1
|
Romeo A, Kazsoki A, Musumeci T, Zelkó R. A Clinical, Pharmacological, and Formulation Evaluation of Melatonin in the Treatment of Ocular Disorders-A Systematic Review. Int J Mol Sci 2024; 25:3999. [PMID: 38612812 PMCID: PMC11011996 DOI: 10.3390/ijms25073999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 03/25/2024] [Accepted: 04/01/2024] [Indexed: 04/14/2024] Open
Abstract
Melatonin's cytoprotective properties may have therapeutic implications in treating ocular diseases like glaucoma and age-related macular degeneration. Literature data suggest that melatonin could potentially protect ocular tissues by decreasing the production of free radicals and pro-inflammatory mediators. This study aims to summarize the screened articles on melatonin's clinical, pharmacological, and formulation evaluation in treating ocular disorders. The identification of relevant studies on the topic in focus was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. The studies were searched in the following databases and web search engines: Pubmed, Scopus, Science Direct, Web of Science, Reaxys, Google Scholar, Google Patents, Espacenet, and Patentscope. The search time interval was 2013-2023, with the following keywords: melatonin AND ocular OR ophthalmic AND formulation OR insert AND disease. Our key conclusion was that using melatonin-loaded nano-delivery systems enabled the improved permeation of the molecule into intraocular tissues and assured controlled release profiles. Although preclinical studies have demonstrated the efficacy of developed formulations, a considerable gap has been observed in the clinical translation of the results. To overcome this failure, revising the preclinical experimental phase might be useful by selecting endpoints close to clinical ones.
Collapse
Affiliation(s)
- Alessia Romeo
- Department of Drug and Health Sciences, University of Catania, Via Santa Sofia 64, 95125 Catania, Italy; (A.R.); (T.M.)
| | - Adrienn Kazsoki
- University Pharmacy Department of Pharmacy Administration, Semmelweis University, Hőgyes Endre Street 7–9, 1092 Budapest, Hungary;
| | - Teresa Musumeci
- Department of Drug and Health Sciences, University of Catania, Via Santa Sofia 64, 95125 Catania, Italy; (A.R.); (T.M.)
| | - Romána Zelkó
- University Pharmacy Department of Pharmacy Administration, Semmelweis University, Hőgyes Endre Street 7–9, 1092 Budapest, Hungary;
| |
Collapse
|
2
|
Hu W, Ma Z, Di S, Jiang S, Li Y, Fan C, Yang Y, Wang D. Snapshot: implications for melatonin in endoplasmic reticulum homeostasis. Br J Pharmacol 2016; 173:3431-3442. [PMID: 27759160 PMCID: PMC5120159 DOI: 10.1111/bph.13651] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Revised: 09/27/2016] [Accepted: 10/03/2016] [Indexed: 12/13/2022] Open
Abstract
The endoplasmic reticulum (ER) is an important intracellular membranous organelle. Previous studies have demonstrated that the ER is responsible for protein folding and trafficking, lipid synthesis and the maintenance of calcium homeostasis. Interestingly, the morphology and structure of the ER were recently found to be important. Melatonin is a hormone that anticipates the daily onset of darkness in mammals, and it is well known that melatonin acts as an antioxidant by scavenging free radicals and increasing the activity of antioxidant enzymes in the body. Notably, the existing evidence demonstrates that melatonin is involved in ER homeostasis, particularly in the morphology of the ER, indicating a potential protective role of melatonin. This review discusses the existing knowledge regarding the implications for the involvement of melatonin in ER homeostasis.
