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ABOUT MELATONIN

Melatonin has also been referred to as “nature’s most versatile biological signal” (1) since its clinical application surpasses sleep. The classification of melatonin has been wide-ranging, from pineal hormone to amphiphilic antioxidant. It is a ubiquitous molecule, an indoleamine, produced endogenously in animals and plants. As a result, humans continually either ingest it from exogenous dietary sources or produce it endogenously. In humans, it is largely produced from the amino acid tryptophan by the pineal gland and in the gut-residing enterochromaffin cells. Even though the pineal gland receives much attention for its melatonin production, there is 400 times more melatonin in the gut mucosa (2).

Image Credit: Kvetnoy I, Ivanov D, Mironova E, Evsyukova I, Nasyrov R, Kvetnaia T, Polyakova V. Melatonin as the Cornerstone of Neuroimmunoendocrinology. Int J Mol Sci. 2022 Feb 6;23(3):1835. doi: 10.3390/ijms23031835. PMID: 35163757; PMCID: PMC8836571. CC-BY 4.0

Thus, it might be loosely implied that vitamin D deficiency indicates a “sunlight deficiency”

in perhaps the same manner that melatonin secretion could be affected by a “darkness deficiency,”

where there is overexposure to artificial, blue light at night, disabling the signal to the pineal gland

to produce it for initiating sleep.

Melatonin Production

On average, the pineal gland produces between 0.1 and 0.9 mg of melatonin per day (1,3). Melatonin production and circadian rhythms do not develop in babies until around three months (4). Breastfed babies have the benefit of melatonin from their mother’s milk (5). Levels from infancy to adolescence increase and plateau in association with Tanner stages of puberty and then slowly decline with age starting in the late twenties (6,7). Children typically produce more melatonin than adults, which may infer that their need for dietary supplementation may require further scrutiny and be limited to specific disease states (1,8). Production gradually declines as people age, starting in the late twenties to the fifties, with production leveling at approximately 30 pg/mL (8,9).

 

Aside from aging, production of melatonin can be influenced by illness (10), diet (1), environmental factors like bright light at night (11), medication use (12), and lifestyle (13). Of interest, research has indicated that the sheer amplitude of plasma melatonin may not have as much to do with chronological age but more with the degree of pineal calcification and associated melatonin secretion  (14). However, that perspective begs the question of why the pineal gland becomes calcified and how it may be decalcified (14). In our modern era, perhaps the largest contributor to melatonin imbalance would be those subject to jet lag, shift work, overuse of artificial light at night (e.g., from cell phones, computers, and fluorescent/LED light), or challenges to their circadian rhythm due to environmental or seasonal changes.

 

Melatonin and Vitamin D

Melatonin is colloquially referred to as the “hormone of darkness” since it is produced in response to darkness, as perceived by the eye’s retina (1). Its synthesis is reduced by exposure to light, with artificial light reducing a person’s melatonin production and increasing disease risk (1,3). From a practical and even clinical perspective, vitamin D and melatonin may act as biochemical sensors to meet requirements for both light and darkness, respectively.

 

 

 

 

 

 

 

 

 

 

There may even be levels of crosstalk and overlap between them that have not yet been fully elucidated but might have clinical relevance. For example, it has been demonstrated that melatonin can bind several target proteins, including enzymes, receptors, pores, and transporters (15). Most relevant is that it can bind the vitamin D receptor (VDR), resulting in an enhancement of vitamin D’s signaling effects and subsequent cellular activities (16).

 

Like vitamin D, melatonin is found throughout the body. Melatonin has been found in many tissues other than the pineal gland and gut mucosa, including the brain, retina, lens, cochlea, trachea, skin, liver, kidney, thyroid, pancreas, thymus, spleen, and reproductive tissues [6]. It is present in nearly all bodily fluids: cerebrospinal fluid, saliva, bile, synovial fluid, amniotic fluid, urine, feces, semen, and breast milk (14,17,18). Specifically, vitamin D and melatonin may work synergistically in the skin. Ultraviolet (UV)-B radiation is required to convert 7-dehydrocholesterol in the skin to vitamin D3. At the same time, melatonin is an antioxidant in the skin to ward off the damaging effects of UV light (19). In the future, there may be more skincare innovations that involve both vitamin D and melatonin due to the activities they share in the skin (20).

