One molecule, many derivatives: A never‐ending interaction of melatonin with reactive oxygen and nitrogen species?

Abstract:  Melatonin is a highly conserved molecule. Its presence can be traced back to ancient photosynthetic prokaryotes. A primitive and primary function of melatonin is that it acts as a receptor‐independent free radical scavenger and a broad‐spectrum antioxidant. The receptor‐dependent functions of melatonin were subsequently acquired during evolution. In the current review, we focus on melatonin metabolism which includes the synthetic rate‐limiting enzymes, synthetic sites, potential regulatory mechanisms, bioavailability in humans, mechanisms of breakdown and functions of its metabolites. Recent evidence indicates that the original melatonin metabolite may be N1‐acetyl‐N2‐formyl‐5‐methoxykynuramine (AFMK) rather than its commonly measured urinary excretory product 6‐hydroxymelatonin sulfate. Numerous pathways for AFMK formation have been identified both in vitro and in vivo. These include enzymatic and pseudo‐enzymatic pathways, interactions with reactive oxygen species (ROS)/reactive nitrogen species (RNS) and with ultraviolet irradiation. AFMK is present in mammals including humans, and is the only detectable melatonin metabolite in unicellular organisms and metazoans. 6‐Hydroxymelatonin sulfate has not been observed in these low evolutionary‐ranked organisms. This implies that AFMK evolved earlier in evolution than 6‐hydroxymelatonin sulfate as a melatonin metabolite. Via the AFMK pathway, a single melatonin molecule is reported to scavenge up to 10 ROS/RNS. That the free radical scavenging capacity of melatonin extends to its secondary, tertiary and quaternary metabolites is now documented. It appears that melatonin's interaction with ROS/RNS is a prolonged process that involves many of its derivatives. The process by which melatonin and its metabolites successively scavenge ROS/RNS is referred as the free radical scavenging cascade. This cascade reaction is a novel property of melatonin and explains how it differs from other conventional antioxidants. This cascade reaction makes melatonin highly effective, even at low concentrations, in protecting organisms from oxidative stress. In accordance with its protective function, substantial amounts of melatonin are found in tissues and organs which are frequently exposed to the hostile environmental insults such as the gut and skin or organs which have high oxygen consumption such as the brain. In addition, melatonin production may be upregulated by low intensity stressors such as dietary restriction in rats and exercise in humans. Intensive oxidative stress results in a rapid drop of circulating melatonin levels. This melatonin decline is not related to its reduced synthesis but to its rapid consumption, i.e. circulating melatonin is rapidly metabolized by interaction with ROS/RNS induced by stress. Rapid melatonin consumption during elevated stress may serve as a protective mechanism of organisms in which melatonin is used as a first‐line defensive molecule against oxidative damage. The oxidative status of organisms modifies melatonin metabolism. It has been reported that the higher the oxidative state, the more AFMK is produced. The ratio of AFMK and another melatonin metabolite, cyclic 3‐hydroxymelatonin, may serve as an indicator of the level of oxidative stress in organisms.

[1]  T. Kozai,et al.  Melatonin in Glycyrrhiza uralensis: response of plant roots to spectral quality of light and UV‐B radiation , 2006, Journal of pineal research.

[2]  R. Reiter Melatonin, active oxygen species and neurological damage. , 1998, Drug news & perspectives.

[3]  D. Bonn Melatonin's multifarious marvels: miracle or myth? , 1996, The Lancet.

[4]  R. Reiter,et al.  Melatonin immunoreactivity in the photosynthetic prokaryote Rhodospirillum rubrum: implications for an ancient antioxidant system. , 1995, Cellular & molecular biology research.

[5]  J S Bertino,et al.  The Absolute Bioavailability of Oral Melatonin , 2000, Journal of clinical pharmacology.

[6]  J. Besharse,et al.  Regulation of indoleamine N-Acetyltransferase activity in the retina: Effects of light and dark, protein synthesis inhibitors and cyclic nucleotide analogs , 1983, Brain Research.

[7]  A. Amemiya,et al.  Melatonin, its precursors, and synthesizing enzyme activities in the human ovary. , 1999, Molecular human reproduction.

[8]  Josep M. Guerrero,et al.  Melatonin synthesis and melatonin‐membrane receptor (MT1) expression during rat thymus development: role of the pineal gland , 2005, Journal of pineal research.

