. L., Meliska, C. J., Martínez, L. F., López, A. M. V., Sorenson, D. L., Hauger, R. L., & Elliott, J. A. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.11.017 · Cited by 24
“In contrast, melatonin rhythms did not change with the menstrual cycle in 11 NC subjects, as also reported by Brzezinski et al. (1988) and Berga and Yen (1990).”
BackgroundPineal and adrenal function before and after refeeding in anorexia nervosa
Kennedy, S. H., Brown, G. M., McVey, G. L., & Garfinkel, P. E. (1991) · Biological Psychiatry · doi:10.1016/0006-3223(91)90106-v · Cited by 23
Circadian and seasonal rhythms of melatonin production in mules (Equus asinus × Equus caballus)
Cozzi, B., Morei, G., Ravault, J. P., Chesneau, D., & Reiter, R. J. (1991) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1991.tb00829.x · Cited by 23
Melatonin and the ovulatory luteinizing hormone surge
Zimmermann, R. C., Schröder, S., Baars, S., et al. (1990) · Fertility and Sterility · doi:10.1016/s0015-0282(16)53817-5 · Cited by 23
The effect of geomagnetic storms on suicide
Gordon, C., & Berk, M. (2003) · Deakin Research Online (Deakin University) · Cited by 21
Tay, C. C. K., Glasier, A. F., Illingworth, P. J., et al. (1993) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1993.tb02415.x · Cited by 21
INCREASED SENSITIVITY TO LIGHT-INDUCED MELATONIN SUPPRESSION IN PREMENSTRUAL DYSPHORIC DISORDER
Parry, B. L., Meliska, C. J., Sorenson, D. L., López, A. M. V., Martínez, L. F., Hauger, R. L., & Elliott, J. A. (2010) · Chronobiology International · doi:10.3109/07420528.2010.503331 · Cited by 20
“Initial assays for plasma melatonin are described previously (Anderson et al., 1976; Brzezinski et al., 1988).”
MethodLuboshitzky, R., Shen‐Orr, Z., Shochat, T., et al. (1999) · Journal of Molecular Neuroscience · doi:10.1385/jmn:12:1:75 · Cited by 19
“Current information suggests that in humans, melatonin and the reproductive hormones maybe interrelated (Brzezinski et al., 1988; Okatani and Sagara, 1994; Luboshitzky et al., 1996a,b,c).”
BackgroundParry, B. L., Meliska, C. J., Sorenson, D. L., Martínez, L. F., López, A. M. V., Elliott, J. A., & Hauger, R. L. (2011) · Chronobiology International · doi:10.3109/07420528.2011.567365 · Cited by 18
“Initial assays are described previously (Anderson et al., 1976; Brzezinski et al., 1988).”
EFFECTS OF LIFESTYLE AND BODY COMPOSITION ON THE OVARY
Yen, S. S. C. (1998) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(05)70047-5 · Cited by 18
RAPID DECREASE IN MELATONIN PRODUCTION DURING SUCCESSFUL TREATMENT OF DELAYED PUBERTY
Arendt, J., Labib, M. H., Bojkowski, C., et al. (1989) · The Lancet · doi:10.1016/s0140-6736(89)92716-5 · Cited by 18
Landy, H., Boepple, P. A., Mansfield, M. J., Charpie, P. M., Schoenfeld, D., Link, K., Romero, G., Crawford, J. D., Crigler, J. F., Blizzard, R. M., et al. (1990) · Pediatric Research · doi:10.1203/00006450-199009000-00011 · Cited by 17
Metadata
- Authors
- BRZEZINSKI, A., LYNCH, H. J., SEIBEL, M. M., DENG, M. H., NADER, T. M., & WURTMAN, R. J.
- Affiliations
- Harvard University (US)
- ORCID
- BRZEZINSKI, AMNON
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1988-05
- Volume
- 66
- Issue
- 5
- Pages
- 891-895
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2009634330
- Cited by
- 177
- References
- 0
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 2 · 2013: 7 · 2012: 1
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (5MO1 RR00088)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Keywords
- plasma melatonin, circadian rhythm, menstrual cycle, hypothalamic amenorrhea, prolactin, luteinizing hormone, nocturnal melatonin secretion
- MeSH terms
- Adult, Amenorrhea, Circadian Rhythm, Female, Follicular Phase, Follicle Stimulating Hormone, Humans, Hypothalamic Diseases, Luteinizing Hormone, Luteal Phase, Melatonin, Menstrual Cycle, Prolactin
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