Claustrat · Advances and technical standards in neurosurgery 2026 · narrative review · n=?

Melatonin: Some Aspects of Biochemistry, Physiology, and Pharmacology.

Cited 1 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic methodology or primary human experimental data

PubMed 42115453 · doi:10.1007/978-3-032-18608-9_4 · record verified 2026-08-31

What was done

This is a narrative review outlining the biochemistry, physiological regulation, and pharmacological properties of melatonin, including its synthesis pathway from tryptophan, regulation by the suprachiasmatic nucleus (SCN), and role in modulating circadian rhythmicity.

What was found

The abstract reports no numerical data or statistical metrics. It describes qualitatively that melatonin is synthesized in the pineal gland, peaks endogenously around 3 a.m. depending on chronotype, acts as an endogenous synchronizer of central and peripheral clocks, and exhibits chronobiotic activity capable of phase-advancing or phase-delaying circadian rhythms depending on administration timing for disorders such as jet lag, delayed-sleep phase syndrome, and non-24-hour sleep disorder.

Why it matters

It clarifies that melatonin acts primarily as an endogenous darkness messenger and circadian synchronizer rather than a classic sedative, establishing the physiological rationale for timed exogenous dosing in circadian dysrhythmias.

Limits

This is an unstructured narrative review without systematic search methods, primary data, sample sizes, or quantitative outcome measures. Dosing protocols, precise timing windows, efficacy magnitudes, and potential adverse effects are not detailed in the abstract.

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