Micronutrients and Supplements Info: Melatonin
Melatonin
Description

Melatonin is a hormone naturally produced by the pineal gland. It is formed from tryptophan following a series of enzymatic reactions.


Function

One of the most important functions of melatonin is its involvement in the regulation of the sleep-wake cycle. It also regulates the circadian rhythm of other functions such as digestive functions, body temperature and the release of other hormones, just to name a few. Melatonin also has powerful antioxidant properties. The release of melatonin is stimulated by darkness and its secretion starts at dusk reaching a peak between 2:00 and 4:00 am. The level of melatonin is higher in children and progressively decreases with age.

Melatonin is currently investigated for its effects on sleep-wake cycles, the immune system, cancers, the ageing process, cognitive impairment (memory and learning process), seasonal affective disorder, Alzheimer’s and Parkinson diseases.


Deficiency

No deficiency is described per se. This being said, because the level of melatonin progressively decreases with age, some researchers think that melatonin supplements should be given to all elderly people; however, this still needs to be demonstrated.


Toxicity

No toxicity is described although the effect of long term supplement intake is not known. Melatonin should be avoided in pregnancy or by women wishing to conceive. Possible interactions with anti-depressant drugs have been described. Consult your physician if you want to take melatonin supplements and are taking other drugs.


Important notice: please click here.


I want to learn more
Additional Sources of Information:



Scientific References

A review of the multiple actions of melatonin on the immune system. Carrillo-Vico A, Guerrero J, Lardone P, Reiter R (2005). Endocrine 27 (2): 189–200.
doi:10.1385/ENDO:27:2:189
[Abstract]

A unicenter, randomized, double-blind, parallel-group, placebo-controlled study of Melatonin as an Adjunct in patients with acute myocardial infarction undergoing primary Angioplasty The Melatonin Adjunct in the acute myocardial infarction treated with Angioplasty (MARIA) trial: Study design and rationale. Dominguez-Rodriguez A, Abreu-Gonzalez P, Garcia-Gonzalez MJ, Kaski JC, Reiter RJ, Jimenez-Sosa A. Contemp Clin Trials. 2006 Oct 17.
[Abstract]

Abnormal melatonin synthesis in autism spectrum disorders. Melke J, Botros HG, Chaste P (2008). Mol Psychiatry 13 (1): 90–8.
doi:10.1038/sj.mp.4002016.
[Abstract]

Action spectrum for melatonin regulation in humans: evidence for a novel circadian photoreceptor. Brainard GC, Hanifin JP, Greeson JM, Byrne B, Glickman G, Gerner E, Rollag (August 15, 2001). J Neurosci. 15;21 (16): 6405–12
[Abstract]

Antidepressant and circadian phase-shifting effects of light. Lewy A, Sack R, Miller L, Hoban T (1987). Science 235 (4786): 352–4. doi:10.1126/science.3798117
[Abstract]

Antioxidative protection by melatonin: multiplicity of mechanisms from radical detoxification to radical avoidance. Hardeland R (July 2005). Endocrine 27 (2): 119–30.
doi:10.1385/ENDO:27:2:119
[Abstract]

Blocking low-wavelength light prevents nocturnal melatonin suppression with no adverse effect on performance during simulated shift work. Kayumov L, Casper RF, Hawa RJ, Perelman B Chung SA, Sokalsky S, Shipiro (May 2005). J Clin Endocrinol Metab. 90 (5): 2755–61.
doi:10.1210/jc.2004-2062
[Abstract]

Chronobiotics: Selected Agents of Potential Value in Jet Lag and other Dyschronisms, H. W. Simpson, of Glasgow University, in Chronobiology: Principles and Application to Shifts in Schedules, ed: L.E. Sheving and F. Hagberg, Springer, Berlin, 1979.
[Abstract]

Clock genes in calendar cells as the basis of annual timekeeping in mammals—a unifying hypothesis. Lincoln GA, Andersson H, Loudon A (October 2003). The Journal of Endocrinology 179 (1): 1–13.
doi:10.1677/joe.0.1790001
[Abstract]

Comparative aspects of the pineal/melatonin system of poikilothermic vertebrates. Filadelfi AM, Castrucci AM (May 1996). Journal of Pineal Research 20 (4): 175–86.
doi:10.1111/j.1600-079X.1996.tb00256.x
[Abstract]

