Abstract
Objectives
The pineal gland hormone, melatonin, is an immunomodulator and neuroendocrine hormone; it also stimulates monocyte, cytokine and fibroblast proliferations, which influence angiogenesis. The aim of this study was to investigate the effects of melatonin on angiogenesis during bone defect repair by means of radiological and histomorphometric evaluations of bone response to melatonin implants.
Materials and methods
Twenty New Zealand rabbits weighing 3,900–4,500 g were used. Twenty melatonin implants were inserted in the proximal metaphyseal area of the animals' right tibia and 20 control areas were located in the left proximal metaphyseal area. Following implantation, the animals were sacrificed in groups of five, after 1, 2, 3 and 4 weeks, respectively. Anteroposterior and lateral radiographs were taken, and radiographic thermal imaging analysis was performed for all groups at different time stages following implant insertion. Samples were sectioned at 5 μm and stained using Hematoxylin–Eosin and Masson's trichrome, supplementing radiographic findings with histomorphometric analysis.
Results
After 4 weeks, radiological images showed complete repair of the bone defects. No healed or residual bone alterations attributable to the presence of the melatonin implant were observed. Histomorphometric analysis at 4 weeks showed the presence of a higher density newly formed bone. There were statistically significant differences in the length of cortical formation between the melatonin group and the control group during the first weeks of the study; there were also statistically significant differences in the number of vessels observed in the melatonin groups at the first two study stages.
Conclusion and clinical relevance
Melatonin may have potential beneficial effects on bone defect repair.
Similar content being viewed by others
Change history
03 January 2022
This article has been retracted. Please see the Retraction Notice for more detail: https://doi.org/10.1007/s00784-021-04350-4
References
Tan DX, Manchester LC, Terron MP et al (2007) One molecule, many derivatives: a never-ending interaction of melatonin with reactive oxygen and nitrogen species? J Pineal Res 42:28–42
Tan DX, Manchester LC, Reiter RJ et al (1999) Identification of highly elevated levels of melatonin in bone marrow: its origin and significance. Biochim Biophys Acta 1472:206–14
Reiter RJ, Tan DX, Manchester LC et al (2007) Medical implications of melatonin: receptor-mediated and receptor-independent actions. Adv Med Sci 52:11–28
Ladizesky MG, Boggio V, Cutrera RA et al (2006) Melatonin effect on bone metabolism in rats treated with methylprednisolone. J Pineal Res 40:297–304
Suzuki N, Somei M, Seki A et al (2008) Novel bromomelatonin derivatives as potentially effective drugs to treat bone diseases. J Pineal Res 45:229–34
Ostrowska Z, Kos-Kudla B, Nowak M et al (2003) The relationship between bone metabolism, melatonin and other hormones in sham-operated and pinealectomized rats. Endocr Regul 37:211–24
Calvo-Guirado JL, Gómez-Moreno G, Barone A et al (2009) Melatonin plus porcine bone on discrete calcium deposit implant surface stimulates osteointegration in dental implants. J Pineal Res 47:164–72
Calvo-Guirado JL, Ramírez-Fernández MP, Gómez-Moreno G et al (2010) Melatonin stimulates the growth of new bone around implants in the tibia of rabbits. J Pineal Res 49:356–63
Guardia J, Gómez-Moreno G, Ferrera MJ et al (2009) Evaluation of effects of topic melatonin on implant surface at 5 and 8 weeks in beagle dogs. Clin Implant Dent Relat Res 13:262–8
Muñoz F, López-Peña M, Miño N et al (2009) Topical application of melatonin and growth hormone accelerates bone healing around dental implants in dogs. Clin Implant Dent Relat Res Sep 29. doi:10.1111/j.1708-8208.2009.00242.x
Takechi M, Tatehara S, Satomura K et al (2008) Effect of FGF-2 and melatonin on implant bone healing: a histomorphometric study. J Mater Sci Mater Med 19:2949–52
Nakade O, Koyama H, Ariji H et al (1999) Melatonin stimulates proliferation and type I collagen synthesis in human bone cells in vitro. J Pineal Res 27:106–10
Roth JA, Kim BG, Lin WL et al (1999) Melatonin promotes osteoblast differentiation and bone formation. J Biol Chem 274:22041–7