Collapse
Affiliation(s)
- Wei Hu
- Department of Thoracic and Cardiovascular SurgeryAffiliated Drum Tower Hospital of Nanjing University Medical SchoolNanjingChina
- Department of Biomedical EngineeringThe Fourth Military Medical UniversityXi'anChina
| | - Zhiqiang Ma
- Department of Thoracic SurgeryTangdu Hospital, The Fourth Military Medical UniversityXi'anChina
| | - Shouyin Di
- Department of Thoracic SurgeryTangdu Hospital, The Fourth Military Medical UniversityXi'anChina
| | - Shuai Jiang
- Department of Aerospace MedicineThe Fourth Military Medical UniversityXi'anChina
| | - Yue Li
- Department of Biomedical EngineeringThe Fourth Military Medical UniversityXi'anChina
| | - Chongxi Fan
- Department of Thoracic SurgeryTangdu Hospital, The Fourth Military Medical UniversityXi'anChina
| | - Yang Yang
- Department of Thoracic and Cardiovascular SurgeryAffiliated Drum Tower Hospital of Nanjing University Medical SchoolNanjingChina
- Department of Biomedical EngineeringThe Fourth Military Medical UniversityXi'anChina
| | - Dongjin Wang
- Department of Thoracic and Cardiovascular SurgeryAffiliated Drum Tower Hospital of Nanjing University Medical SchoolNanjingChina
| |
Collapse
|
3
|
Tan DX, Manchester LC, Liu X, Rosales-Corral SA, Acuna-Castroviejo D, Reiter RJ. Mitochondria and chloroplasts as the original sites of melatonin synthesis: a hypothesis related to melatonin's primary function and evolution in eukaryotes. J Pineal Res 2013; 54:127-38. [PMID: 23137057 DOI: 10.1111/jpi.12026] [Citation(s) in RCA: 353] [Impact Index Per Article: 32.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2012] [Accepted: 10/01/2012] [Indexed: 12/17/2022]
Abstract
Mitochondria and chloroplasts are major sources of free radical generation in living organisms. Because of this, these organelles require strong protection from free radicals and associated oxidative stress. Melatonin is a potent free radical scavenger and antioxidant. It meets the criteria as a mitochondrial and chloroplast antioxidant. Evidence has emerged to show that both mitochondria and chloroplasts may have the capacity to synthesize and metabolize melatonin. The activity of arylalkylamine N-acetyltransferase (AANAT), the reported rate-limiting enzyme in melatonin synthesis, has been identified in mitochondria, and high levels of melatonin have also been found in this organelle. From an evolutionary point of view, the precursor of mitochondria probably is the purple nonsulfur bacterium, particularly, Rhodospirillum rubrum, and chloroplasts are probably the descendents of cyanobacteria. These bacterial species were endosymbionts of host proto-eukaryotes and gradually transformed into cellular organelles, that is, mitochondria and chloroplasts, respectively, thereby giving rise to eukaryotic cells. Of special importance, both purple nonsulfur bacteria (R. rubrum) and cyanobacteria synthesize melatonin. The enzyme activities required for melatonin synthesis have also been detected in these primitive species. It is our hypothesis that mitochondria and chloroplasts are the original sites of melatonin synthesis in the early stage of endosymbiotic organisms; this synthetic capacity was carried into host eukaryotes by the above-mentioned bacteria. Moreover, their melatonin biosynthetic capacities have been preserved during evolution. In most, if not in all cells, mitochondria and chloroplasts may continue to be the primary sites of melatonin generation. Melatonin production in other cellular compartments may have derived from mitochondria and chloroplasts. On the basis of this hypothesis, it is also possible to explain why plants typically have higher melatonin levels than do animals. In plants, both chloroplasts and mitochondria likely synthesize melatonin, while animal cells contain only mitochondria. The high levels of melatonin produced by mitochondria and chloroplasts are used to protect these important cellular organelles against oxidative stress and preserve their physiological functions. The superior beneficial effects of melatonin in both mitochondria and chloroplasts have been frequently reported.
Collapse
Affiliation(s)
- Dun-Xian Tan
- Department of Cellular and Structural Biology, The University of Texas, Health Science Center, San Antonio, TX 78229, USA.
| | | | | | | | | | | |
Collapse
|
4
|
Ferreira-Medeiros M, Mandarim-de-Lacerda CA, Correa-Gillieron EM. Pineal Gland Post-natal Growth in Rat Revisited. Anat Histol Embryol 2007; 36:284-9. [PMID: 17617106 DOI: 10.1111/j.1439-0264.2007.00763.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
We studied the pineal gland (PG) growth separating two critical moments of the rat post-natal development: the lactation and post-weaning periods. We studied 30 Wistar rats in the post-natal day - PN day 6, 10, 21, 45, 60 and 90 using light microscopy and quantitative methods (allometry and stereology). We estimated the PG volume (using the Cavalieri's principle) and the number of pineal gland cell nuclei (PGCN, using the disector method). We analysed the correlation of the PG volume (y) versus brain weight (x) in the different age groups (the bivariate study used log-transformed data and the allometric model log y = log a + b log x). The PG growth gradually decelerated in older rats than in younger rats. The major increment of the PG growth was observed between PN day 6 and PN day 10, while the minor increment was observed after weaning between PN day 45 and PN day 60. After 60 days of age differences were no more observed. The relative growth of the PG was allometrically positive in all age groups, and growth curves separated the lactation from the after weaning periods. The number of PGCN of rat continuously increased during post-natal life and differences between the lactation and after weaning periods were significant. It is possible that the supporting cells, fibres and new synapses are responsible for that PG late post-natal increase.