[9]  R. Reiter,et al.  Anti-inflammatory actions of melatonin and its metabolites, N1-acetyl-N2-formyl-5-methoxykynuramine (AFMK) and N1-acetyl-5-methoxykynuramine (AMK), in macrophages , 2005, Journal of Neuroimmunology.

[10]  S. Pang,et al.  Cold stress during scotophase elicited differential responses in quail pineal, retinal, and serum melatonin levels. , 1990, Acta endocrinologica.

[11]  L. Tesoriere,et al.  Oxidation of melatonin by oxoferryl hemoglobin: A mechanistic study , 2001, Free radical research.

[12]  I. Hanbauer,et al.  Activator protein-1 DNA binding activation by hydrogen peroxide in neuronal and astrocytic primary cultures of trisomy-16 and diploid mice. , 1999, Brain research. Molecular brain research.

[13]  V. Ximenes,et al.  Oxidation of melatonin and its catabolites, N1‐acetyl‐N 2‐formyl‐5‐methoxykynuramine and N1‐acetyl‐5‐methoxykynuramine, by activated leukocytes , 2004, Journal of pineal research.

[14]  R. Hardeland,et al.  Interactions of melatonin and its metabolites with the ABTS cation radical: extension of the radical scavenger cascade and formation of a novel class of oxidation products, C2‐substituted 3‐indolinones , 2006, Journal of Pineal Research.

[15]  J. Borjigin,et al.  N‐acetyltransferase is not the rate‐limiting enzyme of melatonin synthesis at night , 2005, Journal of pineal research.

[16]  W. Weber,et al.  Characterization of a hormone response element in the mouse N-acetyltransferase 2 (Nat2*) promoter. , 1998, Gene expression.

[17]  R. Reiter,et al.  The synthesis and the structure elucidation of N,O-diacetyl derivative of cyclic 3-hydroxymelatonin , 2004 .

[18]  R. Hardeland,et al.  Non‐vertebrate melatonin , 2003, Journal of pineal research.

[19]  B. Glass,et al.  Melatonin and 6‐hydroxymelatonin protect against iron‐induced neurotoxicity , 2006, Journal of neurochemistry.

[20]  R. Reiter,et al.  Transient reduction in pineal melatonin levels but not n-acetyltransferase activity in rats forced to swim for 15 minutes at night , 1988 .

[21]  Gordon H. Purser,et al.  Identification of the factors affecting the rate of deactivation of hypochlorous acid by melatonin. , 1999, Biochemical and biophysical research communications.

[22]  Xiaochao Ma,et al.  METABOLISM OF MELATONIN BY HUMAN CYTOCHROMES P450 , 2005, Drug Metabolism and Disposition.

[23]  H. Rintamäki,et al.  Plasma and tissue concentrations of melatonin after midnight light exposure and pinealectomy in the pigeon. , 1985, Journal of Endocrinology.

[24]  R. Sayre,et al.  The FASEB Journal • FJ Express Full-Length Article Constitutive and UV-induced metabolism of melatonin in keratinocytes and cell-free systems , 2022 .

[25]  R. Peres,et al.  N1‐acetyl‐N2‐formyl‐5‐methoxykynuramine modulates the cell cycle of malaria parasites , 2007, Journal of pineal research.

[26]  L. Vollrath,et al.  Response of pineal serotonin N-acetyltransferase activity in male guinea pigs exposed to light pulses at night , 2005, Journal of Neural Transmission.

[27]  R. Reiter,et al.  Increased levels of oxidatively damaged DNA induced by chromium(III) and H2O2: protection by melatonin and related molecules , 2000, Journal of pineal research.

[28]  R. Reiter,et al.  Pineal Dependence of the Syrian Hamster's Nocturnal Serum Melatonin Surge , 1986, Journal of pineal research.

[29]  N. Bryan,et al.  N-Nitroso products from the reaction of indoles with Angeli's salt. , 2006, Chemical research in toxicology.

[30]  R. Hamdy,et al.  Melatonin as an effective protector against doxorubicin-induced cardiotoxicity. , 2002, American journal of physiology. Heart and circulatory physiology.

[31]  R. Reiter,et al.  Food restriction retards aging of the pineal gland , 1991, Brain Research.

[32]  G. Huether,et al.  The contribution of extrapineal sites of melatonin synthesis to circulating melatonin levels in higher vertebrates , 1993, Experientia.

