Introduction
Melatonin, a neurohormone with a broad spectrum functions
Melatonin and cancer: effect on different molecular mechanisms and cellular pathways
In this section we describe the effect of melatonin on oxidative stress and endoplasmic reticulum stress, and various signaling pathways including angiogenesis, apoptosis, autophagy affected by melatonin in different cancer cells (Fig. 2).
Melatonin and angiogenesis
Type of malignancy | Melatonin dose/concentration | Angiogenesis-related targets | Key findings | Model | Cell line | Refs. |
---|---|---|---|---|---|---|
Breast cancer | 1 mM | VEGF, ANG-1, ANG-2 | Downregulated angiopoietins with a decrease in VEGF | In vitro | MCF-7 | [125] |
Dalton's lymphoma | 1 and 5 mM | VEGF, FGF, TIMP3 | Decreased the Dalton’s lymphoma ascites–mediated angiogenesis | In vivo, in vitro | A549 and SiHa | [126] |
serous papillary ovarian cancer | 200 µg/100 g b.w | VEGF, HIF-1α | Significantly decreased angiogenesis-associated markers, ovarian cancer size and microvessel density | In vivo | - | [127] |
canine mammary tumor cells | 1 mM | VEGF | Decreased cell viability, enhanced caspase-3 cleaved and proteins implicated in the apoptotic pathway and diminished pro-angiogenic VEGFA | In vitro | CF-41, CMT-U229 | [128] |
Neuroblastoma | 1 mM or 1 nM | VEGF | Inhibited proliferation and migration of cancer cells | In vitro | SH-SY5Y | [129] |
Gastric cancer | 3 mM 100, 150 mg/kg | VEGF, HIF-1α, RZR/RORγ, SENP1 | Suppressed gastric cancer growth and blockaded tumor angiogenesis Decreased the expression of melatonin nuclear receptor RZR/RORγ | In vitro, in vivo | SGC-7901 | [130] |
Breast cancer | 1 mM | - | Regulated inflammation Decreased cancer cell viability and cancer associated fibroblasts | In vitro | MDA-MB-231 | [52] |
Breast cancer | 1 mM | HIF-1α, VEGF, EGFR, angiogenin, | Reduced protein and gene expression of angiogenesis markers and also decreased cancer cell viability | In vitro | MCF-7, MDA-MB-231 | [131] |
Breast cancer | 10 mg/kg | VEGF | The combination of melatonin and P. acnes cured forty percent of treated mice, suppressed metastasisand decreased angiogenesis and mediated apoptosis | In vivo | EMT6/P | [132] |
Prostate cancer | 1 mM | HIF-1α, VEGF | Upregulationn of miRNA374b and miRNA3195 mediated melatonin-induced anti-angiogenic properties | In vitro | PC-3 | [133] |
Oral cancer | 1 mM | HIF-1α, VEGF | Decreased cancer cell viability, inhibited metastasis and angiogenesis | In vitro | SCC9, SCC25 | [51] |
Hepatocellular carcinoma | 1 mM | VEGF, HIF-1α, STAT3 | Melatonin exerted its anti-angiogenic effects through interfering with the transcriptional activation of mentioned markers | In vitro | HepG2 | [134] |
Breast cancer | 1 mM | VEGF | Inhibited stimulatory impacts on the proliferation of human umbilical vein endothelial cells (HUVECs) as well as VEGF protein levels | In vitro | MCF-7 | [46] |
Renal cancer | 20 mg/kg 10 µM | HIF-1α | Inhibited tumor growth, blocked tumor angiogenesis and diminished HIF-1α protein expression within the tumor mass during tumorigenesis | In vivo, in vivo | RENCA | [135] |
Breast cancer | 1 mM 40 mg/kg | VEGFR2, micro-vessel density (MVD) | Inhibited tumor growth and proliferation | In vivo, in vitro | MDA-MB-231 | [136] |
Colon cancer | 1 mM | VEGF, HIF-1α | Suppressed invasion and migration | In vitro | HCT116 | [44] |
