Protective and therapeutic potential of melatonin against intestinal diseases: updated review of current data based on molecular mechanisms

Expert Rev Gastroenterol Hepatol. 2023 Jul-Dec;17(10):1011-1029. doi: 10.1080/17474124.2023.2267439. Epub 2023 Oct 24.

Abstract

Introduction: Intestinal diseases, a leading global cause of mortality and morbidity, carry a substantial socioeconomic burden. Small and large intestines play pivotal roles in gastrointestinal physiology and food digestion. Pathological conditions, such as gut dysbiosis, inflammation, cancer, therapy-related complications, ulcers, and ischemia, necessitate the urgent exploration of safe and effective complementary therapeutic strategies for optimal intestinal health.

Areas covered: This article evaluates the potential therapeutic effects of melatonin, a molecule with a wide range of physiological actions, on intestinal diseases including inflammatory bowel disease, irritable bowel syndrome, colon cancer, gastric/duodenal ulcers and other intestinal disorders.

Expert opinion: Due to anti-inflammatory and antioxidant properties as well as various biological actions, melatonin could be a therapeutic option for improving digestive disorders. However, more researches are needed to fully understand the potential benefits and risks of using melatonin for digestive disorders.

Keywords: Melatonin; colon cancer; gastrointestinal tract; inflammatory bowel disease; irritable bowel syndrome; ulcers.

Publication types

  • Review

MeSH terms

  • Antioxidants / adverse effects
  • Gastrointestinal Diseases* / therapy
  • Humans
  • Intestinal Diseases* / drug therapy
  • Irritable Bowel Syndrome*
  • Melatonin* / adverse effects

Substances

  • Melatonin
  • Antioxidants