Role of Melatonin in Viral, Bacterial and Parasitic Infections

In all mammals, the circulating pool of MLTs is synthesized in the pineal gland during the night’s darkness hours. Its main function is synchronizing the organism in the photoperiod. In contrast, extra-pineal MLT is synthesized in peripheral organs, does not follow any circadian rhythm or circulate,...

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Main Author: Georges J. M. Maestroni
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/14/3/356
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author Georges J. M. Maestroni
author_facet Georges J. M. Maestroni
author_sort Georges J. M. Maestroni
collection DOAJ
description In all mammals, the circulating pool of MLTs is synthesized in the pineal gland during the night’s darkness hours. Its main function is synchronizing the organism in the photoperiod. In contrast, extra-pineal MLT is synthesized in peripheral organs, does not follow any circadian rhythm or circulate, and plays a detoxifying and cytoprotective role. Circulating MLT may stimulate both innate and acquired immune responses through its circadian action and by activating high-affinity receptors on immunocompetent cells. Extra-pineal MLT may have antioxidant and anti-inflammatory effects that dampen the innate immune response. These two seemingly divergent roles may be considered to be two sides of the same coin. In fact, the integration of both circulating and extra-pineal MLT functions might generate a balanced and effective immune response against microbial pathogens. The studies described in this review investigated the effects of exogenous MLT in various models of infectious diseases using extremely different doses and treatment schedules. None of them evaluated the possibility of integrating the non-circadian anti-inflammatory effect with the circadian immunoenhancing action of MLT. As a consequence, in spite of the fact that most studies agree that MLT has a beneficial effect against infections, it seems difficult to draw any definite conclusion about its possible therapeutic use.
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spelling doaj.art-2c751241a5bb4aab9a4b05bfe3faa2b82024-03-27T13:28:02ZengMDPI AGBiomolecules2218-273X2024-03-0114335610.3390/biom14030356Role of Melatonin in Viral, Bacterial and Parasitic InfectionsGeorges J. M. Maestroni0Center of Research in Medical Pharmacology, University of Insubria, 21100 Varese, ItalyIn all mammals, the circulating pool of MLTs is synthesized in the pineal gland during the night’s darkness hours. Its main function is synchronizing the organism in the photoperiod. In contrast, extra-pineal MLT is synthesized in peripheral organs, does not follow any circadian rhythm or circulate, and plays a detoxifying and cytoprotective role. Circulating MLT may stimulate both innate and acquired immune responses through its circadian action and by activating high-affinity receptors on immunocompetent cells. Extra-pineal MLT may have antioxidant and anti-inflammatory effects that dampen the innate immune response. These two seemingly divergent roles may be considered to be two sides of the same coin. In fact, the integration of both circulating and extra-pineal MLT functions might generate a balanced and effective immune response against microbial pathogens. The studies described in this review investigated the effects of exogenous MLT in various models of infectious diseases using extremely different doses and treatment schedules. None of them evaluated the possibility of integrating the non-circadian anti-inflammatory effect with the circadian immunoenhancing action of MLT. As a consequence, in spite of the fact that most studies agree that MLT has a beneficial effect against infections, it seems difficult to draw any definite conclusion about its possible therapeutic use.https://www.mdpi.com/2218-273X/14/3/356melatonincircadian rhythmimmunomodulationanti-inflammatory effectcytokine storminfection
spellingShingle Georges J. M. Maestroni
Role of Melatonin in Viral, Bacterial and Parasitic Infections
Biomolecules
melatonin
circadian rhythm
immunomodulation
anti-inflammatory effect
cytokine storm
infection
title Role of Melatonin in Viral, Bacterial and Parasitic Infections
title_full Role of Melatonin in Viral, Bacterial and Parasitic Infections
title_fullStr Role of Melatonin in Viral, Bacterial and Parasitic Infections
title_full_unstemmed Role of Melatonin in Viral, Bacterial and Parasitic Infections
title_short Role of Melatonin in Viral, Bacterial and Parasitic Infections
title_sort role of melatonin in viral bacterial and parasitic infections
topic melatonin
circadian rhythm
immunomodulation
anti-inflammatory effect
cytokine storm
infection
url https://www.mdpi.com/2218-273X/14/3/356
work_keys_str_mv AT georgesjmmaestroni roleofmelatonininviralbacterialandparasiticinfections