Evidence map›Paper›PMID 42050171›Full record

ArticleNpj biological timing and sleep2026

Fecal melatonin as a biomarker of emerging circadian maturity and gut microbiota in infancy.

Mohammed Al-Andoli, Petra Zimmermann, Sarah Schoch, Andjela Markovic, Christophe Mühlematter, Matthieu Beaugrand, Oskar G Jenni, Rabia Liamlahi, Jean-Claude Walser, Dennis Nielsen and 1 more

Abstract read
In one paragraph

Article in Npj biological timing and sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

11 authors.

Mohammed Al-AndoliDepartment of Psychology, University of Fribourg, Fribourg, Switzerland.
Petra ZimmermannDepartment of Community Health, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.
Sarah SchochDepartment of Pulmonology, University Hospital Zurich, Zurich, Switzerland.
Andjela MarkovicDepartment of Psychology, University of Fribourg, Fribourg, Switzerland.
Christophe MühlematterDepartment of Psychology, University of Fribourg, Fribourg, Switzerland.
Matthieu BeaugrandDepartment of Psychology, University of Fribourg, Fribourg, Switzerland.
Oskar G JenniUniversity Children's Hospital Zurich, Zurich, Switzerland.
Rabia LiamlahiUniversity Children's Hospital Zurich, Zurich, Switzerland.
Jean-Claude WalserGenetic Diversity Center, ETH Zurich, Zurich, Switzerland.
Dennis NielsenDepartment of Food Science, University of Copenhagen, Copenhagen, Denmark.
Salome KurthDepartment of Psychology, University of Fribourg, Fribourg, Switzerland. salome.kurth@unifr.ch.

Funding

Swiss National Science Foundation P0ZHP1-178697Swiss National Science Foundation PCEFP1-181279University of Zurich, Forschungskredit FK-18-047University of Zurich, Foundation for Research in Science and the Humanities STWF-17-008
6 · The paper itself

Abstract

Melatonin plays a key role in circadian regulation, and its interaction with the gut microbiota may be critical for early-life development. Beyond its circadian function, melatonin dysregulation is implicated in inflammatory, metabolic, psychiatric, and neurological disorders. While the gastrointestinal tract produces melatonin at levels far exceeding the pineal gland, its role in gut microbiota dynamics and circadian maturation remains unclear. This observational study investigates the association between fecal melatonin levels and microbial diversity, specific bacterial taxa (ZOTUs), actimetry-based sleep metrics, and various time-dependent factors (including stool timing and intervals since the last stool, sleep, and meal) in infants at 3, 6, and 12 months of age. Key findings include: (1) fecal melatonin levels increase with age but show high inter-individual variability; (2) fecal melatonin is associated with time factors, such as stool timing and time since last stool; (3) higher fecal melatonin levels are linked with reduced gut microbial richness and diversity; (4) the number of bacterial taxa associated with fecal melatonin decline over time; (5) melatonin is associated with age-dependent shifts in both bacterial phyla and genera, notably increasing phyla Actinobacteriota and Bacteroidota, and genera Bifidobacterium, and Veillonella, while reducing the phylum Firmicutes and the genus Streptococcus; (6) fecal melatonin is linked to circadian maturation; and (7) finally, stool timing variability and fasting time affect fecal melatonin stability. These findings identify intestinal melatonin as a promising biomarker for gut microbiota development and circadian rhythm establishment. In addition, these insights highlight melatonin in infant stool as a biomarker and potential modulator bridging systems of intestinal microbiota and behavioral sleep-wake organization.

Identifiers

PMID42050171
PMCPMC13125696

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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.