Breast cancer | 40 mg 0.001 mM, 0.01 mM, 0.1 mM and 1 mM | VEGF, IGF-IR, HIF-1α | Increased miR-152-3p expression leading to suppress breast cancer | In vitro | MDA-MB-468 | [137] |
Breast cancer | - | IGF-1R, VEGF | Inhibited survival, migration and invasion of breast cancer cells Increased the gene level of miR-148a-3p | In vivo, in vitro | MDA-MB-231 | [138] |
Advanced cancer patients (CRC, HCC, RCC, NSCLC) | 20 mg | VEGF | Controlled tumor growth by anti-angiogenic roles | Human | - | [54] |
Melatonin and oxidative stress
Cancer | Melatonin dose/concentration | Key findings | Model | Cell line/animal | Refs. |
---|---|---|---|---|---|
Breast cancer | 1 μM 5, 10, 50 mg/kg | Limited paclitaxel-mediated mitochondrial dysfunction and protected against paclitaxel-mediated neuropathic pain | In vitro, in vivo | MCF-7 Male and female Sprague Dawley rats | [198] |
Neuroblastoma | 10 μM | Reduced oxaliplatin-induced neurotoxicity | In vitro | SH-SY5Y | [199] |
Breast cancer | 0.3 mM | Supported doxorubicin effects by apoptosis and TRPV1activation, and through mediating cancer cell death | In vitro | MCF-7 | [200] |
Cervical cancer | 1 mM | Enhanced cisplatin-mediated cytotoxicity and apoptosis | In vitro | HeLa | [163] |
Lung cancer | 1 nm, 1 μm, 1 mm | Exerted immunomodulatory effects | In vitro | SK‐LU‐1 | [201] |
Pancreatic cancer | 26.8 mg | capecitabine and melatonin provided an amelioration in antioxidant status and synergistic antitumoral effects | In vivo | Male Syrian hamsters | [202] |
Leukemia | 1 mM | Protected healthy cells from chemotherapy-mediated ROS production and induced tumor cell death | In vitro | HL-60 | [180] |
Hepatocellular carcinoma | 1, 100 μM | The responses of angiogenic chemokine genes to melatonin were determined by the characteristics of cancer cells | In vitro | HCC24/KMUH, | [203] |
Pancreatic cancer | 53.76 mg | Exerted more potent beneficial effects than celecoxib on the decrease in tumor nodules, oxidative stress and death | In vivo | Male Syrian hamsters | [204] |
Breast cancer | 2.5 mg/kg | Antioxidant effects | In vivo | Female Sprague Dawley rats | [205] |
Pancreatic cancer | 26.88, 53.76 mg | Decreased oxidative damage and cancer nodules mediated by BOP in the pancreas | In vivo | Male Syrian hamsters | [206] |
Cervical cancer | 10–1000 μM | This study showed melatonin effects on radiotherapy is dose-dependent | In vitro | HeLa | [207] |
Hepatocellular carcinoma | 20 mg/kg | Fostered the survival and therapeutic potential of MSCs in HCC, by inhibition of oxidative stress and inflammation as well as apoptosis induction | In vivo | Adult female rats | [120] |
Cervical cancer | 10 μM | Enhanced TNF-α-mediated cervical cancer cells mitochondrial apoptosis | In vitro | HeLa | [14] |
Bladder cancer | 1 mM 100 mg/kg | Inhibited the growth, migration, and invasion of cancer cells | In vivo, in vitro | HT1197, HT1376, T24, RT4 Male C57B/L6 mice | [208] |
Lung cancer | 0.25–2.5 mM | Enhanced palladium-nanoparticle-induced cytotoxicity and apoptosis | In vitro | A549, H1299 | [209] |
Lymphoma, cervical cancer, hepatoblastoma, gastric cancer, breast, colon and lung adenocarcinoma, | 0–2 mM | Sensitizees shikonin-mediated cancer cell death induced by oxidative stress | In vitro | U937, HeLa, Hep-G2, AGS, MCF-7, SW480, A549 | [210] |
Melatonin and endoplasmic reticulum stress
