Volume 17, Issue 12 (December 2019)                   IJRM 2019, 17(12): 865-882 | Back to browse issues page


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Mojaverrostami S, Asghari N, Khamisabadi M, Heidari Khoei H. The role of melatonin in polycystic ovary syndrome: a review. IJRM 2019; 17 (12) :865-882
URL: http://ijrm.ir/article-1-1347-en.html
1- Department of Anatomy, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. , sinamojaver@gmail.com
2- Department of Molecular Medicine, Faculty of Medical Biotechnology, National Institute of Genetic Engineering and Biotechnology, Tehran, Iran
3- Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.
4- Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Biology and Anatomical Sciences, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (11066 Views)
Background: Polycystic ovary syndrome (PCOS) is a widespread endocrine disorder, affecting approximately 20% of women within reproductive age. It is associated with hyperandrogenism, obesity, menstrual irregularity, and anovulatory infertility. Melatonin is the main pineal gland hormone involved in the regulation of the circadian rhythm. In recent years, it has been observed that a reduction in melatonin levels of follicular fluid exists in PCOS patients. Melatonin receptors in the ovary and intra-follicular fluid adjust sex steroid secretion at different phases of ovarian follicular maturation. Moreover, melatonin is a strong antioxidant and an effective free radical scavenger, which protects ovarian follicles during follicular maturation.
Objective: In this paper, we conducted a literature review and the summary of the current research on the role of melatonin in PCOS.
Materials and Methods: Electronic databases including PubMed/MEDLINE, Web of Science, Scopus, and Reaxys were searched from their inception to October 2018 using the keywords ″Melatonin″ AND ″Polycystic ovary syndrome" OR "PCOS.″
Results: Based on the data included in our review, it was found that the administration of melatonin can improve the oocyte and embryo quality in PCOS patients. It may also have beneficial effects in correcting the hormonal alterations in PCOS patients.
Conclusion: Since metabolic dysfunction is the major finding contributing to the initiation of PCOS, melatonin can hinder this process via its improving effects on metabolic functions.
 
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Type of Study: Review Article | Subject: Reproductive Biology

