Protective Effect of Melatonin on Acute Pancreatitis

Melatonin, a product of the pineal gland, is released from the gut mucosa in response to food ingestion. Specific receptors for melatonin have been detected in many gastrointestinal tissues including the pancreas. Melatonin as well as its precursor, L-tryptophan, attenuates the severity of acute pa...

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Main Authors: Jolanta Jaworek, Joanna Szklarczyk, Andrzej K. Jaworek, Katarzyna Nawrot-Porąbka, Anna Leja-Szpak, Joanna Bonior, Michalina Kot
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/173675
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author Jolanta Jaworek
Joanna Szklarczyk
Andrzej K. Jaworek
Katarzyna Nawrot-Porąbka
Anna Leja-Szpak
Joanna Bonior
Michalina Kot
author_facet Jolanta Jaworek
Joanna Szklarczyk
Andrzej K. Jaworek
Katarzyna Nawrot-Porąbka
Anna Leja-Szpak
Joanna Bonior
Michalina Kot
author_sort Jolanta Jaworek
collection DOAJ
description Melatonin, a product of the pineal gland, is released from the gut mucosa in response to food ingestion. Specific receptors for melatonin have been detected in many gastrointestinal tissues including the pancreas. Melatonin as well as its precursor, L-tryptophan, attenuates the severity of acute pancreatitis and protects the pancreatic tissue from the damage caused by acute inflammation. The beneficial effect of melatonin on acute pancreatitis, which has been reported in many experimental studies and supported by clinical observations, is related to: (1) enhancement of antioxidant defense of the pancreatic tissue, through direct scavenging of toxic radical oxygen (ROS) and nitrogen (RNS) species, (2) preservation of the activity of antioxidant enzymes; such as superoxide dismutase (SOD), catalase (CAT), or glutathione peroxidase (GPx), (3) the decline of pro-inflammatory cytokine tumor necrosis α (TNFα) production, accompanied by stimulation of an anti-inflammatory IL-10, (4) improvement of pancreatic blood flow and decrease of neutrophil infiltration, (5) reduction of apoptosis and necrosis in the inflamed pancreatic tissue, (6) increased production of chaperon protein (HSP60), and (7) promotion of regenerative process in the pancreas. Conclusion. Endogenous melatonin produced from L-tryptophan could be one of the native mechanisms protecting the pancreas from acute damage and accelerating regeneration of this gland. The beneficial effects of melatonin shown in experimental studies suggest that melatonin ought to be employed in the clinical trials as a supportive therapy in acute pancreatitis and could be used in people at high risk for acute pancreatitis to prevent the development of pancreatic inflammation.
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spelling doaj-art-b0ebf0c4d55a4699be77b09229f823b52025-02-03T01:25:51ZengWileyInternational Journal of Inflammation2090-80402042-00992012-01-01201210.1155/2012/173675173675Protective Effect of Melatonin on Acute PancreatitisJolanta Jaworek0Joanna Szklarczyk1Andrzej K. Jaworek2Katarzyna Nawrot-Porąbka3Anna Leja-Szpak4Joanna Bonior5Michalina Kot6Department of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandDepartment of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandDepartment of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandDepartment of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandDepartment of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandDepartment of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandDepartment of Medical Physiology, Faculty of Health Sciences, Jagiellonian University, Medical College, Michalowskiego 12, 31-126, Krakow, PolandMelatonin, a product of the pineal gland, is released from the gut mucosa in response to food ingestion. Specific receptors for melatonin have been detected in many gastrointestinal tissues including the pancreas. Melatonin as well as its precursor, L-tryptophan, attenuates the severity of acute pancreatitis and protects the pancreatic tissue from the damage caused by acute inflammation. The beneficial effect of melatonin on acute pancreatitis, which has been reported in many experimental studies and supported by clinical observations, is related to: (1) enhancement of antioxidant defense of the pancreatic tissue, through direct scavenging of toxic radical oxygen (ROS) and nitrogen (RNS) species, (2) preservation of the activity of antioxidant enzymes; such as superoxide dismutase (SOD), catalase (CAT), or glutathione peroxidase (GPx), (3) the decline of pro-inflammatory cytokine tumor necrosis α (TNFα) production, accompanied by stimulation of an anti-inflammatory IL-10, (4) improvement of pancreatic blood flow and decrease of neutrophil infiltration, (5) reduction of apoptosis and necrosis in the inflamed pancreatic tissue, (6) increased production of chaperon protein (HSP60), and (7) promotion of regenerative process in the pancreas. Conclusion. Endogenous melatonin produced from L-tryptophan could be one of the native mechanisms protecting the pancreas from acute damage and accelerating regeneration of this gland. The beneficial effects of melatonin shown in experimental studies suggest that melatonin ought to be employed in the clinical trials as a supportive therapy in acute pancreatitis and could be used in people at high risk for acute pancreatitis to prevent the development of pancreatic inflammation.http://dx.doi.org/10.1155/2012/173675
spellingShingle Jolanta Jaworek
Joanna Szklarczyk
Andrzej K. Jaworek
Katarzyna Nawrot-Porąbka
Anna Leja-Szpak
Joanna Bonior
Michalina Kot
Protective Effect of Melatonin on Acute Pancreatitis
International Journal of Inflammation
title Protective Effect of Melatonin on Acute Pancreatitis
title_full Protective Effect of Melatonin on Acute Pancreatitis
title_fullStr Protective Effect of Melatonin on Acute Pancreatitis
title_full_unstemmed Protective Effect of Melatonin on Acute Pancreatitis
title_short Protective Effect of Melatonin on Acute Pancreatitis
title_sort protective effect of melatonin on acute pancreatitis
url http://dx.doi.org/10.1155/2012/173675
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