Protective roles of melatonin against the amyloid-dependent development of Alzheimer's disease: A critical review.
Study Goal
The researchers aimed to determine whether melatonin could be a promising anti-Alzheimer's disease (AD) compound and to establish the mechanisms by which it might control the disease's progression.
Results Summary
The study found that melatonin is an efficient anti-amyloid remedy, affecting all steps of Aβ biology (production, conformational changes, oligomerization, fibrillation, and plaque formation). It also noted that melatonin has very few secondary effects, making it a potential preventive anti-AD molecule.
Population
AD patients and age-matched controls, with focus on aging populations.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
melatonin | decrease | melatonin levels | normal aging | - | decrease during normal aging | #1 |
- | decrease | melatonin levels | AD patients | - | show melatonin deficits | #2 |
- | decrease | melatonin in the cerebrospinal fluid | AD patients | - | loss parallels the progression of the disease | #3 |
melatonin | decrease | all the steps of Aβ biology (production, conformational changes, oligomerization, fibrillation and ultimately senile plaque formation) | in vitro and in vivo mouse models of the pathology | - | consistently proved as an efficient anti-amyloid remedy | #4 |
melatonin | no change | secondary effects | - | very few | conveys very few secondary effects | #5 |
Since its discovery almost 60 years ago by Lerner and colleagues, melatonin (N-acetyl-5-metoxytryptamine), a hormone mainly produced in the pineal gland, has been the subject of numerous investigations aimed at establishing its physiological functions. The subsequent seminal observation that melatonin levels decrease during normal aging, combined with the facts that AD patients show melatonin deficits when compared to age-matched controls and that the extent of melatonin loss in the cerebrospinal fluid parallels the progression of the disease, was the starting point of a series of studies, conducted during the past 20 years, aimed at determining whether this non-peptide hormone could reasonably be considered as a possible promising anti-AD compound and at establishing through which mechanisms it can control the time course of the disease. In this context, particular attention has been paid to the amyloid peptide (Aβ), which, according to the now well accepted "amyloid cascade" hypothesis, is a key element of the pathology. Indeed, works performed in vitro and in vivo, thanks to the development of reliable mouse models of the pathology, consistently proved melatonin as an efficient anti-amyloid remedy when considering all the steps of Aβ biology (production, conformational changes, oligomerization, fibrillation and ultimately senile plaque formation). This review proposes to draw up a detailed inventory of our current knowledge on the subject with a particular focus on the recent advances in the field. Given the fact that melatonin conveys very few secondary effects, it is nowadays possible to seriously envision melatonin as an effective preventive anti-AD molecule.