2020
DOI: 10.1002/biof.1690
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Ischemic stroke, obesity, and the anti‐inflammatory role of melatonin

Abstract: Obesity is a predominant risk factor in ischemic stroke and is commonly comorbid with it. Pathologies following these conditions are associated with systemic and local inflammation. Moreover, there is increasing evidence that the susceptibility for ischemic brain damage increases substantially in experimental models of ischemic stroke with concomitant obesity. Herein, we explore the proinflammatory events that occur during ischemic stroke and obesity, and we discuss the influence of obesity on the inflammatory… Show more

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Cited by 42 publications
(23 citation statements)
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References 153 publications
(143 reference statements)
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“…Melatonin is involved in many physiological processes, as summarized comprehensively ( 37 , 38 ). In particular, this includes growth modulation and reproduction ( 39 ), immune regulation ( 40 43 ), anti-inflammation ( 44 47 ), antioxidative protection ( 48 51 ) and antioncogenic action ( 52 , 53 ). Meanwhile, increasing evidence has accumulated for remarkable antibacterial actions of melatonin, including protection against damage by bacterial infections.…”
Section: Introductionmentioning
confidence: 99%
“…Melatonin is involved in many physiological processes, as summarized comprehensively ( 37 , 38 ). In particular, this includes growth modulation and reproduction ( 39 ), immune regulation ( 40 43 ), anti-inflammation ( 44 47 ), antioxidative protection ( 48 51 ) and antioncogenic action ( 52 , 53 ). Meanwhile, increasing evidence has accumulated for remarkable antibacterial actions of melatonin, including protection against damage by bacterial infections.…”
Section: Introductionmentioning
confidence: 99%
“…Melatonin is shown to attenuate the inflammatory response in the brain and peripheral tissues in patients with obesity [ 176 , 177 ]. Above all, melatonin relieves inflammation and subsequently improves the systemic inflammatory state following obesity [ 178 ], mainly owing to its role in the upregulation of anti-inflammatory cytokines and downregulation of pro-inflammatory cytokines [ 179 ], such as leptin, interleukin-6 (IL-6), monocyte chemotactic protein-1 (MCP-1), and tumor necrosis factor-α (TNF-α) [ 22 , 36 ]. The impact of melatonin in downregulating pro-inflammatory cytokines can lead to multiple antioxidant functions [ 109 ], ROS inhibition, downregulation of neuronal NO synthases and COX-2, upregulation of Nrf2, inhibition of inflammasome NLR family pyrin domain-containing 3 (NLRP3), and NF-κB activation [ 180 ].…”
Section: Potential Mechanisms Of Melatonin In Obesitymentioning
confidence: 99%
“…Besides this very important function, melatonin also plays a role in many other biological processes, showing antioxidant and anti-inflammatory effects, and participating in free radical scavenging [ 22 ]. Furthermore, melatonin is also able to ameliorate weight gain, reducing body fat accumulation and, thus, diminishing the deleterious effects of obesity and its inflammatory profile [ 24 ]. Melatonin exerts its multiple actions by interacting with several receptors, including the opioid, benzodiazepine, muscarinic, nicotinic, serotonergic, α1-adrenergic, and α2-adrenergic receptors at multiple central nervous system levels [ 22 ].…”
Section: Melatonin and Tthmentioning
confidence: 99%