Key result
Melatonin reduces myocardial infarct size by an absolute ~6% after ischemia-reperfusion in rats.
Why the study?
The role of melatonin in multiple programmed cell death processes such as PANoptosis induced by myocardial ischaemia-reperfusion damage remains uncertain.
Does intraperitoneal melatonin (10 mg/kg) administered at the onset of reperfusion reduce myocardial infarct size and modulate HUWE1, AIM2, and PANoptosis-related proteins and microRNAs in adult male rats undergoing myocardial ischaemia-reperfusion?
Does intraperitoneal melatonin (10 mg/kg) administered at the onset of reperfusion reduce myocardial infarct size and modulate HUWE1, AIM2, and PANoptosis-related proteins and microRNAs in adult male rats undergoing myocardial ischaemia-reperfusion?
In a male rat model of myocardial ischaemia-reperfusion, melatonin administered at reperfusion onset reduced infarct size and reversed IR-induced elevations in HUWE1, AIM2, and PANoptosis-related proteins, suggesting serum AIM2 as a potential non-invasive biomarker for IR damage and treatment response.
Answers are grounded in this paper and cite their sources.
These rat findings are hypothesis-generating for melatonin cardioprotection; leaves open human translation and AIM2 biomarker validation.
Melatonin secreted by the pineal gland is a neuroendocrine hormone that directly scavenges free radicals and activates receptor‐mediated signalling pathways in the cardiovascular system. This antioxidant molecule plays critical roles in processes such as limiting ischaemia–reperfusion (IR) damage, preventing apoptosis, correcting endothelial dysfunction and preventing myocardial remodelling. However, its role in multiple programmed cell death processes induced by IR remains uncertain. Understanding the role of PANoptosis, one of these processes, in myocardial IR damage and the effect of melatonin could lead to innovative treatment strategies. In this study, the aim was to investigate the effects of melatonin on myocardial IR damage, focusing on the levels of the mitophagy mediator HECT, UBA, and WWE domain‐containing E3 ubiquitin ligase 1 (HUWE1), PANoptosis proteins absent in melanoma 2 (AIM2), receptor‐interacting protein kinase 3 (RIPK3), and gasdermin D, as well as apoptotic protease‐activating factor 1 (APAF1) levels, and the levels of microRNA (miR)‐136 and ‐325 that may be associated with these proteins. Thirty minutes of ischaemia and 120 min of reperfusion were applied to the left coronary artery of the rats. Melatonin was administered at the beginning of reperfusion (10 mg/kg). Serum AIM2 and tissue HUWE1, RIPK3, gasdermin D and APAF1 levels were significantly increased whereas miR‐136 and miR‐325 levels were decreased; melatonin reversed these effects. The increase in serum AIM2 levels following IR damage and the decrease in these levels after melatonin administration suggest that serum AIM2 should be more thoroughly investigated as a potential biomarker for damage and treatment response.
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Şahna et al. (2026) studied Myocardial ischaemia-reperfusion injury (n=56). Melatonin vs. Untreated ischaemia-reperfusion, vehicle (saline containing 1% ethanol), and sham-operated controls was evaluated on Myocardial infarct size (% of total heart tissue) (p=0.021). Melatonin reduced myocardial infarct size from 39.27% to 32.83% and suppressed HUWE1, AIM2, and PANoptosis-related proteins in rats after ischaemia-reperfusion.
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