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The role of melatonin in the treatment of type 2 diabetes mellitus and Alzheimer's disease.

International journal of biological sciences
January 1, 2022
Shengnan Shen et al. (8 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to highlight melatonin's therapeutic potential in preventing Alzheimer's disease acceleration in individuals with type 2 diabetes through antioxidative, anti-inflammatory, mitochondrial function restoration, and insulin sensitivity mechanisms.

Results Summary

Melatonin exhibits anti-inflammatory and antioxidant properties, downregulated in metabolic disorders with insulin resistance, and its activation delays disease progression, suggesting benefits for T2DM-linked Alzheimer's disease.

Population

Individuals with type 2 diabetes mellitus and related disorders like obesity.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
neutral
anti-inflammatory properties
-
-
has
#1
melatonin
neutral
antioxidant properties
-
-
has
#2
melatonin levels
decrease
-
metabolic disorders with insulin resistance
-
are downregulated
#3
activation of melatonin signaling
neutral
disease progression
-
-
delays
#4
melatonin
neutral
acceleration of Alzheimer's disease
T2DM individuals
-
has therapeutic potentials in preventing
#5
melatonin
neutral
antioxidative effects
-
-
has therapeutic mechanisms including
#6
melatonin
neutral
anti-inflammatory effects
-
-
has therapeutic mechanisms including
#7
melatonin
increase
restoring mitochondrial function
-
-
has therapeutic mechanisms including
#8
melatonin
increase
restoring insulin sensitivity
-
-
has therapeutic mechanisms including
#9
Abstract

In type 2 diabetes mellitus (T2DM) and its related disorders like obesity, the abnormal protein processing, oxidative stress and proinflammatory cytokines will drive the activation of inflammatory pathways, leading to low-grade chronic inflammation and insulin resistance (IR) in the periphery and impaired neuronal insulin signaling in the brain. Studies have shown that such inflammation and impaired insulin signaling contribute to the development of Alzheimer's disease (AD). Therefore, new therapeutic strategies are needed for the treatment of T2DM and T2DM-linked AD. Melatonin is primarily known for its circadian role which conveys message of darkness and induces night-state physiological functions. Besides rhythm-related effects, melatonin has anti-inflammatory and antioxidant properties. Melatonin levels are downregulated in metabolic disorders with IR, and activation of melatonin signaling delays disease progression. The aim of this Review is to highlight the therapeutic potentials of melatonin in preventing the acceleration of AD in T2DM individuals through its therapeutic mechanisms, including antioxidative effects, anti-inflammatory effects, restoring mitochondrial function and insulin sensitivity.

Medical Subject Headings (MeSH)
Alzheimer DiseaseAnti-Inflammatory AgentsAntioxidantsDiabetes Mellitus, Type 2HumansInflammationInsulinInsulin ResistanceMelatonin
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations38
Citations/Year12.7
Relative Citation Ratio5.24
NIH Percentile93.5%
Research Impact Scores
APT Score0.50
Weight Score2.80
Normalized Score0.69
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