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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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In the citing paper
“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]
In the citing paper
“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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Citations
Cites
3 retracted
Zhou, H., Du, W., Li, Y., Chen, S., Hu, N., Ma, S., Wang, W., & Ren, J. T. (2017) · Journal of Pineal Research · doi:10.1111/jpi.12450 · Cited by 292
RetractedMortezaee, K., Khanlarkhani, N., Sabbaghziarani, F., Nekoonam, S., Majidpoor, J., Hosseini, A., Pasbakhsh, P., Kashani, I. R., & Zendedel, A. (2017) · Cell and Tissue Research · doi:10.1007/s00441-017-2604-1 · Cited by 70
RetractedKashani, I. R., Rajabi, Z., Akbari, M., Hassanzadeh, G., Mohseni, A., Eramsadati, M. K., Rafiee, K., Beyer, C., Kipp, M., & Zendedel, A. (2014) · Experimental Brain Research · doi:10.1007/s00221-014-3946-5 · Cited by 56
RetractedPineal Melatonin: Cell Biology of Its Synthesis and of Its Physiological Interactions*
REITER, R. J. (1991) · Endocrine Reviews · doi:10.1210/edrv-12-2-151 · Cited by 2,192
Self-citationMelatonin as an antioxidant: under promises but over delivers
Reiter, R. J., Mayo, J. C., Tan, D. X., Sainz, R. M., Alatorre-Jiménez, M. A., & Qin, L. (2016) · Journal of Pineal Research · doi:10.1111/jpi.12360 · Cited by 1,777
Self-citationISOLATION OF MELATONIN, THE PINEAL GLAND FACTOR THAT LIGHTENS MELANOCYTES 1
Lerner, A. B., Case, J. D., TAKAHASHI, Y., Lee, T. H., & Mori, W. (1958) · Journal of the American Chemical Society · doi:10.1021/ja01543a060 · Cited by 1,759
Melatonin : a potent, endogenous hydroxyl radical scavenger
Tan, D. (1993) · Endocrine Journal · Cited by 1,659
Self-citationExtrapineal melatonin: sources, regulation, and potential functions
Acuña-Castroviejo, D., Escames, G., Venegas, C., Díaz-Casado, M. E., Lima‐Cabello, E., López, L. C., Rosales‐Corral, S., Tan, D., & Reiter, R. J. (2014) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-014-1579-2 · Cited by 1,133
Self-citationKhan, S. R., Pearle, M. S., Robertson, W., Gambaro, G., Canales, B. K., Doizi, S., Traxer, O., & Tiselius, H. (2016) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2016.8 · Cited by 1,103
Hattori, A., Migitaka, H., Iigo, M., Itoh, M., Yamamoto, K., Ohtani‐Kaneko, R., Hara, M., Suzuki, T., & Reiter, R. J. (1995) · PubMed · Cited by 827
Self-citation
Research works printed but not linked: 4
- Commentz, 1986, Pineal calcification does not affect melatonin production, J. Neural Transm. Suppl., 21, 481
- Welsh, 1985, Pineal calcification: Structural and functional aspects, Pineal Res. Rev., 3, 41
- Welsh, 1977, Effects of superior cervical gangalinectomy, constant light and bliding on the gerbil pineal gland: An ultrastructural analysis, Anat. Rec., 187, 746
- Krstic, 1976, Human pineal acervuli: Ultrastructural and X-ray energy dispensive microprobe analysis, Experientia, 32, 800
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“The pineal gland is an organ present in animals’ bodies, responsible for the production of melatonin in order to control the behavior of the body toward changing photoperiod and also serve as a neuronal protective antioxidant [3].”
Background
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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