Cancer | Melatonin dose/concentration | Effect on ER stress | Key findings | Model | Cell line/animal | Refs. |
---|---|---|---|---|---|---|
Gastric cancer | 1, 2, 3 mM 50 mg/kg | Activate | Melatonin-mediated inhibition of cancer cell proliferation is induced by the IRE/JNK/Beclin1 signaling activation | In vitro, in vivo | AGS, SGC-7901 cells Male BALB/c nude mice | [77] |
Lung, liver and cervical cancer | 2 mM | Activate | Induced apoptosis by ROS generation and JNK activation | In vitro | HepG2, A549, HeLa | [211] |
Hepatocellular carcinoma | 10–5 M | - | enhanced HCC sensitivity to sorafenib through suppressing autophagy | In vitro | HepG2, 7721, Huh7, LO2 | [76] |
Colorectal cancer | 0–1 mM | Activate | Induced mitochondria-induced cellular apoptosis | In vitro | SNUC5/ WT | [71] |
Hepatoma | 10–7-10–3 mM | - | Melatonin was shown as a novel selective ATF-6 inhibitor that can sensitize human hepatoma cells to ER stress inducing apoptosis | In vitro | HepG2 | [74] |
Insulinoma | 100 μM | Activate | Melatonin-induced insulin synthesis involved autophagy and EDC3 protein in rat insulinoma cells and subsequently resulted in a resuction in intracellular production of insulin | In vitro | INS-1E | [72] |
Hepatocellular carcinoma | 1 mg/kg/d | Activate | Activated ER stress and apoptosis | In vivo | Male Wistar rats | [75] |
Insulinoma | 10, 50 μM | - | Decreased nuclear and cellular expressions of p85α Decreased cellular expression of HuD and led to a reduction in cellular insulin level and rise in insulin secretion | In vitro | INS-1E | [78] |
Hepatocellular carcinoma | 10–3 M | Inhibit | Attenuated ER stress-mediated resistance to doxorubicin by downregulating the PI3K/AKT pathway, enhancing CHOP levels and reducing Survivin levels | In vitro | HepG2, SMMC-7721 | [79] |
Hepatoma | 10–9, 10–7, 10–5, 10–3 μM | Activate | Sensitized cancer cells to ER stress-mediated apoptosis by downregulating COX-2 expression, enhancing the levels of CHOP and reducing the Bcl-2/Bax ratio | In vitro | HepG2, HL-7702 | [73] |
Melatonin and autophagy
Cancer | Melatonin dose/concentration | Autophagy-related targets | Effect on autophagy | Key findings | Model | Cell line | Refs. |
---|---|---|---|---|---|---|---|
Lung, liver and cervical cancer | 2 mM | LC3 | Activate | Induced apoptosis by ROS generation and JNK activation | In vitro | HepG2, A549, HeLa | [124] |
Glioblastoma | 1 mM | Beclin 1, LC3-II | Activate | Autophagy disruption stimulated the melatonin-mediated apoptosis in cancer cells | In vitro | A172, U87-MG | [97] |
Uterine leiomyoma | 25 mg/kg 0.1, 0.5, 1, 1.5, 2 mM | Beclin1 and LC3 | Activate | Reduced tumor growth and proliferation | In vivo, in vitro | ELT3 cells, orthotopic uterine leiomyoma mouse model | [192] |
Hepatocellular carcinoma | 10−5_ 10–3 M | PERK-ATF4-Beclin1 pathway | Inhibit | enhanced HCC sensitivity to sorafenib through suppressing autophagy | Human | - | [76] |
Colorectal cancer | 10 μM | LC3-II | Activate | Induced interplay of apoptosis, autophagy, and senescence | In vitro | HCT116 | [171] |
Clear cell renal cell carcinoma | 200 mg/kg 0.5, 1, 2 μM | PGC1A, UCP1, LC3‐II | Activate | Melatonin/PGC1A/UCP1 promoted tumor slimming and repressed tumor progression through initiating autophagy and lipid browning | In vivo, in vitro | HK2, 786‐O, A498, Caki‐1, and ACHN cells Mice | [95] |
