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Pineal Calcification, Melatonin Production, Aging, Associated Health Consequences and Rejuvenation of the Pineal Gland
Open accessAbstract
The pineal gland is a unique organ that synthesizes melatonin as the signaling molecule of natural photoperiodic environment and as a potent neuronal protective antioxidant. An intact and functional pineal gland is necessary for preserving optimal human health. Unfortunately, this gland has the highest calcification rate among all organs and tissues of the human body. Pineal calcification jeopardizes melatonin’s synthetic capacity and is associated with a variety of neuronal diseases. In the current review, we summarized the potential mechanisms of how this process may occur under pathological conditions or during aging. We hypothesized that pineal calcification is an active process and resembles in some respects of bone formation. The mesenchymal stem cells and melatonin participate in this process. Finally, we suggest that preservation of pineal health can be achieved by retarding its premature calcification or even rejuvenating the calcified gland.
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![Figure 2 The different levels and shapes of melatonin circadian rhythms in the CSF of the third ventricle and in the peripheral blood. The nightly melatonin levels in CSF of the third ventricle are more robust than those in the peripheral plasma and also exhibit sharp rises and falls (square wave). The pattern of the melatonin circadian rhythm in CSF of the third ventricle is similar to that of the pineal gland rather than in the plasma (see the insert part which illustrates the melatonin synthetic pattern in pineal gland of rat). The data was obtained from the long term (5 days) pineal gland dialysis in a free running rat. Extrapineal-generated melatonin and the diet-derived melatonin may increase peripheral plasma melatonin levels; however, they do not mimic the pattern and reach the high level of the melatonin circadian rhythm in the CSF of the third ventricle to impact the function of bio-clock. From Tan et al. [63].](/paper-figures/585c93d6d1504149a48f99aa86c06f96/pineal-calcification-melatonin-production-aging-associated-health-consequences-figure-2.jpg)
![Figure 3 The laminated pineal gland calcification at different ages and their similarity to the osteons of compact bone. (A) Pineal calcification in 14 year old subject; (B) 47 year old; (C) 62 year old; (D) osteons; (A–C) were modified from Hermann et al. [239].](/paper-figures/6f65e8b058774a49a100942c7073c223/pineal-calcification-melatonin-production-aging-associated-health-consequences-figure-3.jpg)
![Figure 4 The proposed mechanisms underlying melatonin’s actions on bone formation. (A) melatonin induces MSCs differentiation into osteoblasts via MT2; (B) it promotes osteoprotegerin (OPG) expression in preosteoblasts which would inactive RANKL, leading to a suppression of osteoclastogenesis; and (C) through melatonin’s free-radical scavenging and antioxidant properties, protecting against radical induced loss of osteoblasts and osteoclasts. PTH (parathyroid hormone); Type I col (type I collagen); OSP (osteopontin); BMP-2 (bone morphogenetic protein 2); ALP (alkaline phosphatase); OCN (osteocalcin); TRAP (tartrate-resistant acid phosphatase); RANKL (receptor activator of NFĸB ligand); OPG (osteoprotegerin). From Maria and Witt-Enderby [262].](/paper-figures/e32c1c501c1745739ce183820023e627/pineal-calcification-melatonin-production-aging-associated-health-consequences-figure-4.jpg)
![Figure 5 Histology and ultrastructure of cells located in a concretion of the turkey pineal gland. (A) mature concretions identified with Mallory’s stain. Two types of cells are present in the concretion (semi-thin section stained with toluidine blue); (B) polygonal cells; (C) elongated cells; (D) The presence of calcium in the concretions was demonstrated with Alizarin red S; note the characteristic appearance of cells located in the concretion; (E) ultrastructure of cells located in the calcified area (fixation with the PPA method). 1: the osteocyte-like cell surrounded by mineralized collagen fibrils in the central part of the calcification area. Note the “halo” around the cell and large pyroantimonate precipitate located mainly outside the cell membrane, 2: the junction of processes of osteocyte-like cells, 3: a cell showing a fibrocyte-like appearance in the peripheral part of the calcification area. Note the extra-cellular matrix containing collagen and calcium deposits, 4: numerous calcium precipitates in the intercellular spaces in the peripheral part of the calcification area, 5: The cell process with scattered deposits in the middle part of the concretion. Note the adjacent extra-cellular matrix rich in collagen and pyroantimonate precipitates. Modified from Przybylska-Gornowicz et al. [159].](/paper-figures/85daa9cd9c304e078399ce5c2f448c80/pineal-calcification-melatonin-production-aging-associated-health-consequences-figure-5.jpg)
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“It is present in nearly all bodily fluids: cerebrospinal fluid, saliva, bile, synovial fluid, amniotic fluid, urine, feces, semen, and breast milk [16,19,20].”