 

 

 

 

 

 

 

 

Image Credit: Kvetnoy I, Ivanov D, Mironova E, Evsyukova I, Nasyrov R, Kvetnaia T, Polyakova V. Melatonin as the Cornerstone of Neuroimmunoendocrinology. Int J Mol Sci. 2022 Feb 6;23(3):1835. doi: 10.3390/ijms23031835. PMID: 35163757; PMCID: PMC8836571.

 

As an adjunct to its well-known role in sleep, melatonin has been seen as a prominent cellular guard against oxidative stress, specifically linked to the redox status of cells and tissues. In fact, it has been suggested to be one of the most potent antioxidants because of its ability to scavenge up to 10 reactive oxygen (ROS) and nitrogen species (RNS) with its metabolites compared with most antioxidants, which may only be able to quench a few ROS (14,21,22). Finally, melatonin is involved with multiple activities that include mitochondrial homeostasis, genomic regulation, modulation of inflammatory and immune cytokines, directly impacting both systemic and acute anti-inflammatory properties as well as indications around its potential role in phase separation (23,24). It has been proposed that both vitamin D and melatonin orchestrate many of their functions, especially related to redox status, at the level of the mitochondria (25). Concurrent with the age-related depletions in levels of vitamin D and melatonin, there is mitochondrial dysfunction, which has implications in a variety of clinical conditions that present differently through the seasons with changing light exposure (25).

Feature
Melatonin
Basic functions
Hormone; Antioxidant; Anti-inflammatory compound; Mitochondrial regulator
Bodily systems
All
Relationship with light
Darkness is needed for synthesis.
Synthesis
Synthesized in the skin and many other tissues; Produced by pineal gland and gut (enterochromaffin cells)
Seasonal variation
Yes (26)
Chemical nature
Amphiphilic
Transport
Crosses blood–brain barrier
Nutritional status
Greater risk of insufficiency and/or deficiency with increasing age
Obtained from dietary sources
Yes
Biological need may change depending on lifestyle
Yes

Authors: Deanna Minich, Ph.D., Melanie Henning, ND, Catherine Darley, ND, Mona Fahoum, ND, Corey B. Schuler, DC, James Frame

Reviewer: Peer-review in Nutrients Journal

Last updated: September 22, 2022

 

References

1. Pandi-Perumal SR, Srinivasan V, Maestroni GJM, Cardinali DP, Poeggeler B, Hardeland R. Melatonin: Nature’s most versatile biological signal? Vol. 273, FEBS Journal. 2006.

2. Chen CQ, Fichna J, Bashashati M, Li YY, Storr M. Distribution, function and physiological role of melatonin in the lower gut. Vol. 17, World Journal of Gastroenterology. 2011.

3. Mahmood D. Pleiotropic Effects of Melatonin. Vol. 69, Drug Research. 2019.

4. Rivkees SA. Developing circadian rhythmicity: Basic and clinical aspects. Pediatr Clin North Am. 1997;44(2).

5. Caba-Flores MD, Ramos-Ligonio A, Camacho-Morales A, Martínez-Valenzuela C, Viveros-Contreras R, Caba M. Breast Milk and the Importance of Chrononutrition. Front Nutr. 2022 May 12;9.

6. Crowley SJ, Acebo C, Carskadon MA. Human puberty: Salivary melatonin profiles in constant conditions. Dev Psychobiol. 2012;54(4).

7. Grivas TB, Savvidou OD. Melatonin the “light of night” in human biology and adolescent idiopathic scoliosis. Vol. 2, Scoliosis. 2007.

8. Karasek M, Winczyk K. Melatonin in humans. In: Journal of Physiology and Pharmacology. 2006.

9. Pandi-Perumal SR, BaHammam AS, Ojike NI, Akinseye OA, Kendzerska T, Buttoo K, et al. Melatonin and Human Cardiovascular Disease. Vol. 22, Journal of Cardiovascular Pharmacology and Therapeutics. 2017.