Cardinali DP, Ladizesky MG, Boggio V et al (2003) Melatonin effects on bone: experimental facts and clinical perspectives. J Pineal Res 34:81–7
Mayo JC, Sainz RM, Tan DX et al (2005) Anti-inflammatory actions of melatonin and its metabolites, N1-acetyl-N2-formyl-5-methoxykynuramine (AFMK) and N1-acetyl-5-methoxykynuramine (AMK), in macrophages. J Neuroimmunol 165:139–49
Koyama H, Nakade O, Takada Y et al (2002) Melatonin at pharmacologic doses increases bone mass by suppressing resorption through down-regulation of the RANKL-mediated osteoclast formation and activation. J Bone Miner Res 17:1219–29
Ostrowska Z, Ziora K, Kos-Kudła B et al (2010) Melatonin, the RANKL/RANK/OPG system, and bone metabolism in girls with anorexia nervosa. Endokrynol Pol 61:117–23
Gómez-Moreno G, Guardia J, Ferrera MJ et al (2010) Melatonin in diseases of the oral cavity. Oral Dis 16:242–7
Korkmaz A, Reiter RJ, Topal T et al (2009) Melatonin: an established antioxidant worthy of use in clinical trials. Mol Med 15:43–50
Cutando A, Gómez-Moreno G, Arana C et al (2007) Melatonin: potential functions in the oral cavity. J Periodontol 78:1094–102
Ganguly K, Sharma AV, Reiter RJ et al (2010) Melatonin promotes angiogenesis during protection and healing of indomethacin-induced gastric ulcer: role of matrix metaloproteinase-2. J Pineal Res 49:130–40
Yamada Y, Tamura T, Hariu K et al (2008) Angiogenesis in newly augmented bone observed in rabbit calvarium using a titanium cap. Clin Oral Implants Res 19:1003–9
Soybir G, Topuzlu C, Odabaş O et al (2003) The effects of melatonin on angiogenesis and wound healing. Surg Today 33:896–901
Pugazhenthi K, Kapoor M, Clarkson AN et al (2008) Melatonin accelerates the process of wound repair in full-thickness incisional wounds. J Pineal Res 44:387–96
Street J, Bao M, de Guzman L et al (2002) Vascular endothelial growth factor stimulates bone repair by promoting angiogenesis and bone turnover. Proc Natl Acad Sci USA 99:9656–61
Mayer H, Bertram H, Lindenmaier W et al (2005) Vascular endothelial growth factor (VEGF-A) expression in human mesenchymal stem cells: autocrine and paracrine role on osteoblastic and endothelial differentiation. J Cell Biochem 95:827–39
Dai J, Rabie AB (2007) VEGF: an essential mediator of both angiogenesis and endochondral ossification. J Dent Res 86:937–50
Shi ZB, Wang KZ (2010) Effects of recombinant adeno-associated viral vectors on angiopoiesis and osteogenesis in cultured rabbit bone marrow stem cells via co-expressing hVEGF and hBMP genes: a preliminary study in vitro. Tissue Cell 42:314–21
Das R, Jahr H, van Osch GJ et al (2010) The role of hypoxia in bone marrow-derived mesenchymal stem cells: considerations for regenerative medicine approaches. Tissue Eng Part B Rev 16:159–168
Mias C, Trouche E, Seguelas MH et al (2008) Ex vivo pretreatment with melatonin improves survival, proangiogenic/mitogenic activity, and efficiency of mesenchymal stem cells injected into ischemic kidney. Stem Cells 26:1749–57
Dai M, Cui P, Yu M et al (2008) Melatonin modulates the expression of VEGF and HIF-1 alpha induced by CoCl2 in cultured cancer cells. J Pineal Res 44:121–6
Mediavilla MD, Sanchez-Barcelo EJ, Tan DX et al (2010) Basic mechanisms involved in the anti-cancer effects of melatonin. Curr Med Chem 17:4462–81
Park SY, Jang WJ, Yi EY et al (2010) Melatonin suppresses tumor angiogenesis by inhibiting HIF-1alpha stabilization under hypoxia. J Pineal Res 48:178–84
Cui P, Luo Z, Zhang H et al (2006) Effect and mechanism of melatonin's action on the proliferation of human umbilical vein endothelial cells. J Pineal Res 41:358–62
Pandi-Perumal SR, Srinivasan V, Maestroni GJ et al (2006) Melatonin: nature's most versatile biological signal? FEBS J 273:2813–38
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Ramírez-Fernández, M.P., Calvo-Guirado, J.L., de-Val, J.EM.S. et al. RETRACTED ARTICLE:Melatonin promotes angiogenesis during repair of bone defects: a radiological and histomorphometric study in rabbit tibiae. Clin Oral Invest 17, 147–158 (2013). https://doi.org/10.1007/s00784-012-0684-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-012-0684-6