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Protective roles of melatonin against the amyloid-dependent development of Alzheimer's disease: A critical review.

Pharmacological research
August 1, 2018
Bruno Vincent
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman StudyAnimal StudyMolecular Study
Study Details

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

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
Alzheimer DiseaseAmyloid beta-PeptidesAmyloid beta-Protein PrecursorAnimalsBrainHumansMelatoninNeuroprotective AgentsPlaque, AmyloidSignal Transduction
Study Links
Quality Scores
Safety85
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations44
Citations/Year6.3
Relative Citation Ratio2.11
NIH Percentile76.1%
Research Impact Scores
APT Score0.50
Weight Score1.13
Normalized Score0.80
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