Collapse
Affiliation(s)
- M Ferreira-Medeiros
- Laboratory of Neurobiology, Health Sciences Center, Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | |
Collapse
|
5
|
Møller M, Sparre T, Bache N, Roepstorff P, Vorum H. Proteomic analysis of day–night variations in protein levels in the rat pineal gland. Proteomics 2007; 7:2009-18. [PMID: 17514675 DOI: 10.1002/pmic.200600963] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The pineal gland secretes the hormone melatonin. This secretion exhibits a circadian rhythm with a zenith during night and a nadir during day. We have performed proteome analysis of the superficial pineal gland in rats during daytime and nighttime. The proteins were extracted and subjected to 2-DE. Of 1747 protein spots revealed by electrophoresis, densitometric analysis showed the up-regulation of 25 proteins during nighttime and of 35 proteins during daytime. Thirty-seven of the proteins were identified by MALDI-TOF MS. The proteins up-regulated during the night are involved in the Krebs cycle, energy transduction, calcium binding, and intracellular transport. During the daytime, enzymes involved in glycolysis, electron transport, and also the Krebs cycle were up-regulated as well as proteins taking part in RNA binding and RNA processing. Our data show a prominent day-night variation of the protein levels in the rat pineal gland. Some proteins are up-regulated during the night concomitant with the melatonin secretion of the gland. Other proteins are up-regulated during the day indicating a pineal metabolism not related to the melatonin synthesis.
Collapse
Affiliation(s)
- Morten Møller
- Department of Neuroscience and Pharmacology, University of Copenhagen, Denmark.
| | | | | | | | | |
Collapse
|
6
|
Saha I, Chatterji U, Chaudhuri-Sengupta S, Nag TC, Nag D, Banerjee S, Maiti BR. Ultrastructural and hormonal changes in the pineal-testicular axis following arecoline administration in rats. ACTA ACUST UNITED AC 2007; 307:187-98. [PMID: 17436329 DOI: 10.1002/jez.354] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Arecoline is an alkaloid of betel nut of Areca catechu. Betel nut is chewed by millions of people in the world and it causes oral and hepatic cancers in human. It has therapeutic value for the treatment of Alzheimer and schizophrenia. Arecoline has immunosuppressive, mutagenic and genotoxic effects in laboratory animals. It also affects endocrine functions. The objective of this study was to investigate the effects of arecoline on pineal-testicular axis in rats. Since pineal activity is different between day and night, the current study is undertaken in both the photophase and scotophase. The findings were evaluated by ultrastructural and hormonal studies of pineal and testicular Leydig cells, with quantitations of fructose and sialic acid of sex accessories. Arecoline treatment (10 mg/kg body weight daily for 10 days) caused suppression of pineal activity at ultrastructural level by showing dilatation of the cisternae of the rough endoplasmic reticulum (RER), large autophagosome-like bodies with swollen mitochondrial cristae, numerous lysosomes, degenerated synaptic ribbons and reduced number of synaptic-like microvesicles. Moreover, pineal and serum N-acetylserotonin and melatonin levels were decreased with increased serotonin levels in both the gland and serum. In contrast, testicular Leydig cell activity was stimulated with abundance of smooth endoplasmic reticulum (SER), electron-dense core vesicles and vacuolated secretory vesicles, and increased testosterone level in the arecoline recipients. Consequently, the testosterone target, like prostate, was ultrastructurally stimulated with abundance of RER and accumulation of secretory vesicles. Fructose and sialic acid concentrations were also significantly increased respectively in the coagulating gland and seminal vesicle. These results were more significant in the scotophase than the photophase. The findings suggest that arecoline inhibits pineal activity, but stimulates testicular function (testosterone level) and its target organs presumably via muscarinic cholinergic receptor in rats.
Collapse
Affiliation(s)
- Indraneel Saha
- Department of Zoology, University of Calcutta, Calcutta, India
| | | | | | | | | | | | | |
Collapse
|
7
|
Redins GM, Redins CA, Novaes JC. The effect of treatment with melatonin upon the ultrastructure of the mouse pineal gland: a quantitative study. BRAZ J BIOL 2001; 61:679-84. [PMID: 12071325 DOI: 10.1590/s1519-69842001000400018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
In order to evaluate melatonin implication in the regulating of its own secretory process by pinealocytes, we used morphometric techniques for transmission electron microscopy. In mice treated with 100 mg of melatonin (N-acetyl-5-methoxy-tryptamine) by daily subcutaneous injection, we observed a decrease in number and volumetric density of lysosomes. Our results showed that melatonin influences the secretory activity of pinealocytes and participates in a complex secretory regulating mechanism.
