Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, 128 Szaserów Street, 04-141 Warsaw, Poland.
Cells. 2023 Mar 8;12(6):838. doi: 10.3390/cells12060838.
Melatonin is a neurohormone that is mainly secreted by the pineal gland. It coordinates the work of the superior biological clock and consequently affects many processes in the human body. Disorders of the waking and sleeping period result in nervous system imbalance and generate metabolic and endocrine derangements. The purpose of this review is to provide information regarding the potential benefits of melatonin use, particularly in kidney diseases. The impact on the cardiovascular system, diabetes, and homeostasis causes melatonin to be indirectly connected to kidney function and quality of life in people with chronic kidney disease. Moreover, there are numerous reports showing that melatonin plays a role as an antioxidant, free radical scavenger, and cytoprotective agent. This means that the supplementation of melatonin can be helpful in almost every type of kidney injury because inflammation, apoptosis, and oxidative stress occur, regardless of the mechanism. The administration of melatonin has a renoprotective effect and inhibits the progression of complications connected to renal failure. It is very important that exogenous melatonin supplementation is well tolerated and that the number of side effects caused by this type of treatment is low.
褪黑素是一种主要由松果体分泌的神经激素。它协调高级生物钟的工作,从而影响人体的许多过程。睡眠-觉醒周期紊乱会导致神经系统失衡,并产生代谢和内分泌紊乱。本综述的目的是提供褪黑素使用的潜在益处的信息,特别是在肾脏疾病方面。褪黑素对心血管系统、糖尿病和内稳态的影响使褪黑素与慢性肾脏病患者的肾功能和生活质量间接相关。此外,有大量报告表明,褪黑素具有抗氧化剂、自由基清除剂和细胞保护剂的作用。这意味着,无论其机制如何,补充褪黑素都可能对几乎每一种类型的肾损伤都有帮助,因为炎症、细胞凋亡和氧化应激都会发生。褪黑素的给药具有肾脏保护作用,并抑制与肾衰竭相关的并发症的进展。非常重要的是,外源性褪黑素补充剂的耐受性良好,并且这种治疗类型引起的副作用数量较低。