Comparison of the protective effect of melatonin with other antioxidants in the hamster kidney model of estradiol-induced DNA damage. Karbownik M, Reiter R, Cabrera J, Garcia J (2001). Mutat Res 474 (1–2): 87–92.
[Abstract]

Daily rhythm in human urinary melatonin. Lynch HJ, Wurtman RJ, Moskowitz MA, Archer MC, Ho MH (January 1975). Science 187 (4172): 169–71. doi:10.1126/science.1167425
[Abstract]

Dose-dependent effect of melatonin on life span and spontaneous tumor incidence in female SHR mice. Anisimov V, Alimova I, Baturin D, Popovich I, Zabezhinski M, Rosenfeld S, Manton K, Semenchenko A, Yashin A (2003). Exp Gerontol 38 (4): 449–61.
doi:10.1016/S0531-5565(02)00240-1
[Abstract]

Effect of Melatonin on the Adrenl and Gonad of the Common Mynah Acridtheres tristis. CM Chaturvedi (1984). Australian Journal of Zoology 32 (6): 803–809.
doi:10.1071/ZO9840803.
[Abstract]

Effects of long-term administration of melatonin and a putative antagonist on the ageing rat. Oaknin-Bendahan S, Anis Y, Nir I, Zisapel N (1995). Neuroreport 6 (5): 785–8.
doi:10.1097/00001756-199503270-00020
[Abstract]

Effects of melatonin in perimenopausal and menopausal women: our personal experience. Bellipanni G, DI Marzo F, Blasi F, Di Marzo A (2005). Ann N Y Acad Sci 1057 (Dec): 393–402.
doi:10.1196/annals.1356.030
[Abstract]

Efficacy and safety of exogenous melatonin for secondary sleep disorders and sleep disorders accompanying sleep restriction: meta-analysis (HTML: Full text). Buscemi, Nina; Vandermeer, B; Hooton, N; Pandya, R; Tjosvold, L; Hartling, L; Vohra, S; Klassen, TP et al. (2006-02-18). BMJ 332 (7538): 385–393.
doi:10.1136/bmj.38731.532766.F6
[Abstract][Full Text]

Efficacy and safety of exogenous melatonin for secondary sleep disorders and sleep disorders accompanying sleep restriction: meta-analysis (HTML: Full text). Buscemi, Nina; Vandermeer, B; Hooton, N; Pandya, R; Tjosvold, L; Hartling, L; Vohra, S; Klassen, TP et al. (2006-02-18). BMJ 332 (7538): 385–393.
doi:10.1136/bmj.38731.532766.F6
[Abstract][Full Text]

Efficacy of prolonged release melatonin in insomnia patients aged 55–80 years: quality of sleep and next-day alertness outcomes. Wade AG, Ford I, Crawford G (October 2007). Curr Med Res Opin 23 (10): 2597–605. doi:10.1185/030079907X233098
[Abstract]

Emergence and Evolution of the Circadian Rhythm of Melatonin in Children. Ardura, Julio; Gutierrez, R; Andres, J; Agapito, T (2002). (Free abstract). Hormone Research (S. Karger AG, Basel) 59 (2): 66–72.
[Abstract]

Encyclopedia of Dietary Supplements. Coates, Paul M. (2005). Marc R. Blackman, Gordon M. Cragg, Mark Levine, Joel Moss, Jeffrey D. White. CRC Press. pp. 457–466. ISBN 0824755049.

Entrainment of Free-Running Circadian Rhythms by Melatonin in Blind People. Sack, Robert L.; Brandes, RW; Kendall, AR; Lewy, AJ (12 October 2000). The NEW ENGLAND JOURNAL of MEDICINE 343 (15): 1070–1077. doi:10.1056/NEJM200010123431503
[Abstract][Full Text][Full Text PDF]

Epidemiology of urinary melatonin in women and its relation to other hormones and night work. Schernhammer E, Rosner B, Willett W, Laden F, Colditz G, Hankinson S (2004). Cancer Epidemiol Biomarkers Prev 13 (62): 936–43.
[Abstract]

Evening administration of melatonin enhances the pulsatile secretion of prolactin but not of LH and TSH in normally cycling women. Terzolo M, et al., 1993. Clinical Endocrinology, 39(2):185–191.
[Abstract]

