Melatonin is the principal hormone secreted by the pineal gland, produced i
n humans with a circadian rhythm characterized by elevated blood levels dur
ing the night. It is involved in the regulation of several rhythmic functio
ns in various vertebrates, and participates in the processing of photoperio
dic information. Although its role in human physiologic and pathologic proc
esses is not yet completely understood, MLT exerts a number of actions, in
physiological or pharmacological concentrations, which could be of interest
for future therapeutic uses. The mechanisms involved in MLT actions includ
e interaction with membrane receptors, recently classified as mt(1)/MT2/MT3
, and with nuclear sites corresponding to orphan members of the nuclear rec
eptor superfamily, RZR/ROR; MLT also acts as a radical scavenger, exerting
a protective action against various oxidative injuries. The present review
is mainly addressed to the medicinal chemistry of ligands at the MLT membra
ne receptors, focusing on the models of binding interaction published in th
e literature. Several different pharmacophore and 3D-QSAR models have been
reported so far, and a reconsideration of known active compounds, in the li
ght of the recently developed biological tests on cloned receptors, could h
elp to resolve the incongruities among these models; to this end, additiona
l information is becoming available from new, conformationally constrained
ligands, and from antagonist compounds with a selective affinity for recept
or subtypes.