[33]  R. Reiter,et al.  Neither the pituitary gland nor the sympathetic nervous system is responsible for eliciting the large drop in elevated rat pineal melatonin levels due to swimming , 1988, Journal of Neural Transmission.

[34]  D F Swaab,et al.  Decreased melatonin levels in postmortem cerebrospinal fluid in relation to aging, Alzheimer's disease, and apolipoprotein E-epsilon4/4 genotype. , 1999, The Journal of clinical endocrinology and metabolism.

[35]  G. Amarante-Mendes,et al.  Neutrophils as a specific target for melatonin and kynuramines: effects on cytokine release , 2004, Journal of Neuroimmunology.

[36]  W. Pryor,et al.  The reaction of melatonin with peroxynitrite: formation of melatonin radical cation and absence of stable nitrated products. , 1998, Biochemical and biophysical research communications.

[37]  L. Tappy,et al.  Relationship between stress, inflammation and metabolism , 2004, Current opinion in clinical nutrition and metabolic care.

[38]  Vijayalaxmi,et al.  A novel melatonin metabolite, cyclic 3-hydroxymelatonin: a biomarker of in vivo hydroxyl radical generation. , 1998, Biochemical and biophysical research communications.

[39]  A. Acet,et al.  Effects of physiological and pharmacological concentrations of melatonin on ischemia–reperfusion arrhythmias in rats: can the incidence of sudden cardiac death be reduced? , 2002, Journal of pineal research.

[40]  S. Rozov,et al.  N1‐acetyl‐N2‐formyl‐5‐methoxykynuramine is a product of melatonin oxidation in rats , 2003, Journal of pineal research.

[41]  R. B. Walker,et al.  The identification of the UV degradants of melatonin and their ability to scavenge free radicals , 2002, Journal of pineal research.

[42]  F. Peyrot,et al.  Melatonin nitrosation promoted by NO*2; comparison with the peroxynitrite reaction. , 2006, Free radical research.

[43]  R. Hardeland,et al.  Melatonin, a potent agent in antioxidative defense: Actions as a natural food constituent, gastrointestinal factor, drug and prodrug , 2005, Nutrition & metabolism.

[44]  R. Reiter,et al.  Melatonin and its derivatives cyclic 3‐hydroxymelatonin, N1‐acetyl‐N2‐formyl‐5‐methoxykynuramine and 6‐methoxymelatonin reduce oxidative DNA damage induced by Fenton reagents , 2003 .

[45]  R. Reiter,et al.  Chemical and physical properties and potential mechanisms: melatonin as a broad spectrum antioxidant and free radical scavenger. , 2002, Current topics in medicinal chemistry.

[46]  C. Chignell,et al.  Interaction of Singlet Molecular Oxygen with Melatonin and Related Indoles ¶ , 2003, Photochemistry and photobiology.

[47]  G. Velasco,et al.  Kynurenamines as neural nitric oxide synthase inhibitors. , 2005, Journal of medicinal chemistry.

[48]  V. Ximenes,et al.  High concentrations of the melatonin metabolite, N1‐acetyl‐N 2‐formyl‐5‐methoxykynuramine, in cerebrospinal fluid of patients with meningitis: a possible immunomodulatory mechanism , 2005, Journal of pineal research.

[49]  R. B. Walker,et al.  6-Hydroxymelatonin protects against cyanide induced oxidative stress in rat brain homogenates , 2003, Journal of Chemical Neuroanatomy.

[50]  W. Pryor,et al.  Reaction of peroxynitrite with melatonin: A mechanistic study. , 1999, Chemical research in toxicology.

[51]  J. Laitinen,et al.  TCDD reduces serum melatonin levels in Long-Evans rats. , 1989, Pharmacology & toxicology.

[52]  D. Acuña-Castroviejo,et al.  Mitochondrial regulation by melatonin and its metabolites. , 2003, Advances in experimental medicine and biology.

[53]  Solomon H. Snyder,et al.  Rhythmic transcription: the molecular basis of circadian melatonin synthesis , 1997, Trends in Neurosciences.

[54]  R. Hardeland,et al.  Reactions of the melatonin metabolite N1-acetyl-5-methoxykynuramine (AMK) with the ABTS cation radical: identification of new oxidation products. , 2006, Redox report : communications in free radical research.

