The human pineal gland and melatonin in aging and Alzheimer's disease
Pineal gland and melatoninIn humans, the pineal gland is 5 mm long, 1-4 mm thick and weighs about 100 mg, both in men and in women [1]. The pineal gland contains two major cell types: neuroglial cells and the predominant pinealocytes that produce melatonin.The pineal gland is a central structure in the circadian system that is innervated by a neural multi-synaptic pathway originating in the suprachiasmatic nucleus (SCN) that is located in the anterior hypothalamus. The SCN is the major circadian pacemaker of the mammalian brain and plays a central role in the generation and regulation of biological rhythms [2,3]. The pineal gland produces melatonin in a marked circadian fashion [4], reflecting signals originating in the SCN. The human SCN innervates only a small number of hypothalamic nuclei directly [5,6]. However, it may impose circadian fluctuations indirectly on the organism by means of melatonin released from the pineal gland [7].The biosynthetic pathway of pineal melatonin has been studied thoroughly. l-Tryptophan is taken up from the circulation and converted to serotonin (5-HT) by tryptophan hydroxylase. 5-HT is metabolized by the rate-limiting enzyme arylalkylamine N-acetyltransferase (AA-NAT) to N-acetyl-5-hydroxytryptamine, and in turn by hydroxyindole-o-methyltransferase to melatonin. 5-HT can also be oxidized by monoamine oxidase A (MAOA) to 5-hydroxyindoleacetic acid [4,8]. In all vertebrates, the activity of the rhythm-generating enzyme AA-NAT increases at night by a factor 7-150, depending on the species. The molecular mechanisms regulating AA-NAT are also remarkably different among species. For instance, in the rat, pineal AA-NAT is regulated at both mRNA level and protein level; however, in sheep and rhesus macaque, pineal AA-NAT mRNA levels show relatively little change over a 24-hr period and changes in AA-NAT activity are primarily regulated at the protein level [9,10]. In the human pineal gland, significant daily fluctuations in AA-NAT mRNA levels were not detected either [11], which suggests that pineal AA-NAT activity may be mainly regulated on the post-transcriptional level in human.The main environmental control of the pineal melatonin synthesis is light intensity. Light perceived by the retina reaches the SCN through the retinohypothalamic tract, which has been revealed by an in vitro postmortem tracing procedure, also in the human hypothalamus [12]. The SCN innervates the pineal gland via the dorsomedial hypothalamic nucleus, the upper thoracic intermediolateral cell columns of the spinal cord and the superior cervical ganglia (SCG), resulting in the rhythmic secretion of melatonin [13,14]. The importance of ocular light as a temporal cue has been clearly demonstrated in circadian studies of blind Abstract: The pineal gland is a central structure in the circadian system which produces melatonin under the control of the central clock, the suprachiasmatic nucleus (SCN). The SCN and the output of the pineal gland, i.e....