From Is Melatonin the “Next Vitamin D”?: A Review of Emerging Science, Clinical Uses, Safety, and Dietary Supplements (2022) · cites this paper as [16]
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“In fact, it has been suggested to be one of the most potent antioxidants because of its ability to scavenge up to 10 reactive oxygen (ROS) and nitrogen species (RNS) with its metabolites compared with most antioxidants, which may only be able to quench a few ROS [16,23,24].”
From Is Melatonin the “Next Vitamin D”?: A Review of Emerging Science, Clinical Uses, Safety, and Dietary Supplements (2022) · cites this paper as [16]
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“not have a circadian rhythm, and only pineal melatonin is important as a chemical signal of darkness.(18) Reduction of pineal-derived mela-”
InfluentialThe circadian variation of sleep and alertness of postmenopausal women
Pérez‐Medina‐Carballo, R., Kosmadopoulos, A., Boudreau, P., Robert, M., Walker, C., & Boivin, D. B. (2022) · SLEEP · doi:10.1093/sleep/zsac272 · Cited by 20
Beriwal, N., Namgyal, T., Sangay, P., & Quraan, A. M. A. (2019) · Heliyon · doi:10.1016/j.heliyon.2019.e01190 · Cited by 19
Circadian clock genes and insomnia: molecular mechanisms and therapeutic implications
Ren, Q., Gu, M., & Xu, F. (2025) · Annals of Medicine · doi:10.1080/07853890.2025.2576643 · Cited by 22
“The light–dark cycle synchronizes the circadian clock by regulating Per gene expression in the SCN, which in turn affects melatonin rhythm [50].”
Ключевые молекулярные механизмы старения, биомаркеры и потенциальные интервенции
Proshkina, E., Соловьёв, И. А., Shaposhnikov, M. V., & Moskalev, A. A. (2020) · Molecular Biology · doi:10.31857/s0026898420060099 · Cited by 18
Cerebrovascular Disease in the Young Adult: Examining Melatonin’s Possible Multiple Roles
Onaolapo, A. Y., Onaolapo, O. J., & Nathaniel, T. I. (2019) · Journal of Experimental Neuroscience · doi:10.1177/1179069519827300 · Cited by 17
Wu, Q., Gao, G., Kwok, L., Lv, H., & Sun, Z. (2025) · Journal of Advanced Research · doi:10.1016/j.jare.2025.07.005 · Cited by 18
Gall, A. J., & Shuboni‐Mulligan, D. D. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.911153 · Cited by 18
The endocrine system and associated disorders
Ashwell, E. (2022) · British Journal of Nursing · doi:10.12968/bjon.2022.31.6.316 · Cited by 16
Role of Melatonin in Angiotensin and Aging
Şehirli, A. Ö., Sayıner, S., Chukwunyere, U., & Serakıncı, N. (2021) · Molecules · doi:10.3390/molecules26154666 · Cited by 14
“This decline could be at‐ tributed to the decrease in the number of β‐adrenergic receptors in the pineal gland as well as a decrease in the expression of AANAT/SNAT genes [117,118].”