Collapse
Affiliation(s)
- G M Redins
- Departamento de Morfologia, Centro Biomédico, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
| | | | | |
Collapse
|
8
|
Hira Y, Sakai Y, Matsushima S. Quantitative light microscopic study on the heterogeneity in the superficial pineal gland of the rat. Anat Rec (Hoboken) 1998; 250:80-94. [PMID: 9458069 DOI: 10.1002/(sici)1097-0185(199801)250:1<80::aid-ar8>3.0.co;2-i] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND The previous results regarding regional and day-night differences in pinealocyte size in rats are conflicting. The relationships between these differences and the vascularity and sympathetic innervation have scarcely been investigated. METHODS Wistar-King rats, kept under light/dark 12:12, were killed at midday or midnight in October. The nuclear density of pinealocytes in the superficial pineal was measured on the dorsoperipheral, dorsocentral, ventroperipheral, and ventrocentral regions at distal, middle, and proximal levels at daytime and nighttime. The total area of blood vessels per unit area at daytime and nighttime and total length of tyrosine hydroxylase (TH)-immunoreactive fibers per unit area at daytime were determined on the same regions at the same levels. RESULTS Pinealocyte size was larger toward the distal levels and in the periphery than in the center at any level. The area of blood vessels and length of TH fibers were also larger toward the distal levels; the former in the ventral region and the latter in the dorsal and ventral regions were larger in the periphery than in the center. Ventral pinealocytes, but not dorsal ones, showed day-night changes in size. Prominent day-night rhythms in area of blood vessels occurred in the ventral region, where TH fibers were more abundant than in the dorsal region. CONCLUSIONS Pinealocyte size shows the distal to proximal and peripheral to central gradients, which may be related to the differential distribution of blood vessels and sympathetic fibers. Since pinealocytes and blood vessels, showing prominent day-night changes in size, are localized in the more richly innervated regions, sympathetic fibers may play an important role in controlling these rhythms.
Collapse
Affiliation(s)
- Y Hira
- Department of Anatomy, Asahikawa Medical College, Nishikagura, Japan
| | | | | |
Collapse
|
9
|
Acuña-Castroviejo D, Reiter RJ, Menéndez-Peláez A, Pablos MI, Burgos A. Characterization of high-affinity melatonin binding sites in purified cell nuclei of rat liver. J Pineal Res 1994; 16:100-12. [PMID: 8014823 DOI: 10.1111/j.1600-079x.1994.tb00089.x] [Citation(s) in RCA: 136] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
High-affinity 2-125I-iodomelatonin binding sites in homogenates of purified cell nuclei from rat liver were localized and characterized using biochemical binding techniques. Binding at these sites was found to be rapid, reversible, saturable, and to demonstrate pharmacological selectivity. At 0 degrees C, binding reached equilibrium in about 10 min. Scatchard analysis of the data at equilibrium revealed a single class of binding sites with a dissociation constant of KD = 190 +/- 47 pM, Bmax = 9.8 +/- 0.6 fmol/mg protein, and a Hill coefficient of nH = 1.02 +/- 0.034. Kinetic analysis of the association and dissociation curves indicated a kinetic KD = 148 +/- 41 pM, which is in good agreement with the value obtained at equilibrium. The specific binding of 2-125I-iodomelatonin (45 pM) (0.51 +/- 0.04 fmol/mg protein) was significantly improved (0.79 +/- 0.04 fmol/mg protein) when the homogenates of purified liver cell nuclei were preincubated with DNase (2 micrograms/ml at 37 degrees C for 20 min) before being used in binding experiments. After the addition of either proteinase K or trichloroacetic acid to DNase-treated purified cell nuclear homogenates, the specific binding disappeared. This suggests that the specific binding of 2-125I-iodomelatonin in liver cell nuclei is associated with nuclear protein. Competition experiments show that N-acetyl-serotonin (Ki = 81.3 nM) was more potent than 5-hydroxytryptamine (Ki > 1 microM) and 5-methoxytryptamine (Ki >> 10 microM) in inhibiting 2-125I-iodomelatonin binding (Ki melatonin = 146 pM). These data indicate that specific 2-125I-iodomelatonin binding sites exist in the cell nuclei of rat liver, and that they may comprise a locus for the intracellular action of melatonin. The correlation between the KD and Bmax values with melatonin concentrations in nuclei suggest that these binding sites may be a physiological melatonin receptor, which could explain the described genomic effects of the pineal hormone.
Collapse
Affiliation(s)
- D Acuña-Castroviejo
- Department of Cellular and Structural Biology, University of Texas Health Science Center at San Antonio 78284
| | | | | | | | | |
Collapse
|
10
|
Karasek M. Ultrastructure of the mammalian pinealocyte under natural and experimental conditions: quantitative aspects. Microsc Res Tech 1992; 21:116-23. [PMID: 1558981 DOI: 10.1002/jemt.1070210204] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This review briefly summarizes data accumulated on the quantitative aspects of the ultrastructure of the mammalian pinealocyte. Quantitative changes have been demonstrated under natural and experimental conditions in pinealocyte cell organelles in various species. Special attention is paid to two cytoplasmic components most frequently studied by means of quantitative electron microscopy, namely, dense-core vesicles and "synaptic" ribbons.
Collapse
Affiliation(s)
- M Karasek
- Department of Pathological Anatomy, Medical University, Lodz, Poland
| |
Collapse
|