The effects of melatonin on physiological function remain unclear, although
the therapeutic potential of melatonin is being increasingly recognized. T
he aim of the present study is to investigate the effects of exogenous mela
tonin on the spontaneous release of pituitary hormone in humans. A double b
lind placebo-controlled protocol was designed to examine 12 adult healthy v
olunteers and 12 sleep disorder patients who have been treating with low do
ses of melatonin for 1 year. Either exogenous melatonin or placebo of 1 mg
was given at 09:00 hours, followed by the collection of blood samples every
20 min for 4 h. Each blood sample was examined for levels of serum melaton
in, PRL, LH, FSH, GH and TSH. LH levels were higher in sleep disorder patie
nts compared with the healthy volunteers. In other pituitary hormones, ther
e were no significant difference between healthy adults and sleep disorder
patients. In all subjects, PRL levels were stimulated by acute administrati
on of 1 mg of exogenous melatonin, while the levels of other pituitary horm
ones were not affected. These results suggested that exogenous melatonin ca
n affect the spontaneous release of LH and PRL in humans. In addition, we d
emonstrated that 1-year oral melatonin treatment did not affect the respons
es to the acute administration of melatonin.