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Melatonin regulates maternal pancreatic remodeling and B-cell function during pregnancy and lactation.

Journal of pineal research
August 1, 2021
Patricia Rodrigues Lourenço Gomes et al. (8 authors)
Journal ArticleAnimal Study
Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
absence of melatonin during pregnancy
decrease
glucose metabolism
rats
-
impairs
#1
absence of melatonin during pregnancy
decrease
insulin secretion
rats
-
dysregulation in
#2
absence of melatonin during pregnancy
decrease
glucose-stimulated insulin secretion
rats
-
apparent failure in
#3
absence of melatonin
neutral
mechanisms of death and cell proliferation
rats
-
changes in
#4
absence of melatonin
decrease
both functionality and remodeling of the endocrine pancreas
rats
-
impaired
#5
adequate replacement of melatonin, mimicking the physiological increase seen during pregnancy
increase
some of the damage observed
rats
-
able to reverse
#6
Abstract

The endocrine pancreas of pregnant rats shows evident plasticity, which allows the morphological structures to return to the nonpregnant state right after delivery. Furthermore, it is well-known the role of melatonin in the maintenance of the endocrine pancreas and its tropism. Studies indicate increasing nocturnal serum concentrations of maternal melatonin during pregnancy in both humans and rodents. The present study investigated the role of melatonin on energy metabolism and in pancreatic function and remodeling during pregnancy and early lactation in rats. The results confirm that the absence of melatonin during pregnancy impairs glucose metabolism. In addition, there is a dysregulation in insulin secretion at various stages of the development of pregnancy and an apparent failure in the glucose-stimulated insulin secretion during the lactation period, evidencing the role of melatonin on the regulation of insulin secretion. This mechanism seems not to be dependent on the antioxidant effect of melatonin and probably dependent on MT2 receptors. We also observed changes in the mechanisms of death and cell proliferation at the end of pregnancy and beginning of lactation, crucial periods for pancreatic remodeling. The present observations strongly suggest that both functionality and remodeling of the endocrine pancreas are impaired in the absence of melatonin and its adequate replacement, mimicking the physiological increase seen during pregnancy, is able to reverse some of the damage observed. Thus, we conclude that pineal melatonin is important to metabolic adaptation to pregnancy and both the functionality of the beta cells and the remodeling of the pancreas during pregnancy and early lactation, ensuring the return to nonpregnancy conditions.

Medical Subject Headings (MeSH)
AnimalsFemaleGlucoseInsulin SecretionInsulin-Secreting CellsIslets of LangerhansLactationMelatoninPregnancyRatsRats, Wistar
Study Links
PubMed ID33460489
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