BackgroundGe, W., Yan, Z., Wang, L., Tan, S., Liu, J., Reiter, R. J., Luo, S., Sun, Q., & Shen, W. (2021) · Journal of Pineal Research · doi:10.1111/jpi.12742 · Cited by 18
Self-citationIn and around the pineal gland: a neuroimaging review
Zaccagna, F., Brown, F. S., Allinson, K. S. J., Devadass, A., Kapadia, A. N., Massoud, T. F., & Matys, T. (2021) · Clinical Radiology · doi:10.1016/j.crad.2021.09.020 · Cited by 15
Khalifa, H., & Felemban, O. M. (2021) · Oral Radiology · doi:10.1007/s11282-020-00499-y · Cited by 14
“Some studies pointed out the association between pineal calcification and schizophrenia [47].”
BackgroundMolecular and cellular mechanisms of ageing: modern knowledge (literature review)
Михеев, Р. К., Andreeva, E. N., Grigoryan, O. R., Sheremetyeva, E. V., Absatarova, Y. S., Сергеевна, О. А., & Николаевна, О. О. (2023) · Problems of Endocrinology · doi:10.14341/probl13278 · Cited by 19
“…па-циентов (≥60 лет) чаще выявляется субклинический ги-потиреоз с уровнем тиреотропного гормона в пределах 7–10 мЕд/л [35], снижение фракций общего и свободного тестостерона [36], а также выраженное снижение пико-вой концентрации мелатонина в среднем на 50% от уров-ня 20-летнего возраста [37].”
Brusco, L. I., Cruz, P., Cangas, A. V., Rojas, C. G., Vigo, D. E., & Cardinali, D. P. (2021) · Melatonin Research · doi:10.32794/mr11250089 · Cited by 14
“Melatonin, due to its high diffusibility, is not stored inside the pineal and is released as soon as it is produced (45).”
BackgroundMelatonin: A Potential Antineoplastic Agent in Breast Cancer
Samanta, S. (2022) · Journal of Environmental Pathology Toxicology and Oncology · doi:10.1615/jenvironpatholtoxicoloncol.2022041294 · Cited by 14
Żełabowski, K., Pichowicz, W., Skowron, I., Szwach, J., Biedka, K., Wesołowski, M., Błaszczyk, K., Ziobro, O., Petrov, W., Kukula-Koch, W. A., et al. (2025) · Molecules · doi:10.3390/molecules30183814 · Cited by 15
“The concentrations observed in these foods may contribute to the modulation of physiological functions, including circadian rhythm regulation and antioxidant defense mechanisms [220–222].”
Melatonin: an elicitor of plant tolerance under prevailing environmental stresses
Dawood, M. F. A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-91005-7.00002-3 · Cited by 13
Tsai, Y.-L., Yen, C.-T., & Wang, Y. (2022) · Journal of Alzheimer s Disease · doi:10.3233/jad-220218 · Cited by 12
Microglia in Circumventricular Organs: The Pineal Gland Example
Muñoz, E. M. (2022) · ASN NEURO · doi:10.1177/17590914221135697 · Cited by 14
“PG calcification progresses with ageing and is associated with lower production of the hormone melatonin (MEL), and pathological conditions related to neurodegenerative diseases and circadian disorders (Tan et al., 2018).”
BackgroundComparative study of calcification in human choroid plexus, pineal gland, and habenula
Junemann, O., Ivanova, A. G., Bukreeva, I., Zolotov, D. A., Fratini, M., Cedola, A., Wilde, F., Dyachkova, I. G., Krivonosov, Y. S., Otlyga, D., et al. (2023) · Cell and Tissue Research · doi:10.1007/s00441-023-03800-7 · Cited by 13
Chronobiotic and cytoprotective activity of melatonin in the cardiovascular system. Doses matter
Cardinali, D. P., & Vigo, D. E. (2024) · npj Biological Timing and Sleep · doi:10.1038/s44323-024-00007-z · Cited by 14
“Melatonin is not stored in the pineal and is released as soon as it is produced 67 .”