Free radical-mediated molecular damage. Mechanisms for the protective actions of melatonin in the central nervous system. Reiter RJ, Acuña-Castroviejo D, Tan DX, Burkhardt S (June 2001). Annals of the New York Academy of Sciences 939: 200–15.
[Abstract]

Human lymphocyte-synthesized melatonin is involved in the regulation of the interleukin-2/interleukin-2 receptor system. Carrillo-Vico A, Lardone PJ, Fernández-Santos JM (2005). J. Clin.
Endocrinol. Metab. 90 (2): 992–1000.
doi:10.1210/jc.2004-1429
[Abstract]

Identification of melatonin in plants and its effects on plasma melatonin levels and binding to melatonin receptors in vertebrates. Hattori A, Migitaka H, Iigo M, et al. (March 1995). Biochemistry and Molecular Biology International 35 (3): 627–34.
[Abstract]

Immunotropic properties of pineal melatonin. Arushanian E, Beier E (2002). Eksp Klin Farmakol 65 (5): 73–80.
[Abstract]

Impaired hippocampal long-term potentiation in melatonin MT2 receptor-deficient mice. Larson J, Jessen R, Uz T, Arslan A, Kurtuncu M, Imbesi M, Manev H (2006). Neurosci Lett 393 (1): 23–6.
doi:10.1016/j.neulet.2005.09.040
[Abstract]

Intravenous administration of melatonin reduces the intracerebral cellular inflammatory response following transient focal cerebral ischemia in rats. Lee MY, Kuan YH, Chen HY, Chen TY, Chen ST, Huang CC, Yang IP, Hsu YS, Wu TS, Lee EJ. J Pineal Res. 2007 Apr;42(3):297 – 309.
[Abstract]

Is Internal Timing Key to Mental Health? (PDF). Bhattacharjee, Yudhijit (14 September 2007). ScienceMag (AAAS) 317: 1488–90. .
[Full Text PDF]

Isolation of melatonin and 5-methoxyindole-3-acetic acid from bovine pineal glands". Lerner AB, Case JD, Takahashi Y (1960). J Biol Chem 235: 1992–7.
[Abstract]

Long-term follow-up of melatonin treatment in children with ADHD and chronic sleep onset insomnia. Hoebert M, van der Heijden KB, van Geijlswijk IM, Smits MG (August 2009). " Journal of Pineal Research 47 (1): 1–7. doi:10.1111/j.1600-079X.2009.00681.x
[Abstract]

Low, but not high, doses of melatonin entrained a free-running blind person with a long circadian period". Lewy AJ, Emens JS, Sack RL, Hasler BP, Bernert RA (2002). Chronobiol Int. 19 (3): 649–58.
doi:10.1081/CBI-120004546
[Abstract]

Maternal and developmental toxicity evaluation of melatonin administered orally to pregnant Sprague-Dawley rats. Jahnke G, Marr M, Myers C, Wilson R, Travlos G and Price C, 1999. Toxicological Sciences,50(2):271-9.
[Abstract]

Melatonin and the Biological Clock. Lewis, Alan (1999). McGraw-Hill. pp. 23. ISBN 0879837349.

Melatonin and ulcerative colitis: evidence, biological mechanisms, and future research. Terry PD, Villinger F, Bubenik GA, Sitaraman SV (January 2009). Inflammatory Bowel Diseases 15 (1): 134–40.
doi:10.1002/ibd.20527.
[Abstract]

Melatonin as a chronobiotic.  Arendt J, Skene DJ (2005). Sleep Med Rev 9 (1): 25–39.
doi:10.1016/j.smrv.2004.05.002
[Abstract]

"Exogenous melatonin has acute sleepiness-inducing and temperature-lowering effects during 'biological daytime', and when suitably timed (it is most effective around dusk and dawn) it will shift the phase of the human circadian clock (sleep, endogenous melatonin, core body temperature, cortisol) to earlier (advance phase shift) or later (delay phase shift) times.".