Neuroblastoma | 0.1‐ 10 nM 40‐80 mg/kg | LC3II | Activate | Promoted cancer cell differentiation through activation of hyaluronan synthase 3-mediated mitophagy | In vivo, in vitro | N2a N2a‐allografted nude mice | [193] |
Head and neck squamous cell carcinoma | 0.1, 0.5, 1, 1.5 mM | ATG12-ATG5 | Activate | Induced intracellular ROS | In vitro | Cal-27, SCC-9 | [93] |
Hepatocellular carcinoma | 1 mM | mTOR, Beclin-1 | Activate | Decreased cisplatin-mediated cell death by a counter-balance between the roles of apoptotic- and autophagy-related proteins | In vitro | HepG2 | [101] |
Hepatocellular carcinoma | 2 mM | Beclin-1, p62, LC3II, LAMP-2 | Activate | Ceramide metabolism regulated apoptotic and autophagy cell death mediated by melatonin | In vitro | HepG2 | [96] |
Neuroblastoma | 1 μM | Beclin‐1, LC3‐II | Activate | Enhanced autophagic activity by the SIRT1 signaling | In vitro | SH‐SY5Y | [194] |
Gastric cancer | 10−4 M | LC3 | Activate | Hyperbaric oxygen sensitized cancer cells to melatonin-mediated apoptosis | In vitro | SGC7901 | [151] |
Colon cancer | 1 mg/kg | Beclin-1, LC3B-II/LC3B-I ratio, p62 | Inhibit | Decreased autophagy by improving oxidative stress and inflammation | In vivo | Male Swiss Albino mice | [99] |
Glioblastoma | 1 mM | LC3, Beclin-1 | Activate | Inhibited tumor bulk proliferation, and enhanced chemotherapy effects | In vitro | Glioblastoma-initiating cells | [195] |
Oral cancer | 0.5–2 mM | LC3-II | Activate | Decreased drug resistance, and induced autophagy and apoptosis | In vitro | SAS, SCC9, SASV16, SASV32, SCC9V16, SCC9V32 | [139] |
Gastric cancer | 50 mg/kg 1, 2, 3 mM | p62, Beclin-1, LC3A/B-II | Activate | Melatonin-mediated inhibition of cancer cell proliferation is induced by the IRE/JNK/Beclin1 signaling activation | In vivo, in vitro | AGS, SGC-7901 Male BALB/c nude mice | [77] |
Hepatocellular carcinoma | 10, 20 mg/kg 100 μM | Beclin-1, LC3-I/LC3-II | Activate | Induced protective autophagy preventing hepatoma cells from undergoing apoptosis | In vitro, in vivo | H22 | [196] |
Insulinoma | 100 μM | LC3II | Activate | Melatonin-induced insulin synthesis involved autophagy and EDC3 protein in rat insulinoma cells and subsequently resulted in a resuction in intracellular production of insulin | In vitro | INS-1E | [72] |
Chriocarcinoma | 1 mM | LC3B | Inhibit | Modulated autophagy and the Nrf2 pathway in normal vs. tumor trophoblast cells, being cytoprotective in normal cells whilst enhancing apoptosis in tumoral trophoblast cells | In vitro | BeWo | [197] |
Cervical cancer | 1 mM | JNK/Parkin | Inhibit | Sensitized cancer cells to cisplatin-mediated apoptosis by suppression of JNK/Parkin/mitophagy pathways | In vitro | HeLa | [100] |
Head and neck squamous cell carcinoma | 0.1, 0.5 or 1 mM 300 mg/kg | LC3-II, Nix | Activate | Enhanced ROS production, increased apoptosis and mitophagy, and could be used as an adjuvant agent with rapamycin | In vitro, in vivo | Cal-27, SCC-9 Harlan Sprague–Dawley mice | [94] |
Tongue squamous cell carcinoma | 0, 0.5, 1, 2 mM 100 mg/kg | LC3, ATG7 | Activate | Suppression of MT2-TFE3-dependent autophagy enhanced melatonin-mediated apoptosis | In vitro, in vivo | Cal27, SCC9 Male athymic nude mice | [98] |
Melatonin and apoptosis
Cancer | Melatonin dose/concentration | Apoptosis-related targets | Key findings | Model | Cell line | Refs. |
---|---|---|---|---|---|---|