[55]  V. Ximenes,et al.  Oxidation of melatonin and tryptophan by an HRP cycle involving compound III. , 2001, Biochemical and biophysical research communications.

[56]  D. Ingram,et al.  Calorie restriction in rhesus monkeys , 2003, Experimental Gerontology.

[57]  R. Reiter,et al.  The significance of the metabolism of the neurohormone melatonin: Antioxidative protection and formation of bioactive substances , 1993, Neuroscience & Biobehavioral Reviews.

[58]  G. Skrinar,et al.  Plasma melatonin increases during exercise in women. , 1981, The Journal of clinical endocrinology and metabolism.

[59]  R. Reiter,et al.  Melatonin: a hormone, a tissue factor, an autocoid, a paracoid, and an antioxidant vitamin , 2003, Journal of pineal research.

[60]  G. Maestroni,et al.  Evidence for melatonin synthesis in mouse and human bone marrow cells , 2000, Journal of pineal research.

[61]  S. Oikawa,et al.  Oxidative DNA damage induced by a melatonin metabolite, 6-hydroxymelatonin, via a unique non-o-quinone type of redox cycle. , 2004, Biochemical pharmacology.

[62]  K. Hirata,et al.  Melatonin, a pineal secretory product with antioxidant properties, protects against cisplatin‐induced nephrotoxicity in rats , 2001, Journal of pineal research.

[63]  R. Hardeland,et al.  Circadian Rhythms, Oxidative Stress, and Antioxidative Defense Mechanisms , 2003, Chronobiology international.

[64]  L. Avigliano,et al.  Dehydroascorbic acid uptake in a human keratinocyte cell line (HaCaT) is glutathione-independent. , 2000, The Biochemical journal.

[65]  D. Lahiri,et al.  Age‐related changes in serum melatonin in mice: higher levels of combined melatonin and 6‐hydroxymelatonin sulfate in the cerebral cortex than serum, heart, liver and kidney tissues , 2004, Journal of pineal research.

[66]  D. Ingram,et al.  Effects of Dietary Caloric Restriction and Aging on Thyroid Hormones of Rhesus Monkeys , 2002, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme.

[67]  R. Reiter,et al.  Melatonin: The chemical expression of darkness , 1991, Molecular and Cellular Endocrinology.

[68]  R. Reiter,et al.  Antioxidant properties of the melatonin metabolite N1-acetyl-5-methoxykynuramine (AMK): scavenging of free radicals and prevention of protein destruction , 2003, Redox report : communications in free radical research.

[69]  R. Reiter,et al.  Ischemia/reperfusion‐induced arrhythmias in the isolated rat heart: Prevention by melatonin , 1998, Journal of pineal research.

[70]  P. Lichter,et al.  The Ciliary Body - The Third Organ Found to Synthesize Indoleamines in Humans , 1992, European journal of ophthalmology.

[71]  R. Reiter,et al.  Significance of Melatonin in Antioxidative Defense System: Reactions and Products , 2000, Neurosignals.

[72]  L. Birnbaum,et al.  TCDD‐mediated oxidative stress in male rat pups following perinatal exposure , 2002, Journal of biochemical and molecular toxicology.

[73]  M. Aktoz,et al.  Decreased nocturnal synthesis of melatonin in patients with coronary artery disease. , 2003, International journal of cardiology.

[74]  A. Lerner,et al.  ISOLATION OF MELATONIN, THE PINEAL GLAND FACTOR THAT LIGHTENS MELANOCYTES1 , 1958 .

[75]  R. Reiter,et al.  Mechanistic and comparative studies of melatonin and classic antioxidants in terms of their interactions with the ABTS cation radical , 2003, Journal of pineal research.

[76]  S. Weintraub,et al.  Identification of highly elevated levels of melatonin in bone marrow: its origin and significance. , 1999, Biochimica et biophysica acta.

[77]  T. Thalhammer,et al.  Biotransformation of melatonin in human breast cancer cell lines: role of sulfotransferase 1A1 , 2005, Journal of pineal research.

[78]  A. Slominski,et al.  A novel metabolic pathway of melatonin: oxidation by cytochrome C. , 2005, Biochemistry.

[79]  C. Ribelayga,et al.  HIOMT drives the photoperiodic changes in the amplitude of the melatonin peak of the Siberian hamster. , 2000, American journal of physiology. Regulatory, integrative and comparative physiology.

