COVID-19, Pneumonia & Inflammasomes – The Melatonin Connection

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Vince

Super Moderator
Melatonin Inhibits NLRP3 Inflammasomes

Melatonin is well known for its chronobiotic effects, regulating biological functions tied to circadian rhythms. Numerous studies have revealed that melatonin exerts effects beyond the control of circadian oscillators. The NLRP3 inflammasome is now recognized as a target for melatonin!


The fact that the pro-inflammatory cytokine storm effects are induced by the activation of NLRP3 inflammasomes, the ability of melatonin to INHIBIT NLRP3 inflammasome elevates this powerful molecule to a truly unique position in the fight against COVID-19. This also means that if a patient, regardless of age, has adequate melatonin, the infectiousness of COVID-19 will be greatly reduced, and the chances of developing ARDS/ALI significantly diminished.


Melatonin is the reason why children under the age of 9 seldom exhibit severe symptoms. In fact, children may exhibit mild or even no symptoms at all, even though they have been infected by SARS-CoV-2 [73]. How significant is the difference in melatonin production between children, adults and the elderly?


For most people, peak melatonin production is between the hours of 2 am to 3 am. The maximum melatonin levels measured in healthy adults between the ages of 65 to 70 years appeared to be around 49.3 picograms/ml (pg/ml). Adults more than 75 years of age only have maximum production levels of 27.8 pg/ml [74].


Young children, on the other hand, have extremely high melatonin levels, compared to adults. The maximum levels recorded for children showed a decline as age increased. Children between the ages of 1 to 5 had peak melatonin at 325 pg/ml, while those between the ages of 5 to 11 already declined to 133 pg/ml [76].


Compared to healthy adult seniors, a young child can easily have TEN TIMES the amount of peak melatonin levels. But even then, the actual physiological concentration is extremely low. How much is one picogram, exactly?


To give you some perspective, most melatonin supplements are around 3 to 5 mg per capsule or tablet. One milligram equals 1,000,000,000 picograms. That is why the physiological dosage generally recommended for melatonin supplementation is around 0.3 milligram [75].


The fact that young children have such high melatonin levels explains why they show very mild symptoms after COVID-19 infections.





Melatonin is a potent inhibitor of NLRP3 inflammasomes.


Generally referred to as the “hormone of darkness”, the ability of melatonin to regulate both pro- as well as anti-inflammatory cytokines in different pathophysiological conditions has only been extensively studied in the past several years.


Controlling cytokine storms is one of the major challenges in the treatment of sepsis [82]. The NLRP3 inflammasome has an interesting nickname of “Pandora’s Box for Sepsis” [83]. Yet nature provides all the solutions to difficult health challenges.


NLRP3 inflammasomes is a direct target of melatonin. Animal models of sepsis showed melatonin’s ability to maintain mitochondrial homeostasis, reduce reactive oxygen species and lower production of proinflammatory cytokines. Melatonin was shown to inhibit NLRP3 inflammasomes in mice with myocardial septic conditions, transforming severe myocardial inflammation into milder symptoms, preventing cardiac failure, and significantly enhanced survival rates of septic mice [77, 78].


An excellent study by Volt et al (2016) showed that chronic low doses of melatonin in aged mice could prevent increase in inflammation, ROS and mitochondria impairments reflective of inflammaging [79, 80]. Volt et al. also showed that acute administration of melatonin could counteract severe inflammatory responses [81].


It is therefore not surprising to find that melatonin is able to prevent ARDS/ALI through suppression of NLRP3 inflammasomes.


In rodent acute lung injury (ALI) models, melatonin was found to markedly reduce pulmonary injury, lower infiltration of macrophages and neutrophils into lungs. Melatonin protected mice from acute lung injuries by inhibiting the activation of NLRP3 inflammasomes through the suppression of extracellular release of histones and blocking histone-induced NLRP3 inflammasome activation [84].


In rodent models of acute respiratory distress syndrome (ARDS), combined treatment of melatonin and mitochondria significantly attenuated progression of ARDS [85]

 
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Dansk

Active Member
Interesting.

My first thought is kids are destroying their melatonin levels with their Blue light devices, but maybe not low enough.
 

Cataceous

Super Moderator
Interesting caution against selenium supplementation further down in the article:

Selenium is a strong scavenger of free radicals. Selenium is believed to be effective against viruses such as Ebola, HIV and influenza A virus [47, 48]. However, selenium may also be an effective inhibitor of angiotensin-converting enzyme (ACE) [49, 102]. Patients suffering from cardiovascular diseases, hypertension and diabetes are often prescribed drugs that either inhibit ACE or block angiotensin II type-I receptor (ARB). Both types of drugs increase the expression of ACE2 [51].
The use of selenium during COVID-19 infections therefore, can be problematic. ACE inhibitors actually INCREASE expression of ACE2, and SARS-CoV-2 infects host cells through binding with ACE2 receptors [50]. ACE2 receptors are found on lung epithelial cells, intestines, kidneys and blood vessels. Thus using ACE inhibitors either through medication or supplements risk elevating COVID-19 infection and developing severe or even fatal disease complications [51].
 

