Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.
School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
J Cell Physiol. 2019 Nov;234(11):19158-19166. doi: 10.1002/jcp.28566. Epub 2019 Apr 3.
Childhood cancer management has improved considerably, with the overall objective of preventing early-life cancers completely. However, cancer remains a major cause of death in children, with the survivors developing anticancer treatment-specific health problems. Therefore, the anticancer treatment needs further improvement. Melatonin is a effective antioxidant and circadian pacemaker. Through multiple mechanisms, melatonin has significant positive effects on multitude adult cancers by increasing survival and treatment response rates, and slowing disease progression. In addition, melatonin appears to be safe for children. As an appealing therapeutic agent, we herein address several key concerns regarding melatonin's potential for treating children with cancer.
儿童癌症的管理已经得到了显著改善,其总体目标是完全预防儿童时期的癌症。然而,癌症仍然是儿童死亡的主要原因,幸存者会出现抗癌治疗特有的健康问题。因此,抗癌治疗需要进一步改进。褪黑素是一种有效的抗氧化剂和昼夜节律起搏器。通过多种机制,褪黑素通过提高生存率和治疗反应率以及减缓疾病进展,对多种成人癌症有显著的积极影响。此外,褪黑素对儿童似乎是安全的。作为一种有吸引力的治疗药物,我们在此讨论了褪黑素治疗癌症儿童的几个关键问题。