Oral cancer | 0.5–2 mM | caspase-3, caspase-9, PARP | Decreased drug resistance, and induced autophagy and apoptosis | In vitro | SCC9V32, SCC9V16, SASV32, SASV16, SAS, SCC9 | [139] |
Lung cancer Hepatocellular carcinoma Cervical cancer | 2 mM | caspase-3, PARP, Bax, Bcl-2 | Decreased cell viability and increased LDH release | In vitro | Hela A549 HepG2 | [124] |
Glioblastoma | 1 mM | Bax, Bcl-2 | Induced apoptosis and autophagy | In vitro | A172 U87-MG | [97] |
Colorectal cancer | 0.5, 1 mM | caspase-3, PARP, NEDD9, SOX9, Bcl-xL, SOX10 | Enhanced apoptosis through miR-25-5p induced NEDD9 suppression in cancer cells | In vitro | CCD-18Co, HT29, SW480, HCT116 | [121] |
Breast cancer | 3.5–20 mM 2 mg/kg | caspase-3 | Repressed drug resistance through apoptosis induction and angiogenesis inhibition | In vitro, in vivo | EMT6/CPR, EMT6/VCR/R | [140] |
Lung cancer | 2, 4, 6 mM | HDAC9 | HDAC9 knockdown increased the anticancer potentials of melatonin | In vitro, in vivo | A549, H838, H1299, and Calu-1 | [118] |
Ehrlich carcinoma | 20 mg/kg | Bcl‐2, caspase-3, caspase-9, | Inhibited the proliferation and growth of tumor via inducing apoptosis and through suppressing tumor vascularization | In vivo | EAC | [141] |
Head and neck squamous cell carcinoma | 0.1, 0.5, 1, and 1.5 mM | Bax, Bcl-2 | Potentiated the cytotoxic impacts of radiotherapy and CDDP, and induced intracellular ROS leading to mitochondria-induced autophagy and apoptosis | In vitro | SCC-9, Cal-27 | [93] |
Hepatocellular carcinoma | 20 mg/kg | Caspase-3, Bax, Bcl-2, survivin | Fostered the survival and therapeutic potential of MSCs in HCC, by inhibition of oxidative stress and inflammation as well as apoptosis induction | In vivo | - | [120] |
Cervical cancer | 10 μM | CaMKII/Parkin/mitophagy, caspase-3, caspase-9 | Enhanced TNF-α-mediated cervical cancer cells mitochondrial apoptosis | In vitro | HeLa | [119] |
Gastric cancer | 3 mmol/L | Caspase 9, Caspase 3, AKT, MDM2 | Promoted apoptosis through downregulation of MDM2and AKT | In vitro | AGS, MGC803 | [112] |
Melanoma | 1 M 25 mg/kg | cytochrome c, caspase-3, caspase-9, Bcl-2 | Synergized the antitumor effects of vemurafenib through suppressing cell proliferation and cancer-stem cell traits by targeting NF-κB/iNOS/hTERT signaling | In vitro, in vitro | G361, A431, A375, SK-Mel-28 | [142] |
Breast cancer | 1 mM | caspase-3 | Increased apoptosiss and decreased proliferation in cancer cells | In vitro | MDA-MB-231, MCF-7 | [143] |
Pancreatic cancer | 10–10, 10–12 M | Bax, Bcl-2, caspase-3, caspase-9 | Improved the anti-tumor effects of gemcitabine through apoptosis regulation | In vitro | PANC-1 | [144] |
Breast cancer | 25 µM | Bax, Bcl-2 | Decreased the cell proliferation and increased apoptosis and differentiation in cancer cells | In vitro | MCF-7, HEK293 | [145] |
Leukemia | 1 mM | Bcl-2, Bcl-xL | Synergistic effect on chemotherapeutic agent | In vitro | HL-60 | [146] |
Breast cancer | 0.1–5 mm 1 mg/kg | - | Melatonin caused apoptosis induction, angiogenesis inhibition, and activation of T helper 1 | In vitro, in vivo | EMT6/P | [147] |
Colorectal cancer | 1 mM | BAX, caspase3, PARP1 | Induced mitochondria-induced cellular apoptosis | In vitro | SNUC5/WT | [71] |
Breast cancer | 1 nM and 100 nM | c-IAP1, XIAP, survivin, MCL-1, BCL-2, | Enhanced cytotoxic effects of arsenic trioxide and apoptosis induction | In vitro | MCF-7 | [148] |
