Distribution, function and physiological role of melatonin in the lower gut
Open accessAbstract
Melatonin is a hormone with endocrine, paracrine and autocrine actions. It is involved in the regulation of multiple functions, including the control of the gastrointestinal (GI) system under physiological and pathophysiological conditions. Since the gut contains at least 400 times more melatonin than the pineal gland, a review of the functional importance of melatonin in the gut seems useful, especially in the context of recent clinical trials. Melatonin exerts its physiological effects through specific membrane receptors, named melatonin-1 receptor (MT1), MT2 and MT3. These receptors can be found in the gut and their involvement in the regulation of GI motility, inflammation and pain has been reported in numerous basic and clinical studies. Stable levels of melatonin in the lower gut that are unchanged following a pinealectomy suggest local synthesis and, furthermore, implicate physiological importance of endogenous melatonin in the GI tract. Presently, only a small number of human studies report possible beneficial and also possible harmful effects of melatonin in case reports and clinical trials. These human studies include patients with lower GI diseases, especially patients with irritable bowel syndrome, inflammatory bowel disease and colorectal cancer. In this review, we summarize the presently available information on melatonin effects in the lower gut and discuss available in vitro and in vivo data. We furthermore aim to evaluate whether melatonin may be useful in future treatment of symptoms or diseases involving the lower gut.
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There is 400 times more melatonin in the gut mucosa than in the pineal gland.
“Even though the pineal gland receives much attention for its melatonin production, there is 400 times more melatonin in the gut mucosa [5].”
From Is Melatonin the “Next Vitamin D”?: A Review of Emerging Science, Clinical Uses, Safety, and Dietary Supplements (2022) · cites this paper as [5]
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Re: Mann—melatonin for ulcerative colitis?
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Flagged first, then by citations
Research works printed but not linked: 6
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Cited by
Sorted by citations
Melatonin in type 2 diabetes mellitus and obesity
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“there is 400 times more melatonin in the gut mucosa [5].”
BackgroundMelatonin in the colon modulates intestinal microbiota in response to stress and sleep deprivation
Park, Y. S., Kim, S. H., Park, J. W., Kho, Y., Seok, P. R., Shin, J.-H., Choi, Y. J., Jun, J.-H., Jung, H. C., & Kim, E. K. (2020) · Intestinal Research · doi:10.5217/ir.2019.00093 · Cited by 67 · see citing works
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- Authors
- Chen, C.-Q.
- Venue
- World Journal of Gastroenterology
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2011
- Volume
- 17
- Issue
- 34
- Pages
- 3888
- ISSN
- 1007-9327 (ISSN-L)
- PMC
- PMC3198018
- OpenAlex
- W2170448720
- Cited by
- 255
- References
- 142
- Citations by year
- 2026: 19 · 2025: 27 · 2024: 26 · 2023: 15 · 2022: 22 · 2021: 29 · 2020: 14 · 2019: 17 · 2018: 13 · 2017: 10 · 2016: 22 · 2015: 9 · 2014: 11 · 2013: 14 · 2012: 6
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Gastroenterology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- melatonin, lower gastrointestinal tract, melatonin receptors, MT1 receptor, MT2 receptor, MT3 receptor, gastrointestinal motility, intestinal inflammation, irritable bowel syndrome, inflammatory bowel disease, colorectal cancer, pinealectomy
- MeSH terms
- Animals, Clinical Trials as Topic, Colon, Gastrointestinal Diseases, Gastrointestinal Motility, Humans, Ileum, Melatonin, Gastrointestinal Tract, Receptors, Melatonin
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