Melatonin for Treatment of Sleep Disorders. Summary, Evidence Report/Technology Assessment: Number 108 (Review).Buscemi, N. et al. (2004). U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality.
[Full Text]

Melatonin for treatment of sleeping disorders in children with attention deficit/hyperactivity disorder: a preliminary open label study. Tjon Pian Gi CV, Broeren JP, Starreveld JS, Versteegh FG (2003). Eur J Pediatr. 162 (7): 554–555.
doi:10.1007/s00431-003-1207-x
[Abstract]

Melatonin in plants.  Caniato R, Filippini R, Piovan A, Puricelli L, Borsarini A, Cappelletti EM (2003). Advances in Experimental Medicine and Biology 527: 593–7
[Abstract]

Melatonin in the treatment of cancer: a systematic review of randomized controlled trials and meta-analysis. Mills E, Wu P, Seely D,4; Guyatt G, E; Wu, P; Seely, D; Guyatt, G (2005). Journal of pineal research 39 (4): 360. doi:10.1111/j.1600-079X.2005.00258.x
[Abstract]

Melatonin prevents death of neuroblastoma cells exposed to the Alzheimer amyloid peptide. Pappolla MA, Sos M, Omar RA, Bick RJ, Hickson-Bick DL, Reiter RJ, Efthimiopoulos S, Robakis NK. (1997). J Neurosci 17 (5): 1683–1690.
[Abstract]

Melatonin response to bright light in recovered, drug-free, bipolar patients. Whalley LJ, Perini T, Shering A, Bennie J (July 1991). Psychiatry Res 38 (1): 13–9.
doi:10.1016/0165-1781(91)90048-T
[Abstract]

Melatonin treatment for age-related insomnia. Zhdanova I, Wurtman R, Regan M, Taylor J, Shi J, Leclair O (2001). J Clin Endocrinol Metab 86 (10): 4727–30. doi:10.1210/jc.86.10.4727
[Abstract]

Melatonin, melatonin receptors and melanophores: a moving story. Sugden D, Davidson K, Hough KA, Teh MT (October 2004). Pigment Cell Research 17 (5): 454–60.
doi:10.1111/j.1600-0749.2004.00185.x
[Abstract]

Melatonin, sleep, and circadian rhythms: rationale for development of specific melatonin agonists. Turek FW, Gillette MU (November 2004). Sleep Med. 5 (6): 523–32.
doi:10.1016/j.sleep.2004.07.009
[Abstract]

Melatonin: a potent, endogenous hydroxyl radical scavenger. Tan, D.X. (1993).. Endocr J (1): 57–60.

Melatonin: The Myths and Facts. Ratzburg, Courtney (Undated). Vanderbilt University.
[Link]

Melatonin: therapeutic and clinical utilization. Altun A, Ugur-Altun B (2007). Int. J. Clin. Pract. 61 (5): 835–45.
doi:10.1111/j.1742-1241.2006.01191.x
[Abstract]

Melatonin—a highly potent endogenous radical scavenger and electron donor: new aspects of the oxidation chemistry of this indole accessed in vitro. Poeggeler B, Saarela S, Reiter RJ (1994). " Ann. N. Y. Acad. Sci. 738: 419–20.
[Abstract]

Minireview: Entrainment of the suprachiasmatic clockwork in diurnal and nocturnal mammals. Challet E (December 2007). Endocrinology 148 (12): 5648–55.
doi:10.1210/en.2007-0804
[Abstract]

Phase-dependent treatment of delayed sleep phase syndrome with melatonin. Mundey K, Benloucif S, Harsanyi K, Dubocovich ML, Zee PC (October 2005). Sleep 28 (10): 1271–8
[Abstract]

Physiological and metabolic functions of melatonin. Barrenetxe J, Delagrange P, Martínez J (2004). J Physiol Biochem 60 (1): 61–72.
doi:10.1007/BF03168221
[Abstract]

Phytomelatonin: a review. Paredes SD, Korkmaz A, Manchester LC, Tan DX, Reiter RJ (2009). Journal of Experimental Botany 60 (1): 57–69. doi:10.1093/jxb/ern284
[Abstract]

Prevention of isoproterenol-induced tau hyperphosphorylation by melatonin in the rat. Wang X, Zhang J, Yu X, Han L, Zhou Z, Zhang Y, Wang J (2005). Sheng Li Xue Bao 57 (1): 7–12.
[Abstract]

Reactive oxygen species and the hypomotility of the gall bladder as targets for the treatment of gallstones with melatonin: a review. Koppisetti S, Jenigiri B, Terron MP (October 2008). Dig. Dis. Sci. 53 (10): 2592–603. doi:10.1007/s10620-007-0195-5
[Abstract]