Pancreatic cancer | 0.1, 1, or 2 mM 40 mg/kg | cytochrome c XIAP, Mcl-1, Survivin, Bcl-2, PARP | Reinforced the anticancer effect of sorafenib via downregulation of PDGFR-β/STAT3 signaling | In vitro, in vivo | MIAPaCa-2, PANC-1 | [149] |
Glioblastoma | 1 mM, 3 mM | - | Delayed cell cycle progression and potentiated the decrease of cell survival due to treatment with temozolomide | In vitro | U87MG | [150] |
Oral cancer | 1 mM 40 mg/kg | cyclin D1, PCNA, Bcl-2, Bax | Suppressed the invasion and migration of cancer cells through repressing ROS-activated Akt signaling Hampered vasculogenic mimicry and retarded tumorigenesis of cancer cells | In vitro, in vivo | SCC25, SCC9, Tca8113, Cal27, and FaDu | [48] |
Gastric cancer | 10−4 mol/L | Bcl-2, Bax, p53, caspase3, | Hyperbaric oxygen sensitized cancer cells to melatonin-mediated apoptosis | In vitro | SGC7901 | [151] |
Thyroid cancer | 1, 2, 4, 8, 15 mM 25 mg/kg | caspase 3/7, PARP, cytochrome c | Reduced cell viability, inhibited cell migration and induced apoptosis Synergized with irradiation to induce cytotoxicity to thyroid cancer cells | In vitro, in vivo | 8505c, ARO | [152] |
Gastric cancer | 1, 2, 3, 4 or 5 mM | Bax, Bcl-xL, caspase-9, caspase-3 | Induced cell cycle arrest and induced apoptosis | In vitro | SGC-7901 | [153] |
Neural cancer | 0.5, 1 mM | Bax, Bcl-2, caspase-9, cytochrome c | Mitochondrial cytochrome P450 1B1 is responsible for melatonin-induced apoptosis | In vitro | U118, SH-SY5Y, U87, U251, A172 | [154] |
Gastric cancer | 1, 5 µM | - | Inhibited the proliferation of cancer cells by regulating the miR-16-5p-Smad3 pathway | In vitro | BSG823, SGC-7901 | [155] |
Head and neck squamous cell carcinoma | 0.1, 0.5, or 1 mM | Bax, Bcl-2 | Enhanced ROS production, increased apoptosis and mitophagy, and could be used as an adjuvant agent with rapamycin | In vitro | Cal-27, SCC-9 | [94] |
Ovarian cancer, colorectal cancer | 0.1, 1.0, and 10 μM | - | Induced apoptosis and showed antioxidant effects | In vitro | DLD1, A2780 | [156] |
Cervical cancer | 1 mM | JNK/Parkin/mitophagy, caspase-9 | Sensitized cancer cells to cisplatin-mediated apoptosis by suppression of JNK/Parkin/mitophagy pathways | In vitro | HeLa | [100] |
Melanoma Breast cancer | Melatonin: 10−5 − 10−3 M Melatonin analogues (UCM 1037): 10−6 − 10−4 M and 16 mg/Kg | Bcl-2, Bax, caspase-3 | Inactivated mitophagy by suppression of JNK/Parkin, leading to the inhibition of anti-apoptotic mitophagy Sensitized cervical cancer cells to cisplatin-mediated apoptosis | In vitro, in vivo | DX3, WM-115, MCF-7, MDA-MB231 | [157] |
Bladder cancer | 10 mg/kg 1.0 mM | caspase-3, Bcl-2, BAX | Synergized the inhibitory effects of curcumin against the growth of bladder cancer through increasing the anti-proliferation, anti-migration, and pro-apoptotic properties | In vivo, in vitro | T24, UMUC3, 5637 | [158] |
Colorectal cancer | 1 mM | caspase-3 | Increased the sensitivity of cancer cells to 5-FU | In vitro | HT-29 | [159] |
Lung cancer | 25 mg/kg 1 mM | caspse-9, Bcl-2, PARP, cytochrome C | Increased antitumor activities of berberine through activating caspase/Cyto C and suppressing AP-2β/hTERT, NF-κB/COX-2 and Akt/ERK pathways | In vitro, in vivo | H1299, A549 | [160] |
Gastric cancer | 1, 2 mM | caspase-3, Bcl-2, BAX | Suppressed cell viability, clone formation, cell migration and invasion and induced apoptosis | In vitro | AGS | [161] |
