International journal of molecular sciences

How Melatonin Works at the Molecular and Cellular Level and Its Uses in Reproductive Medicine

Updated

Abstract

Melatonin may influence mitochondrial quality control through various interconnected processes.

  • Melatonin is recognized for its roles beyond circadian regulation, particularly in mitochondrial and cytoprotective functions.
  • Available evidence indicates that melatonin may regulate reactive oxygen species (ROS), mitochondrial dynamics, and inflammatory signaling.
  • In mitochondria, melatonin can reduce oxidative stress from the electron transport chain through both direct and indirect antioxidant actions.
  • Experimental studies suggest melatonin may affect mitochondrial fission and fusion processes, as well as mitophagy and biogenesis.
  • In reproductive medicine, melatonin has been explored as a potential adjunctive treatment in various conditions, but clinical evidence is mixed.
  • Most human studies have focused on reproductive or biochemical outcomes instead of direct biomarkers related to mitochondrial quality control.

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