[80]  J. Idle,et al.  Urinary metabolites and antioxidant products of exogenous melatonin in the mouse , 2006, Journal of pineal research.

[81]  R. Hardeland,et al.  Oxidation of melatonin by carbonate radicals and chemiluminescence emitted during pyrrole ring cleavage , 2003, Journal of pineal research.

[82]  V. Ximenes,et al.  Melatonin and its kynurenin-like oxidation products affect the microbicidal activity of neutrophils. , 2006, Microbes and infection.

[83]  L. Valladares,et al.  Melatonin in the rat testis: Evidence for local synthesis , 1996, Steroids.

[84]  M. Aktoz,et al.  Impaired nocturnal synthesis of melatonin in patients with cardiac syndrome X , 2002, Neuroscience Letters.

[85]  M. Russo,et al.  Interferon‐gamma independent oxidation of melatonin by macrophages , 2003, Journal of pineal research.

[86]  B. Malpaux,et al.  Melatonin Enters the Cerebrospinal Fluid through the Pineal Recess. , 2002, Endocrinology.

[87]  V. Ximenes,et al.  Myeloperoxidase-catalyzed oxidation of melatonin by activated neutrophils. , 2000, Biochemical and biophysical research communications.

[88]  K. Hirata,et al.  Administration of melatonin and related indoles prevents exercise-induced cellular oxidative changes in rats. , 1997, Biological signals.

[89]  D. Acuña-Castroviejo,et al.  Inhibition of neuronal nitric oxide synthase activity by N1‐acetyl‐5‐methoxykynuramine, a brain metabolite of melatonin , 2006, Journal of neurochemistry.

[90]  P. Lercher,et al.  Decreased melatonin synthesis in patients with coronary artery disease. , 1999, European heart journal.

[91]  M. Itoh,et al.  Detection of melatonin, its precursors and related enzyme activities in rabbit lens. , 1999, Experimental eye research.

[92]  R. Reiter,et al.  N-acetyltransferase activity, hydroxyindole-O-methyltransferase activity, and melatonin levels in the Harderian glands of the female Syrian hamster: changes during the light:dark cycle and the effect of 6-parachlorophenylalanine administration. , 1987, Biochemical and biophysical research communications.

[93]  Burkhard Poeggeler,et al.  On the primary functions of melatonin in evolution: Mediation of photoperiodic signals in a unicell, photooxidation, and scavenging of free radicals * , 1995, Journal of pineal research.

[94]  R. Kelly,et al.  N-acetyl-5-methoxy kynurenamine, a brain metabolite of melatonin, is a potent inhibitor of prostaglandin biosynthesis. , 1984, Biochemical and biophysical research communications.

[95]  H. Parlakpınar,et al.  Protective effects of melatonin on myocardial ischemia/reperfusion induced infarct size and oxidative changes. , 2005, Physiological research.

[96]  R. Reiter,et al.  N1‐acetyl‐N2‐formyl‐5‐methoxykynuramine, a biogenic amine and melatonin metabolite, functions as a potent antioxidant , 2001, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[97]  R. Hardeland,et al.  Pineal hormone melatonin oscillates also in the dinoflagellateGonyaulax polyedra , 1991, Naturwissenschaften.

[98]  B. Poeggeler,et al.  Effect of tryptophan administration on circulating melatonin levels in chicks and rats: evidence for stimulation of melatonin synthesis and release in the gastrointestinal tract. , 1992, Life sciences.

[99]  R. Hardeland,et al.  MELATONIN AND OTHER 5-METHOXYLATED INDOLES IN YEAST : PRESENCE IN HIGH CONCENTRATIONS AND DEPENDENCE ON TRYPTOPHAN AVAILABILITY , 1999 .

[100]  B. Poeggeler,et al.  Dramatic Rises of Melatonin and 5-Methoxytryptamine in Gonyaulax Exposed to Decreased Temperature , 1997 .

[101]  K. Kometani,et al.  Melatonin as a local regulator of human placental function , 2005, Journal of pineal research.

[102]  J. Röschke,et al.  Increased bioavailability of oral melatonin after fluvoxamine coadministration , 2000, Clinical pharmacology and therapeutics.

[103]  R. Reiter,et al.  DNA oxidatively damaged by chromium(III) and H(2)O(2) is protected by the antioxidants melatonin, N(1)-acetyl-N(2)-formyl-5-methoxykynuramine, resveratrol and uric acid. , 2001, The international journal of biochemistry & cell biology.