Ovarian cancer | 200 μg/100 g b.w | p53, BAX, caspase-3, Bcl-2, survivin | Promoted apoptosis | In vivo | - | [162] |
Cervical cancer | 1 mM | Caspase-3 | Enhanced cisplatin-mediated cytotoxicity and apoptosis | In vitro | HeLa | [163] |
Rhabdomyosarcoma | 0.01, 0.1, 1, 2 mM | Bax, Bcl-2, caspase-3 | Enhanced the sensitivity of cancer cells to apoptosis | In vitro | U57810, U23674 | [164] |
Hepatocellular carcinoma | 2 mM | PARP, Bax | Ceramide metabolism regulated apoptotic and autophagy cell death mediated by melatonin | In vitro | HepG2 | [96] |
Neuroblastoma | 0.25, 0.5, 1, 2 mM | - | Exerted cytotoxic potentials against cancer cells | In vitro | SH-SY5Y | [165] |
Colorectal cancer | 0.1–2.0 mM | HDAC4, Bcl-2, CaMKIIα | Melatonin-induced apoptosis depends on the nuclear import of HDAC4 and subsequent H3 deacetylation by CaMKIIα inactivation | In vitro | LoVo | [117] |
RCC, CRC, Head and neck cancer, Prostate cancer, breast cancer | 1 mM | PUMA, Mcl-1, Bcl-xL, Bim, COX-2 | Enhanced antitumor effects by COX-2 downregulation and Bim up-regulation | In vitro | MDA-MB-231, Caki, HN4, HCT116, PC3 | [123] |
Cholangiocarcinoma | 1 nM, 1 μM 0.5, 1, 2 mM | Caspase-3/7, cytochrome c | Functioned as a pro-oxidant through activating ROS-dependent DNA damage and hence leading to the apoptosis of cancer cells | In vitro | KKU-M055, KKU-M214 | [166] |
Lung cancer | 1–5 mM | caspases-3/7 | Increased cisplatin-induced cytotoxicity and apoptosis in lung cancer cells | In vitro | SK-LU-1 | [167] |
Gastric cancer | 25, 50, 100 mg/kg | Bcl-2, Bax, p21, p53 | Inhibited tumor growth by apoptosis induction | In vivo | MFC | [168] |
Lung cancer | 1, 5, 10 mM | caspase-3/7 | Showed anticancer impacts by changing biomolecular structure of lipids, nucleic acids and proteins | In vitro | SK-LU-1 | [169] |
Lung cancer | 10−13 M (subphysiological), 10−10 M (physiological) 10−7, 10−4, 10− 3 M (Cytotoxic) | CCAR2 | Cell cycle and apoptosis regulator 2 (CCAR2) is critical for maintaining cell survival in the presence of melatonin | In vitro | A549, A427 | [170] |
Lung cancer | 500 μM | Bcl-2, Bcl-xL, TRAIL | Induced apoptosis in TRAIL-resistant hypoxic tumor cells trough diminishing the anti-apoptotic signals induced by hypoxia | In vitro | A549 | [114] |
Breast cancer | 1 nM | p53, MDM2/MDMX/p300 | Enhanced p53 acetylation by regulating the MDM2/MDMX/p300 pathway | In vitro | MCF-7 | [113] |
Colorectal cancer | 10 μM | Bax, Bcl-xL, | Activated cell death programs early and induced G1-phase arrest at the advanced phase | In vitro | HCT116 | [171] |
Renal cancer | 0.1, 0.5,1 mM | Bim | Induced apoptosis by the upregulation of Bim expression | In vitro | Caki | [172] |
Leukemia | 1 mM | Bax, cytochrome c | Induced apoptosis by a caspase-dependent but ROS-independent manner | In vitro | Molt-3 | [173] |
Gastric cancer | 10–4 mol/l | Caspase-3 | Inhibited tumor cell proliferation and reduced the metastatic potential of cancer cells | In vitro | SGC7901 | [174] |
Colorectal cancer | 1 mM | caspase-3/9, PARP | Potentiated the anti-proliferative and pro-apoptotic impacts of Ursolic acid in cancer cells | In vitro | SW480, LoVo | [175] |
Pancreatic cancer | 1.5 mmol/L 20 mg/kg | Bax, Bcl-2 | Melatonin may be a pro-apoptotic and pro-necrotic molecule for cancer cells by its regulation of Bcl-2/Bax balance | In vitro, in vivo | SW-1990 | [176] |