Melatonin as a Chronobiotic and Cytoprotector in Non-communicable Diseases: More than an Antioxidant
Cardinali, D. P., Pandi-Perumal, S. R., & Brown, G. M. (2024) · Sub-cellular biochemistry/Subcellular biochemistry · doi:10.1007/978-3-031-66768-8_11 · Cited by 13
Ning, G., Li, B.-N., Wu, H. B. K., Shi, R.-B., Peng, A.-J., Wang, H., & Zhou, X. W. (2025) · Asian Journal of Andrology · doi:10.4103/aja20258 · Cited by 13
Self-citationCarving the senescent phenotype by the chemical reactivity of catecholamines: An integrative review
Golubev, A. G. (2022) · Ageing Research Reviews · doi:10.1016/j.arr.2022.101570 · Cited by 12
Yang, C., Lu, Z., Xia, Y., Zhang, J., Zou, Z., Chen, C., Wang, X., Tian, X., Cheng, S., & Jiang, X. (2023) · International Journal of Nanomedicine · doi:10.2147/ijn.s386240 · Cited by 11
“Melatonin was synthesized in many mammal tissues and organs, including the ovary, retina, gland, gut, skin and bone marrow.(49) Available studies have found that melatonin is also synthesized and secreted in large quantities in the gut, mainly by enterochromaffin cells and melatonin is present in different concentrati…”
BackgroundBioactive Peptides in Dairy Milk: Highlighting the Role of Melatonin
Andrani, M., Dall’Olio, E., RENSIS, F. D., Tummaruk, P., & Saleri, R. (2024) · Biomolecules · doi:10.3390/biom14080934 · Cited by 14
Park, J., Han, J. W., Suh, S. W., Byun, S., Han, J. H., Bae, J. B., Kim, J. H., & Kim, K. W. (2020) · Aging · doi:10.18632/aging.102661 · Cited by 11
“Although the effects of pineal calcification on melatonin production or human REM sleep remain unclear, a couple of previous studies argue that pineal calcification may inhibit the capacity for pineal melatonin synthesis and be associated with polysomnographic sleep parameters in humans [19, 33].”
BackgroundMicromorphology of pineal gland calcification in age‐related neurodegenerative diseases
Bukreeva, I., Junemann, O., Cedola, A., Brun, F., Longo, E., Tromba, G., Wilde, F., Chukalina, M. V., Krivonosov, Y. S., Dyachkova, I. G., et al. (2022) · Medical Physics · doi:10.1002/mp.16080 · Cited by 11
Melatonin and Lipid Peroxidation: Antioxidant Shield and Therapeutic Potential
Volpe, O. A. J. N., Zuccari, D. A. P. D. C., Chuffa, L. G. D. A., & Reiter, R. J. (2025) · Frontiers in Bioscience-Landmark · doi:10.31083/fbl45321 · Cited by 12
Self-citationGhorbanlou, M., Moradi, F., & Mehdizadeh, M. (2021) · Anatomy & Cell Biology · doi:10.5115/acb.21.137 · Cited by 10
“The other is that the high vascular supply to pineal gland makes it a vulnerable organ for calcification because of chronic vascular inflammation which causes the mesenchymal stem cells (MSCs) migration or proliferation due to increased levels of cytokines and the interaction between MSCs and inflammatory mediators ac…”
BackgroundLlamas, J. L. L., Villafaina, S., Murillo-García, Á., Domínguez, P. R., & Gusi, N. (2021) · Acta Neuropsychiatrica · doi:10.1017/neu.2021.35 · Cited by 10
“The pineal gland has one of the highest calcification rates among organs and tissues (Yalcin et al., 2016; Tan et al., 2018).”
