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Human hepatocellular carcinoma: Protection by melatonin.

Journal of cellular physiology
October 1, 2018
Keywan Mortezaee
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman StudyMolecular Study
Study Details

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

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AntioxidantsApoptosisAutophagyCarcinoma, HepatocellularCell MovementCell ProliferationEndoplasmic Reticulum StressHumansLiver NeoplasmsMelatoninPubMed
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations56
Citations/Year8.0
Relative Citation Ratio2.39
NIH Percentile79.6%
Research Impact Scores
APT Score0.25
Weight Score1.10
Normalized Score0.69
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