Breast cancer | 10–3 M | COX-2/PGE2, p300/NF-κB, PI3K/Akt, Apaf-1/caspase-3/9 | Inhibited cell proliferation and induced apoptosis | In vitro | MDA-MB-361 | [32] |
Hepatocellular carcinoma | 10–9, 10–7, 10–5, 10–3 μM | CHOP, Bcl-2, Bax, COX-2 | Sensitized cancer cells to ER stress-mediated apoptosis by downregulating COX-2 expression, enhancing the levels of CHOP and reducing the Bcl-2/Bax ratio | In vitro | HepG2 | [73] |
Ovarian cancer | 0, 0.5, 1, 2 mM | ERK/p90RSK/HSP27 | Enhanced cisplatin-mediated apoptosis through the inactivation of ERK/p90RSK/HSP27 pathway | In vitro | SK-OV-3 | [122] |
Gastric cancer | 2 mM | NF-κB, MAPK | Conflicting growth signals in cells may suppress melatonin efficacy in the treatment of gastric cancer | In vitro | SGC7901 | [177] |
Hepatocellular carcinoma | 10–3, 10–5, 10–7, 10–9 mmol/L | COX-2, Bcl-2, Bax | Melatonin was shown as a novel selective ATF-6 inhibitor that can sensitize human hepatoma cells to ER stress inducing apoptosis | In vitro | HepG2 | [74] |
Glioma | 1 μM | - | Inhibited miR-155 expression and hence repressed glioma cell proliferation, invasion and migration | In vitro | U87, U373, U251 | [178] |
Breast cancer | 1 mM | caspase-3, hTRA, XIAP, TNFRII, P53, P21, Livin, IGF-1R, IGF-1, IGFPB-6, IGFBP-5, IGFBP-3, DR6, CYTO-C | Showed pro-apoptotic, anti-angiogenic and oncostatic properties | In vitro | MDA-MB-231, MCF-7 | [179] |
Leukemia | 1 mM | ROS, caspase-3/8/9 | Enhanced apoptotic effects of hydrogen peroxide | In vitro | HL-60 | [180] |
Renal cancer | 1 nM | CHOP, PUMA | PUMA up-regulation contributed to the sensitizing impact of melatonin plus kahweol on apoptosis | In vitro | Caki | [181] |
Pancreatic cancer | 10−8 –10−12 M | Bcl-2, Bax, caspase-9 | Induced pro-apoptotic pathways by interaction with the Mel-1 A/B receptors | In vitro | PANC-1 | [182] |
Ewing sarcoma | 50 μM-1 mM | caspase-3/8/9, Bid | Showed cytoprotective effects on noncancer cells and induced apoptosis | In vitro | SK-N-MC | [183] |
Glioma | 1 mM | Survivin, Bcl-2 | Increased cell sensitivity to TRAIL-mediated cell apoptosis | In vitro | A172, U87 | [184] |
Leukemia | 1 mM 250 mg/kg | Bax, Bcl-2, p53 | Enhanced radiation-mediated apoptosis in cancer cells, while decreasin radiation-meditated apoptosis in normal cells | In vitro, in vivo | Jurkat | [185] |
Breast cancer | 1 nM | Caspase-7/9, p53, MDM2, PARP, Bcl-2, Bax | Induced apoptosis in cancer cells | In vitro | MCF-7 | [116] |
Hepatocellular carcinoma | 1000–10,000 μM | caspase-3/8/9, PARP, cytochrome c, Bax, p53, p21 | Induced cell cycle arrest and apoptosis | In vitro | HepG2 | [115] |
Pheochromocytoma | 100 μM | GSH | Apoptotic and antioxidant effects | In vitro | PC12 | [186] |
Neuroblastoma | 100 μM | Caspase-3 | Induced apoptosis | In vitro | SK-N-MC | [187] |
Leukemia Cervical cancer | 50 μM | Caspase-3 | Protectted normal and cancer cells against genotoxic treatment and apoptosis induced by idarubicin | In vitro | K562, HeLa | [188] |
Colorectal cancer | 1 mM | Caspase-3 | Potentiated flavone-mediated apoptosis in cancer cells | In vitro | HT-29 | [189] |
Breast cancer | 1 nM | Bax, p53, p21, WAF1, bcl-XL, bcl-2 | Decreased cancer cell proliferation through regulating cell-cycle length by the control of the p53-p21 pathway | In vitro | MCF-7 | [190] |
Esophageal cancer | 0–5 mM 25 mg/kg | PARP, caspase-3/7/8 | Increased cytotoxicity of 5-Fu | In vivo, in vitro | KYSE30, KYSE150, KYSE410, KYSE520 | [191] |