Melatonin potentials against viral infections including COVID-19: Current evidence and new findings

Virus Res. 2020 Oct 2:287:198108. doi: 10.1016/j.virusres.2020.198108. Epub 2020 Aug 5.

Abstract

Viral infections are dangerous diseases for human health worldwide, which lead to significant morbidity and mortality each year. Because of their importance and the lack of effective therapeutic approaches, further attempts should be made to discover appropriate alternative or complementary treatments. Melatonin, a multifunctional neurohormone mainly synthesized and secreted by the pineal gland, plays some roles in the treatment of viral infections. Regarding a deadly outbreak of COVID-19 across the world, we decided to discuss melatonin functions against various viral infections including COVID-19. Therefore, in this review, we summarize current evidence on melatonin therapy for viral infections with focus on possible underlying mechanisms of melatonin actions.

Keywords: Apoptosis; Coronavirus; Covid-19; Inflammation; Melatonin; Oxidative stress; Respiratory syncytial virus; Stem cell; Venezuelan equine encephalitis virus; Viral hepatitis; Viral infections; Viral myocarditis.

Publication types

  • Review

MeSH terms

  • Antioxidants
  • Antiviral Agents / pharmacology*
  • Antiviral Agents / therapeutic use
  • Betacoronavirus / drug effects*
  • COVID-19
  • Coronavirus Infections / drug therapy
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / metabolism
  • Coronavirus Infections / virology*
  • Host-Pathogen Interactions
  • Humans
  • Melatonin / pharmacology*
  • Melatonin / therapeutic use
  • Oxidative Stress / drug effects
  • Pandemics
  • Pneumonia, Viral / drug therapy
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / metabolism
  • Pneumonia, Viral / virology*
  • SARS-CoV-2
  • Signal Transduction / drug effects
  • Vaccination
  • Viral Vaccines / administration & dosage
  • Viral Vaccines / immunology
  • Virus Diseases / drug therapy
  • Virus Diseases / metabolism
  • Virus Diseases / virology

Substances

  • Antioxidants
  • Antiviral Agents
  • Viral Vaccines
  • Melatonin