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Melatonin in regulation of inflammatory pathways in rheumatoid arthritis and osteoarthritis: involvement of circadian clock genes.

British journal of pharmacology
August 1, 2018
Rana Jahanban-Esfahlan et al. (9 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to review melatonin's effects on rheumatoid arthritis (RA) and osteoarthritis (OA), focusing on its regulatory role in inflammatory pathways and circadian rhythms, as well as its potential protective effects on disease pathogenesis.

Results Summary

Melatonin modulates inflammatory pathways and circadian clock genes (e.g., BMAL, CRY, DEC2), influencing cartilage destruction/regeneration in RA and OA. It exhibits cytoprotective effects through NF-κB signaling and receptor-mediated actions, suggesting potential therapeutic benefits.

Population

Patients with rheumatoid arthritis (RA) and osteoarthritis (OA).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Melatonin
neutral
circadian rhythms and joint diseases including RA and OA
-
-
has been proposed as a link
#1
Melatonin
neutral
through binding to specific receptors and intracellular targets
-
-
exerts a diversity of regulatory actions
#2
Melatonin
neutral
as a free radical scavenger
-
-
having receptor-independent actions
#3
Melatonin
neutral
involve a myriad of prominent receptor-mediated pathways/molecules associated with inflammation
-
-
Cytoprotective effects
#4
Melatonin
increase
cartilage destruction/regeneration
-
-
is shown to stimulate
#5
Melatonin
neutral
expression of the main circadian clock genes, such as BMAL, CRY and/or DEC2
-
-
direct/indirect modulation
#6
Melatonin
neutral
ability to regulate inflammatory pathways and circadian rhythms
-
-
effects on RA and OA
#7
Melatonin
neutral
RA and OA pathogenesis
-
-
possible protective effects
#8
Abstract

Rheumatoid arthritis (RA) and osteoarthritis (OA) are the two most prevalent joint diseases. A such, they are important causes of pain and disability in a substantial proportion of the human population. A common characteristic of these diseases is the erosion of articular cartilage and consequently joint dysfunction. Melatonin has been proposed as a link between circadian rhythms and joint diseases including RA and OA. This hormone exerts a diversity of regulatory actions through binding to specific receptors and intracellular targets as well as having receptor-independent actions as a free radical scavenger. Cytoprotective effects of melatonin involve a myriad of prominent receptor-mediated pathways/molecules associated with inflammation, of which the role of omnipresent NF-κB signalling is crucial. Likewise, disturbance of circadian timekeeping is closely involved in the aetiology of inflammatory arthritis. Melatonin is shown to stimulate cartilage destruction/regeneration through direct/indirect modulation of the expression of the main circadian clock genes, such as BMAL, CRY and/or DEC2. In the current article, we review the effects of melatonin on RA and OA, focusing on its ability to regulate inflammatory pathways and circadian rhythms. We also review the possible protective effects of melatonin on RA and OA pathogenesis. LINKED ARTICLES: This article is part of a themed section on Recent Developments in Research of Melatonin and its Potential Therapeutic Applications. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v175.16/issuetoc.

Medical Subject Headings (MeSH)
AnimalsArthritis, RheumatoidCircadian ClocksHumansMelatoninOsteoarthritisSignal Transduction
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations88
Citations/Year12.6
Relative Citation Ratio4.35
NIH Percentile91.3%
Research Impact Scores
APT Score0.75
Weight Score1.18
Normalized Score0.66
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