10. Maas MB, Lizza BD, Abbott SM, Liotta EM, Gendy M, Eed J, et al. Factors Disrupting Melatonin Secretion Rhythms during Critical Illness. Crit Care Med. 2020;

11. Kubota T, Uchiyama M, Suzuki H, Shibui K, Kim K, Tan X, et al. Effects of nocturnal bright light on saliva melatonin, core body temperature and sleep propensity rhythms in human subjects. Neurosci Res. 2002;42(2).

12. Muñóz-Hoyos A, Fernández-García JM, Molina-Carballo A, Macías M, Escames G, Ruiz-Cosano C, et al. Effect of clonidine on plasma ACTH, cortisol and melatonin in children. J Pineal Res. 2000;29(1).

13. Nikolaev G, Robeva R, Konakchieva R. Membrane melatonin receptors activated cell signaling in physiology and disease. Vol. 23, International Journal of Molecular Sciences. 2022.

14. Tan DX, Xu B, Zhou X, Reiter RJ. Pineal calcification, melatonin production, aging, associated health consequences and rejuvenation of the pineal gland. Vol. 23, Molecules. 2018.

15. Liu L, Labani N, Cecon E, Jockers R. Melatonin Target Proteins: Too Many or Not Enough? Vol. 10, Frontiers in Endocrinology. 2019.

16.  Fang N, Hu C, Sun W, Xu Y, Gu Y, Wu L, et al. Identification of a novel melatonin-binding nuclear receptor: Vitamin D receptor. J Pineal Res. 2020;68(1).

17. Sharbatoghli M, Valojerdi MR, Bahadori MH, Yazdi RS, Ghaleno LR. The relationship between seminal melatonin with sperm parameters, DNA fragmentation and nuclear maturity in intra-cytoplasmic sperm injection candidates. Cell J. 2015;17(3).

18. Meng X, Li Y, Li S, Zhou Y, Gan RY, Xu DP, et al. Dietary sources and bioactivities of melatonin. Vol. 9, Nutrients. 2017.

19. Wacker M, Holick MF. Sunlight and Vitamin D: A global perspective for health. Vol. 5, Dermato-Endocrinology. 2013.

20. Rusanova I, Martínez-Ruiz L, Florido J, Rodríguez-Santana C, Guerra-Librero A, Acuña-Castroviejo D, et al. Protective effects of melatonin on the skin: Future perspectives. Vol. 20, International Journal of Molecular Sciences. 2019.

21. Gitto E, Tan DX, Reiter RJ, Karbownik M, Manchester LC, Cuzzocrea S, et al. Individual and synergistic antioxidative actions of melatonin: studies with vitamin E, vitamin C, glutathione and desferrrioxamine (desferoxamine) in rat liver homogenates. Journal of Pharmacy and Pharmacology. 2010;53(10).

22.Tan DX, Manchester LC, Terron MP, Flores LJ, Reiter RJ. One molecule, many derivatives: A never-ending interaction of melatonin with reactive oxygen and nitrogen species? Vol. 42, Journal of Pineal Research. 2007.

23. Tan DX, Manchester LC, Esteban-Zubero E, Zhou Z, Reiter RJ. Melatonin as a potent and inducible endogenous antioxidant: Synthesis and metabolism. Molecules. 2015.

24. Loh D, Reiter RJ. Melatonin: Regulation of biomolecular condensates in neurodegenerative disorders. Vol. 10, Antioxidants. 2021.

25. Mocayar Marón FJ, Ferder L, Reiter RJ, Manucha W. Daily and seasonal mitochondrial protection: Unraveling common possible mechanisms involving vitamin D and melatonin. Vol. 199, Journal of Steroid Biochemistry and Molecular Biology. 2020.

26. Watad A, Azrielant S, Bragazzi NL, Sharif K, David P, Katz I, et al. Seasonality and autoimmune diseases: The contribution of the four seasons to the mosaic of autoimmunity. J Autoimmun. 2017 Aug;82:13–30.

27. Minich DM, Henning M, Darley C, Fahoum M, Schuler CB, Frame J. Is Melatonin the “Next Vitamin D”?: A Review of Emerging Science, Clinical Uses, Safety, and Dietary Supplements. Nutrients [Internet]. 2022;14(19). Available from: https://www.mdpi.com/2072-6643/14/19/3934/htm

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