[104]  E. Antunes,et al.  6‐Hydroxymelatonin protects against quinolinic‐acid‐induced oxidative neurotoxicity in the rat hippocampus , 2005, The Journal of pharmacy and pharmacology.

[105]  M. Medeiros,et al.  Inhibition of 5‐aminolevulinic acid‐induced DNA damage by melatonin, N1‐acetyl‐N2‐formyl‐5‐methoxykynuramine, quercetin or resveratrol , 2005, Journal of pineal research.

[106]  O. Vakkuri,et al.  Mechanism by which 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) reduces circulating melatonin levels in the rat. , 1996, Toxicology.

[107]  G. Ramadori,et al.  Presence of melatonin in the human hepatobiliary-gastrointestinal tract. , 2001, Life sciences.

[108]  D. Hazlerigg,et al.  Rhythmic melatonin secretion does not correlate with the expression of arylalkylamine N-ACETYLTRANSFERASE, inducible cyclic amp early repressor, period1 or cryptochrome1 mRNA in the sheep pineal , 2004, Neuroscience.

[109]  R. Pohjanvirta,et al.  TCDD decreases rapidly and persistently serum melatonin concentration without morphologically affecting the pineal gland in TCDD-resistant Han/Wistar rats. , 1991, Pharmacology & toxicology.

[110]  W. Di,et al.  Variable bioavailability of oral melatonin. , 1997, The New England journal of medicine.

[111]  P. Liebmann,et al.  Gene expression of the key enzymes of melatonin synthesis in extrapineal tissues of the rat , 2001, Journal of pineal research.

[112]  H R Lieberman,et al.  Bioavailability of oral melatonin in humans. , 1984, Neuroendocrinology.

[113]  T. Lu,et al.  Comparison of 6‐hydroxylmelatonin or melatonin in protecting neurons against ischemia/reperfusion‐mediated injury , 2006, Journal of pineal research.

[114]  B. Droz,et al.  Expression of calbindin immunoreactivity by subpopulations of primary sensory neurons in chick embryo dorsal root ganglion cells grown in coculture or conditioned medium. , 1988, Developmental neuroscience.

[115]  G. Martinez,et al.  Oxidation of melatonin by singlet molecular oxygen (O2(1Δg)) produces N1‐acetyl‐N2‐formyl‐5‐methoxykynurenine , 2003, Journal of pineal research.

[116]  S. Weintraub,et al.  Melatonin directly scavenges hydrogen peroxide: a potentially new metabolic pathway of melatonin biotransformation. , 2000, Free radical biology & medicine.

[117]  Yukui Zhang,et al.  Melatonin in Chinese medicinal herbs. , 2003, Life sciences.

[118]  D. Schrenk,et al.  2,3,7,8-Tetrachlorodibenzo-p-dioxin induced cytochrome P450s alter the formation of reactive oxygen species in liver cells. , 2006, Molecular nutrition & food research.

[119]  R. Reiter,et al.  The melatonin rhythm: both a clock and a calendar , 1993, Experientia.

[120]  J. Calvo,et al.  Characterization of the protective effects of melatonin and related indoles against α‐naphthylisothiocyanate‐induced liver injury in rats , 2001, Journal of cellular biochemistry.

[121]  R. Hardeland,et al.  Reactions of the melatonin metabolite AMK (N1‐acetyl‐5‐methoxykynuramine) with reactive nitrogen species: Formation of novel compounds, 3‐acetamidomethyl‐6‐methoxycinnolinone and 3‐nitro‐AMK , 2005, Journal of pineal research.

[122]  B. Malpaux,et al.  High melatonin concentrations in third ventricular cerebrospinal fluid are not due to Galen vein blood recirculating through the choroid plexus. , 1999, Endocrinology.

[123]  J. Fourtillan,et al.  Bioavailability of melatonin in humans after day-time administration of D(7) melatonin. , 2000, Biopharmaceutics & drug disposition.

[124]  A. Domínguez-Rodríguez,et al.  Decreased nocturnal melatonin levels during acute myocardial infarction , 2002, Journal of pineal research.

[125]  L. Bertilsson,et al.  Effects of caffeine intake on the pharmacokinetics of melatonin, a probe drug for CYP1A2 activity. , 2003, British journal of clinical pharmacology.

