Over three centuries ago, the French philosopher Rene Descartes descri
bed the pineal gland as ''the seat of the soul.'' However, it was not
until the late 1950s that the chemical identity and biosynthesis of me
latonin, the principal hormone secreted by the pineal body, were revea
led. Melatonin, named from the Creek melanos, meaning black, and tones
, meaning color, is a biogenic amine with structural similarities to s
erotonin. The mechanisms mediating the synthesis of melatonin are tran
scriptionally regulated by the photoperiodic environment. Once synthes
ized, the neurohormone is a biologic modulator of mood, sleep, sexual
behavior, reproductive alterations, immunologic function, and circadia
n rhythms. Moreover, melatonin exerts its regulatory roles through hig
h-affinity, pertussis toxin-sensitive, G-protein (or guanine nucleotid
e binding protein) coupled receptors that reside primarily in the eye,
kidney, gastrointestinal tract, blood vessels, and brain. Additional
evidence also indicates a role for melatonin in aging and age-related
diseases, probably related to its efficient free radical scavenger (or
antioxidant) activity. The potential clinical benefit of melatonin as
an antioxidant is remarkable, suggesting that it may be of use in the
treatment of many pathophysiological disease states including various
cancers, hypertension, pulmonary diseases, and a variety of neurodege
nerative diseases such as Alzheimer's disease. This review summarizes
the biosynthesis of melatonin and its many endocrine and physiological
functions, including its therapeutic potential in human disease state
s. Emphasis is placed on the recent speculations indicating that this
pineal hormone serves as an endogenous antioxidant agent with proficie
nt free radical scavenging activity. BIOCHEM PHARMACOL 56;10:1265-1272
, 1998. (C) 1998 Elsevier Science Inc.