A New Concept for Melatonin Deficit: On Pineal Calcification and Melatonin Excretion

Even though exogenous melatonin has proven to influence sleep and circadian parameters, low endogenous melatonin is not related to sleep disturbances, nor does it predict response to melatonin replacement therapy. In this manuscript, we present a new concept towards a definition of a melatonin defic...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 1999-12, Vol.21 (6), p.765-772
Hauptverfasser: Kunz, Dieter, Schmitz, Stephan, Mahlberg, Richard, Mohr, Anabelle, Stöter, Christiane, Wolf, Karl-Jürgen, Herrmann, Werner Martin
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container_issue 6
container_start_page 765
container_title Neuropsychopharmacology (New York, N.Y.)
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creator Kunz, Dieter
Schmitz, Stephan
Mahlberg, Richard
Mohr, Anabelle
Stöter, Christiane
Wolf, Karl-Jürgen
Herrmann, Werner Martin
description Even though exogenous melatonin has proven to influence sleep and circadian parameters, low endogenous melatonin is not related to sleep disturbances, nor does it predict response to melatonin replacement therapy. In this manuscript, we present a new concept towards a definition of a melatonin deficit. The purpose of the study was to introduce a marker for an intra-individual decrease in melatonin production. Therefore, we developed a method to quantify the degree of pineal calcification (DOC) using cranial computed tomography. Combining pineal DOC with the organs's size, we estimated the uncalcified pineal gland volume. This estimation was positively and significantly associated with 6-sulfatoxymelatonin (aMT6s), collected over 24 hours in urine, in 26 subjects. Data yielded evidence that the decline in aMT6s excretion with age can be sufficiently explained by an increased pineal calcification. These results suggest that DOC might be useful as an indicator of an intra-individual, decreased capability of the pineal gland to produce melatonin. DOC might prove to be a response-marker for melatonin replacement therapy and a vulnerability marker of the circadian timing system.
doi_str_mv 10.1016/S0893-133X(99)00069-X
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source MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Biological and medical sciences
Calcification
Calcinosis - complications
Calcinosis - diagnostic imaging
Calcinosis - physiopathology
Circadian timing system
Female
Fundamental and applied biological sciences. Psychology
Humans
Hypothalamus. Hypophysis. Epiphysis. Urophysis
Male
Melatonin
Melatonin - analogs & derivatives
Melatonin - deficiency
Melatonin - physiology
Melatonin - urine
Middle Aged
Morphology. Functional localizations
Pineal gland
Pineal Gland - diagnostic imaging
Pineal Gland - pathology
Pineal Gland - physiopathology
Reference Values
Sleep
Sleep Wake Disorders - diagnostic imaging
Sleep Wake Disorders - etiology
Sleep Wake Disorders - physiopathology
Tomography, X-Ray Computed
Vertebrates: endocrinology
title A New Concept for Melatonin Deficit: On Pineal Calcification and Melatonin Excretion
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