The hormone melatonin is released following a circardian rhythm with highes
t levels during the subjective night. It regulates a variety of physiologic
al and neuroendocrine functions through activation of G-protein-coupled mem
brane receptors in target tissues; The lipophilic structure of melatonin al
so suggests an intracellular function and the nuclear receptor RZR/ROR was
associated with a direct gene regulatory action of the hormone. In recent y
ears, many putative ligands for membrane bound melatonin receptors have bee
n synthesised, which represent indole derivatives or contain bioisosteric m
oieties and have structural elements identical or similar to the functional
groups in the melatonin molecule. Two mammalian melatonin receptors (mt(1)
and MT2) with 60% homology at amino acid level have been cloned and simpli
fy the search for selective agonists and antagonists. Recently, several lig
ands with a considerable selectivity for the MT2 receptor have been identif
ied. In addition, many melatonergic compounds have been patented and claime
d to be useful for the treatment of depression, sleep disorders, disturbanc
es of the circadian rhythm, anxiety disorders, cardiovascular diseases and
cancer. Thiazolidinedione derivatives have been identified as structurally
distinct but functional melatonin analogues that seem to act via the nuclea
r receptor RZR/ROR. These compounds exhibit potent anti-arthritic activity
and may also have a therapeutic potential against several types of cancer.