MarkLA

Member
Good article, but... would be good if we had references to people who have taken melatonin + vitamin C and could report on their progress. Better would be a controlled trial.
 

GreenMachineX

Well-Known Member
Stay off Facebook and stick with the science. All theories need to be proven. People are in panic mode. Nobody knows as of today. That’s just the way it is.
I’m not sure I agree with “all theories need to be proven” though. For example, so much great evidence and research on megadoses of Vitamin C reducing cold and flu symptoms by 85% for example, and now being tested on patients in NY and clinical trials in China. I’ve been doing Vitamin C to bowel tolerance levels for 15 years or so with incredible success when ill. And if I take too much, the repercussions are a little GI upset. So, megadoses of Vitamin C aren’t proven, but sure not going to hurt anything and much more likely to help something like this.
 

Vince

Super Moderator
I wonder to about melatonin. After reading the article and knowing how inexpensive melatonin is. I started supplementing with it again, only 3 mg before bed. Will help me survive the COVID-19. I really don't know.
 

Westin

Active Member
If the CDC, NIH, and FDA hasn’t figured out yet, nobody on this board will. I’d wait for the science before you start taking anything. Just my thoughts.
 

GreenMachineX

Well-Known Member
If the CDC, NIH, and FDA hasn’t figured out yet, nobody on this board will. I’d wait for the science before you start taking anything. Just my thoughts.
Well, we’re talking about heavily researched and ridiculously safe nutrients/supplements/etc. And I definitely disagree with that line of thinking. The science is there for anyone to see.
For example, see this.
Will having my vitamin D levels at optimal levels prevent COVID-19? Maybe, I don’t know, but would I ever tell someone to not get their vitamin D levels optimal anyway?

Now this:
Again, I would never tell someone not to try it. But the point is never at the expense of medical care as well. If your fever gets crazy, or if you can’t breathe, go to the doctor lol.
But, there’s a solid chance that might not have to be the case with preventative measures and scientists/doctors across the world are even testing it in the worst case scenarios. Just my opinion.
 

sammmy

Well-Known Member
Melatonin is not the only antioxidant that suppresses immune inflammation. Other are quercetin, gluthatione, and inosine (via increase of uric acid). There are no human studies of their effectiveness in septic shock.

I've seen studies of inosine mitigating experimental septic shock in mice.
 

Westin

Active Member
I wonder to about melatonin. After reading the article and knowing how inexpensive melatonin is. I started supplementing with it again, only 3 mg before bed. Will help me survive the COVID-19. I really don't know.

Vince, I do. It won’t. Though you might sleep better which is good for your immune system.
 

Westin

Active Member
Until a theory is proven it is nothing more then an idea or hope. I personally don’t do “hope” I do ”fact”. We are all different. My wife does “hope and “feeling” and spends countless hours being disappointed and frustrated when things don’t work out like she “hoped or felt” they would.

Again, we’re all different.
 
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GreenMachineX

Well-Known Member
Until a theory is proven it is nothing more then an idea or hope. I personally don’t do “hope” I do ”fact”. We are all different. My wife does “hope and “feeling” and spends countless hours being disappointed and frustrated when things don’t work out like she “hoped or felt” they would.

Again, we’re all different.
Agreed. I’m a big fan of hope, ideas, experimentation and adventure. It does lead to disappointment sometimes, but the moments when whatever it is does work make it all worth it.
 

Vince

Super Moderator
Probably not, and perhaps the opposite. What’s needed is more RBCs, and just taking iron won’t do that. Also, the released iron is in a toxic form, and needs to be scavenged, and for that Vitamin C appears to have a role. Interestingly, melatonin makes an appearance in this article too (inflammasome mediation).


COVID-19, ARDS & Cell-Free Hemoglobin – The Ascorbic Acid Connection

While looking for info on the iron aspect, I also stumbled across this, preserved on a web archive because it’s "410" on site Medium, and Medium is smarter than you (or is pandering to China, hard to say which):
Covid-19 had us all fooled, but now we might have finally found its secret.

The author may have an important point to make about respirators. The insufficiency is due to the RBC situation, and not lung function per se. O2 matters, even pure if necessary, with atmospheric pressure assistance as needed, but high-pressure intubation needs be deferred as long as possible.
 
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