Evidence map›Paper›PMID 34445329›Full record

ReviewInternational journal of molecular sciences2021

Melatonin as a Potential Adjuvant Treatment for COVID-19 beyond Sleep Disorders.

Adam Wichniak, Aleksander Kania, Mariusz Siemiński, Wiesław Jerzy Cubała

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Adam WichniakThird Department of Psychiatry and Sleep Medicine Center, Institute of Psychiatry and Neurology, 02-957 Warszawa, Poland.
Aleksander KaniaDepartment of Pulmonology, 2nd Department of Internal Medicine, Faculty of Medicine, Jagiellonian University Medical College, 31-008 Kraków, Poland.ORCID 0000-0001-5181-4360
Mariusz SiemińskiDepartment of Emergency Medicine, Faculty of Medicine, Medical University of Gdańsk, 80-214 Gdańsk, Poland.ORCID 0000-0001-8219-2912
Wiesław Jerzy CubałaDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdańsk, 80-214 Gdańsk, Poland.ORCID 0000-0001-6343-8454
Gdańsk Medical University · PLInstitute of Psychiatry and Neurology · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melatonin is registered to treat circadian rhythm sleep-wake disorders and insomnia in patients aged 55 years and over. The essential role of the circadian sleep rhythm in the deterioration of sleep quality during COVID-19 confinement and the lack of an adverse effect of melatonin on respiratory drive indicate that melatonin has the potential to be a recommended treatment for sleep disturbances related to COVID-19. This review article describes the effects of melatonin additional to its sleep-related effects, which make this drug an attractive therapeutic option for treating patients with COVID-19. The preclinical data suggest that melatonin may inhibit COVID-19 progression. It may lower the risk of the entrance of the SARS-CoV-2 virus into cells, reduce uncontrolled hyper-inflammation and the activation of immune cells, limit the damage of tissues and multiorgan failure due to the action of free radicals, and reduce ventilator-induced lung injury and the risk of disability resulting from fibrotic changes within the lungs. Melatonin may also increase the efficacy of COVID-19 vaccination. The high safety profile of melatonin and its potential anti-SARS-CoV-2 effects make this molecule a preferable drug for treating sleep disturbances in COVID-19 patients. However, randomized clinical trials are needed to verify the clinical usefulness of melatonin in the treatment of COVID-19.

Indexed as

COVID-19 Drug TreatmentCOVID-19COVID-19 VaccinesCytokinesFree Radical ScavengersHumansMelatoninRenin-Angiotensin SystemSARS-CoV-2Sleep Wake DisordersCOVID-19 VaccinesCytokinesFree Radical ScavengersMelatoninCOVID-19disease progressionmelatoninphysiological effectstreatment

Identifiers

PMID34445329
PMCPMC8395320
OpenAlexW3191239439

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.