[126]  L. Tesoriere,et al.  Melatonin: structural characterization of its non‐enzymatic mono‐oxygenate metabolite , 2003, Journal of pineal research.

[127]  Yasuo Hishikawa,et al.  Melatonin secretion rhythm disorders in patients with senile dementia of Alzheimer’s type with disturbed sleep–waking , 1999, Biological Psychiatry.

[128]  P. Pévet,et al.  Radioimmunoassay of N-acetyl-N-formyl-5-methoxykynuramine (AFMK): a melatonin oxidative metabolite. , 2003, Life sciences.

[129]  F. Hirata,et al.  In vitro and in vivo formation of two new metabolites of melatonin. , 1974, The Journal of biological chemistry.

[130]  R. Reiter,et al.  Elevated daytime rat pineal and serum melatonin levels induced by isoproterenol are depressed by swimming. , 1987, Life sciences.

[131]  L. Grodzińska,et al.  Sleep induced by the administration of melatonin (5-methoxy-N-acetyltryptamine) to the hypothalamus in unrestrained cats , 1964, Experientia.

[132]  R. Reiter,et al.  Swimming depresses nighttime melatonin content without changing N-acetyltransferase activity in the rat pineal gland. , 1988, Neuroendocrinology.

[133]  R. Reiter,et al.  Pineal melatonin: cell biology of its synthesis and of its physiological interactions. , 1991, Endocrine reviews.

[134]  F. Watt,et al.  Cell shape controls terminal differentiation of human epidermal keratinocytes. , 1988, Proceedings of the National Academy of Sciences of the United States of America.

[135]  V. Simonneaux,et al.  Analysis of Adrenergic Regulation of Melatonin Synthesis in Siberian Hamster Pineal Emphasizes the Role of HIOMT , 2004, Neurosignals.

[136]  D. Pompon,et al.  Nitrosation of melatonin by nitric oxide and peroxynitrite , 2000, Journal of pineal research.

[137]  S. Asai,et al.  Roles of nocturnal melatonin and the pineal gland in modulation of water‐immersion restraint stress‐induced gastric mucosal lesions in rats , 2001, Journal of pineal research.

[138]  R. Reiter,et al.  High physiological levels of melatonin in the bile of mammals. , 1999, Life sciences.

[139]  G. Skrinar,et al.  Exercise effect upon plasma melatonin levels in women: possible physiological significance. , 1982, Canadian journal of applied sport sciences. Journal canadien des sciences appliquees au sport.

[140]  G. Dryhurst,et al.  Further insights into the reaction of melatonin with hydroxyl radical. , 2002, Bioorganic chemistry.

[141]  S. Daya,et al.  6-Hydroxymelatonin converts Fe (III) to Fe (II) and reduces iron-induced lipid peroxidation. , 2003, Life sciences.

[142]  Josep M. Guerrero,et al.  Evidence of melatonin synthesis by human lymphocytes and its physiological significance: possible role as intracrine, autocrine, and/or paracrine substance , 2004, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[143]  F. Peyrot,et al.  Melatonin nitrosation promoted by radical; comparison with the peroxynitrite reaction , 2006 .

[144]  H. Biltz,et al.  Ueber die Oxydation des p‐Oxybenzaldehydphenylhydrazons und einiger Derivate zu α‐ Diketonosazonen; , 1902 .

[145]  J. Stachura,et al.  Protective effect of melatonin and its precursor L‐tryptophan on acute pancreatitis induced by caerulein overstimulation or ischemia/reperfusion , 2003, Journal of pineal research.

[146]  H. Moss,et al.  Pharmacokinetics of melatonin in man: first pass hepatic metabolism. , 1985, The Journal of clinical endocrinology and metabolism.

[147]  I. Rodriguez,et al.  Structural analysis of the human hydroxyindole-O-methyltransferase gene. Presence of two distinct promoters. , 1994, The Journal of biological chemistry.

[148]  R. Reiter,et al.  Day-Night Differences in the Response of the Pineal Gland to Swimming Stress 1 , 1988, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine.

[149]  I. Kvetnoy Extrapineal Melatonin: Location and Role within Diffuse Neuroendocrine System , 2004, The Histochemical Journal.

[150]  H. Korf,et al.  The rhythm and blues of gene expression in the rodent pineal gland , 2005, Endocrine.