4.4 Review

Effects of melatonin on protecting against lung injury (Review)

Journal

EXPERIMENTAL AND THERAPEUTIC MEDICINE
Volume 21, Issue 3, Pages -

Publisher

SPANDIDOS PUBL LTD
DOI: 10.3892/etm.2021.9659

Keywords

melatonin; acute lung injury; ventilator-induced lung injury; chronic obstructive pulmonary disease

Funding

  1. Yangzhou International Cooperation Project: 'Yangzhou Science and Technology Plan Project' [YZ2019145]

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Melatonin, secreted from the pineal gland at night, plays multiple roles including anti-inflammatory, antioxidant, and anticancer functions. It has a protective effect on lung diseases such as acute lung injury and chronic obstructive pulmonary disease. Studies suggest that melatonin serves critical roles in apoptosis, anti-ischemic reperfusion injury, and anti-proliferative effects on various cells.
Melatonin (MT; N-acetyl-5-methoxy-tryptamine), which has multiple effects and roles, is secreted from the pineal gland at night according to the daily rhythm. In addition to circadian regulation, MT has anti-inflammatory, antioxidant and anticancer functions. Recent studies postulated that MT serves a critical role in apoptosis, anti-ischemic reperfusion injury and anti-proliferative effects on various cells. The current review reported on the underlying mechanism behind the protective effect of MT on lung diseases, such as acute lung injury, acute respiratory distress syndrome, chronic obstructive pulmonary disease, lung ischemia-reperfusion injury, sepsis-induced lung injury and ventilator-induced lung injury. MT is considered an adjuvant with therapeutic drugs for preventing inflammation and is responsible for regulating patient sleep cycles in the intensive care unit. The current review described the anti-inflammatory and antioxidant efficiency of MT with a focus on the molecular mechanisms of action in various lung injuries.

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