Aims and background. Melatonin secretion is required to be a potential
inhibitor of the development and growth of tumors, and cigarette smok
ing is a well established risk factor for cancer at various sites. Met
hods: Circulating melatonin levels of 20 smokers and 20 non smokers (c
ontrols), sampled at the same hour from awaking in order to obtain a c
omparable circadian synchronization, were compared. Results: Our data
showed higher melatonin circulating levels in smokers (17.44 +/- 1.8 p
g/ml) than in nonsmokers (9.77 +/- 1.4 pg/ml). Conclusions: The causes
, mechanism and meaning of this phenomenon are still unknown. The most
actractive hypothesis considers higher melatonin levels in smokers as
an attempt to counter-balance cellular growth stimulus, a natural ''b
rake'' mechanism to restrain the proliferation of normally differentia
ted tissues: smoke is a prominent risk factor for several different tu
mors.