Human hepatocellular carcinoma: Protection by melatonin.
Study Goal
The researchers aimed to review melatonin's anti-cancer mechanisms and therapeutic potential in human hepatocellular carcinoma (HCC).
Results Summary
Melatonin inhibits apoptosis resistance, activates apoptosis pathways, reduces cancer cell proliferation and invasiveness, modulates oxidative stress, and enhances tumor immunity, primarily via MAPK signaling. Combining melatonin with chemotherapy may amplify these effects.
Population
Human hepatocellular carcinoma (HCC) cell lines.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Melatonin | decrease | apoptosis resistance | human hepatocellular carcinoma (HCC) | - | inhibits | #1 |
Melatonin | increase | extrinsic and intrinsic pathways of apoptosis | human hepatocellular carcinoma (HCC) | - | activates | #2 |
Melatonin | increase | ensoplasmic reticulum (ER)- and autophagy-mediated apoptosis | cancer cells | - | induces | #3 |
Melatonin | decrease | cancer cell proliferation, motility, and invasiveness | - | - | works against | #4 |
Melatonin | decrease | an immunosuppressive state | HCC cancer cells | - | relieves | #5 |
Melatonin | neutral | - | cancer cells | - | provides cumulative effects | #6 |
Despite great scientific breakthroughs toward understanding the identity of human hepatocellular carcinoma (HCC) mechanistically, there are still no clinically efficient therapeutic methods for this cancer. Melatonin (N-acetyl-5-methoxytryptamine) is a multi-tasking hormone that has long been known for its anti-cancer activity against various human cancers including HCC, which is a focus of this review. PubMed database was searched for relevant articles with the keywords: hepatocellular carcinoma (HCC), melatonin, apoptosis, proliferation, invasion, angiogenesis, autophagy, oxidative stress, tumor immunity, and mitogen-activated protein kinase (MAPK) focusing on just human cell lines and English language articles. Melatonin inhibits apoptosis resistance and activates both extrinsic and intrinsic pathways of apoptosis in HCC. Melatonin induces ensoplasmic reticulum (ER)- and autophagy-mediated apoptosis in cancer cells. Melatonin works against cancer cell proliferation, motility, and invasiveness by modulating actions of a variety of transcription factors and related pathways. Melatonin also relieves an immunosuppressive state in HCC cancer cells through making a control over tumor-derived exosomes. Both pro-and anti-oxidative functions of melatonin are necessary for combating HCC. Combination of melatonin with chemotherapy could also provide cumulative effects on cancer cells. Melatonin exerts most of these roles by acting on the members of MAPK family.