Reduced oxidative damage in ALS by high-dose enteral melatonin treatment. Weishaupt, J. H.; et al (November 2006). J Pineal Res. 41 (4): 313–23.
[Abstract]

Role of a novel photopigment, melanopsin, in behavioral adaptation to light. Nayak SK, Jegla T, Panda S (January 2007). Cell. Mol. Life Sci. 64 (2): 144–54.
doi:10.1007/s00018-006-5581-1
[Abstract]

Safety in melatonin use.  Morera A, Henry M, de La Varga M (2001). Actas Esp Psiquiatr 29 (5): 334–7
[Abstract]

Significance of melatonin in anti oxidative defense system: reactions and products. Tan DX, Manchester LC, Reiter RJ, Qi W, Karbownik M, Calvo JR (2000). Biol Signals Recept 9 (3–4): 137–59.
doi:10.1159/000014635
[Abstract]

Sundowning and circadian rhythms in Alzheimer's disease. Volicer L, Harper D, Manning B, Goldstein R, Satlin A (2001). Am J Psychiatry 158 (5): 704–11.
doi:10.1176/appi.ajp.158.5.704
[Abstract]

Supersensitivity to light: possible trait marker for manic-depressive illness.Lewy AJ, Nurnberger JI, Wehr TA (June 1985). Am J Psychiatry 142 (6): 725–7.
[Abstract][Full Text]

The biological clock: the bodyguard of temporal homeostasis. Perreau-Lenz S, Pévet P, Buijs R, Kalsbeek A (2004). Chronobiol Int 21 (1): 1–25. doi:10.1081/CBI-120027984
[Abstract]

The dark side of light at night: physiological, epidemiological, and ecological consequences (Review, PDF: full text). Navara, KJ; Nelson, RJ (2007). J. Pineal Res. 43 (43): 215–224.
doi:10.1111/j.1600-079X.2007.00473.x
[Abstract]

The efficacy and safety of exogenous melatonin for primary sleep disorders. A meta-analysis. Buscemi N, Vandermeer B, Hooton N, et al. (December 2005). Journal of General Internal Medicine 20 (12): 1151–8.
doi:10.1111/j.1525-1497.2005.0243.x
[Abstract]

The human circadian system in normal and disordered sleep. Richardson G (2005). J Clin Psychiatry 66 Suppl 9: 3 – 9; quiz 42–3.
[Abstract]

The immunotherapeutic potential of melatonin.  Maestroni GJ (2001). Expert Opin Investig Drugs 10 (3): 467–76.
doi:10.1517/13543784.10.3.467
[Abstract]

The melatonin-cytokine connection in rheumatoid arthritis. Cutolo M, Maestroni GJ (2005). Ann. Rheum. Dis. 64 (8): 1109–11.
doi:10.1136/ard.2005.038588
[Abstract]

The modulatory role of melatonin on immune responsiveness. Carrillo-Vico A, Reiter RJ, Lardone PJ (2006). Curr Opin Investig Drugs 7 (5): 423–31.
[Abstract]

The pineal gland is critical for circadian Period1 expression in the striatum and for circadian cocaine sensitization in mice. Uz T, Akhisaroglu M, Ahmed R, Manev H (2003). Neuropsychopharmacology 28 (12): 2117–23. doi:10.1038/sj.npp.1300254.
[Abstract]

The protective role of melatonin in experimental hypoxic brain damage".Tütüncüler F, Eskiocak S, Başaran UN, Ekuklu G, Ayvaz S, Vatansever U (2005). Pediatr Int 47 (4): 434–9.
doi:10.1111/j.1442-200x.2005.02085.x
[Abstract]

The therapeutic potential of melatonin in migraines and other headache types. Gagnier J (2001). Altern Med Rev 6 (4): 383–9.
[Abstract]

Treatment and management of cluster headache. Dodick D, Capobianco D (2001). Curr Pain Headache Rep 5 (1): 83–91.
doi:10.1007/s11916-001-0015-0
[Abstract]

Therapeutic potential of melatonin in immunodeficiency states, viral diseases, and cancer. Maestroni G (1999). Adv Exp Med Biol 467: 217–26.
[Abstract]

Update on the positive effects of light in humans. Roberts JE (2005). Photochem. Photobiol. 81 (3): 490–2.
doi:10.1562/2004-12-02-IR-391
[Abstract]