BackgroundPineal Gland from the Cell Culture to Animal Models: A Review
Peruri, A., Morgan, A., D’Souza, A., Mellon, B., Hung, C. W., Kayal, G., Shin, H., Nguyen, K. A., Zahed, M., Yount, M., et al. (2022) · Life · doi:10.3390/life12071057 · Cited by 10
Investigation of the human pineal gland 3D organization by X-ray phase contrast tomography
Bukreeva, I., Junemann, O., Cedola, A., Palermo, F., Maugeri, L., Provinciali, G. B., Pieroni, N., Sanna, A., Otlyga, D., Buzmakov, A. V., et al. (2020) · Journal of Structural Biology · doi:10.1016/j.jsb.2020.107659 · Cited by 10
Effects of ambient light on mood and its mechanism
Li, Y., Ru, T., Siyu, L. I., Hanyu, C. H. E. N., Shuya, X. I. E., & Zhou, G. (2021) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2022.00389 · Cited by 10
Multifaceted dynamics of circadian timing system influence aging and longevity
Jagota, A., Khan, Z. A., Sharma, S. A., & Priyanka (2025) · Biogerontology · doi:10.1007/s10522-025-10324-w · Cited by 9
“Experimental studies support these findings as pinealectomy in rats is linked to accelerated aging, while melatonin supplementation or pineal gland grafting from younger animals prolongs lifespan (Pierpaoli and Regelson 1994; Tan et al. 2018).”
Regulation of Photosynthesis by Melatonin Under Optimal and Suboptimal Conditions
Hussain, A., Faizan, M., & Ahmed, S. (2024) · Plant life and environment dynamics · doi:10.1007/978-981-99-8051-2_3 · Cited by 9
Fluoride-Free Diet Stimulates Pineal Growth in Aged Male Rats
Mrvelj, A., & Womble, M. D. (2019) · Biological Trace Element Research · doi:10.1007/s12011-019-01964-4 · Cited by 9
López-Valverde, N., López‐Valverde, A., Aragoneses, J. M., Martínez‐Martínez, F., González-Escudero, M. C., & Ramírez, J. M. (2021) · Coatings · doi:10.3390/coatings11070777 · Cited by 9
Circadian Rhythms: Physiological and Pathophysiological Aspects
Дроговоз, С. М., Серединська, Н. М., Shtroblia, A. L., Luk’yanchyuk, V. D., Луценко, Р. В., Крутських, Т. В., Panfilova, A. L., Derymedvid, L. V., & Shtroblia, M. V. (2022) · Neurophysiology · doi:10.1007/s11062-024-09949-3 · Cited by 8
“There is ample evidence that melatonin stabilizes and enhances circadian rhythms, especially sleep/arousal ones [20–22].”
Melatonin in Glaucoma: Integrative Mechanisms of Intraocular Pressure Control and Neuroprotection
Hou, X., & Pan, Y. (2025) · Biomedicines · doi:10.3390/biomedicines13051213 · Cited by 8
“Melatonin possesses the remarkable capacity to scavenge up to 10 reactive oxygen and nitrogen species (ROS/RNS) through its metabolic cascade, substantially outperforming classical antioxidants that typically target only a limited range of radicals [56–58].”
Metadata
- Authors
- Tan, D., Xu, B., Zhou, X., & Reiter, R.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Tan, Dun
- Reiter, Russel
- Venue
- Molecules
- Publisher
- MDPI AG
- Published
- 2018-01-31
- Volume
- 23
- Issue
- 2
- Pages
- 301
- ISSN
- 1420-3049 (ISSN-L)
- PMC
- PMC6017004
- OpenAlex
- W2790796192
- Cited by
- 220
- References
- 305
- Citations by year
- 2026: 17 · 2025: 30 · 2024: 30 · 2023: 33 · 2022: 30 · 2021: 32 · 2020: 24 · 2019: 19 · 2018: 5
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecules (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Keywords
- pineal gland calcification, melatonin, pineal gland, aging, neuroprotection, antioxidant signaling, photoperiod, mesenchymal stem cells, neuronal diseases
- MeSH terms
- Aging, Animals, Calcinosis, Humans, Melatonin, Pineal Gland, Rejuvenation
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