References
1. Shaikh N, Dadachanji R, Mukherjee S. Genetic Markers of Polycystic Ovary Syndrome: Emphasis on Insulin Resistance. International Journal of Medical Genetics 2014; 2014:1-10. [DOI:10.1155/2014/478972]
2. Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 2004;19: 41-47. [DOI:10.1093/humrep/deh098] [PMID]
3. Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, et al. The Androgen excess and PCOS society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril 2009; 91: 456-488. [DOI:10.1016/j.fertnstert.2008.06.035] [PMID]
4. DeUgarte CM, Bartolucci AA, Azziz R. Prevalence of insulin resistance in the polycystic ovary syndrome using the homeostasis model assessment. Fertil Steril 2005; 83: 1454-1460. [DOI:10.1016/j.fertnstert.2004.11.070] [PMID]
5. Dunaif A. Perspectives in polycystic ovary syndrome: from hair to eternity. J Clin Endocrinol Metab 2016; 101: 759-768. [DOI:10.1210/jc.2015-3780] [PMID] [PMCID]
6. Heidari Khoei H, Dehdehi L, Moloudizargari M, Baninameh Z, Rezaie-Chamani S, Gea Conti O, et al. Female obesity and clinical outcomes of assisted reproductive technologies (ART): An updated systematic review and Meta-Analysis. Int J Med Res Health Sci 2016; 5: 157-170.
7. Morgante G, Massaro MG, Di Sabatino A, Cappelli V, De Leo V. Therapeutic approach for metabolic disorders and infertility in women with PCOS. Gynecol Endocrinol 2018; 34: 4-9. [DOI:10.1080/09513590.2017.1370644] [PMID]
8. Sirmans SM, Pate KA. Epidemiology, diagnosis, and management of polycystic ovary syndrome. Clin Epidemiol 2013; 6: 1-13. [DOI:10.2147/CLEP.S37559] [PMID] [PMCID]
9. Asghari MH, Moloudizargari M, Bahadar H, Abdollahi M. A review of the protective effect of melatonin in pesticide-induced toxicity. Expert Opin Drug Metab Toxicol 2017; 13: 545-554. [DOI:10.1080/17425255.2016.1214712] [PMID]
10. Asghari MH, Moloudizargari M, Ghobadi E, Fallah M, Abdollahi M. Melatonin as a multifunctional anti-cancer molecule: Implications in gastric cancer. Life Sci 2017; 185: 38-45. [DOI:10.1016/j.lfs.2017.07.020] [PMID]
11. Asghari MH, Moloudizargari M, Baeeri M, Baghaei A, Rahimifard M, Solgi R, et al. On the mechanisms of melatonin in protection of aluminum phosphide cardiotoxicity. Arch Toxicol 2017; 91: 3109-3120. [DOI:10.1007/s00204-017-1998-6] [PMID]
12. Reiter RJ, Tan DX, Tamura H, Cruz MH, Fuentes-Broto L. Clinical relevance of melatonin in ovarian and placental physiology: a review. Gynecol Endocrinol 2014; 30: 83-89. [DOI:10.3109/09513590.2013.849238] [PMID]
13. Asghari MH, Abdollahi M, Oliveira MR, Nabavi SM. A review of the protective role of melatonin during phosphine‐induced cardiotoxicity: focus on mitochondrial dysfunction, oxidative stress and apoptosis. J Pharm Pharmacol 2017; 69: 236-243. [DOI:10.1111/jphp.12682] [PMID]
14. Moradkhani F, Moloudizargari M, Fallah M, Asghari N, Heidari Khoei H, Asghari MH. Immunoregulatory role of melatonin in cancer. J Cell Physiol 2019; 4: doi: 10.1002/jcp.29036. [DOI:10.1002/jcp.29036] [PMID]
15. Moloudizargari M, Moradkhani F, Asghari N, Fallah M, Asghari MH, Moghadamnia AA, et al. NLRP inflammasome as a key role player in the pathogenesis of environmental toxicants. Life Sci 2019; 231: 116585. [DOI:10.1016/j.lfs.2019.116585] [PMID]
16. Goradel NH, Asghari MH, Moloudizargari M, Negahdari B, Haghi-Aminjan H, Abdollahi M. Melatonin as an angiogenesis inhibitor to combat cancer: Mechanistic evidence. Toxicol Appl Pharmacol 2017; 335: 56-63. [DOI:10.1016/j.taap.2017.09.022] [PMID]
17. Berson DM, Dunn FA, Takao M. Phototransduction by retinal ganglion cells that set the circadian clock. Science 2002; 295: 1070-1073. [DOI:10.1126/science.1067262] [PMID]
18. Kohsaka A, Bass J. A sense of time: how molecular clocks organize metabolism. Trends Endocrinol Metab 2007; 18: 4-11. [DOI:10.1016/j.tem.2006.11.005] [PMID]
19. Reiter RJ, Tan DX, Manchester LC, Paredes SD, Mayo JC, Sainz RM. Melatonin and reproduction revisited. Biol Reprod 2009; 81: 445-456. [DOI:10.1095/biolreprod.108.075655] [PMID]
20. Tan DX, Manchester LC, Hardeland R, Lopez‐Burillo S, Mayo JC, Sainz RM, et al. Melatonin: a hormone, a tissue factor, an autocoid, a paracoid, and an antioxidant vitamin. J Pineal Res 2003; 34: 75-78. [DOI:10.1034/j.1600-079X.2003.02111.x] [PMID]
21. Itoh MT, Ishizuka B, Kudo Y, Fusama S, Amemiya A, Sumi Y. Detection of melatonin and serotonin N-acetyltransferase and hydroxyindole-O-methyltransferase activities in rat ovary. Mol Cell Endocrinol 1997; 136: 7-13. [DOI:10.1016/S0303-7207(97)00206-2]
22. Reiter RJ, Tamura H, Tan DX, Xu XY. Melatonin and the circadian system: contributions to successful female reproduction. Fertil Steril 2014; 102: 321-328. [DOI:10.1016/j.fertnstert.2014.06.014] [PMID]
23. Majumdar A, Sharma MN. Anovulatory Infertility. In: Kamini AR. Principles & Practice of Assisted Reproductive Technology. New Delhi, India: Jaypee Brothers Medical Publishers LTD., 2014. [DOI:10.5005/jp/books/12151_12]
24. McCartney CR, Eagleson CA, Marshall JC. Regulation of gonadotropin secretion: implications for polycystic ovary syndrome. Seminars in reproductive medicine. Semin Reprod Med 2002; 20: 317-326. [DOI:10.1055/s-2002-36706] [PMID]
25. Johansson J, Stener-Victorin E. Polycystic ovary syndrome: effect and mechanisms of acupuncture for ovulation induction. Evid Based Complement Alternat Med 2013; 2013: 762615. [DOI:10.1155/2013/762615] [PMID] [PMCID]
26. Kelly CJ, Stenton SR, Lashen H. Insulin-like growth factor binding protein-1 in PCOS: a systematic review and meta-analysis. Hum Reprod Update 2011; 17: 4-16. [DOI:10.1093/humupd/dmq027] [PMID]
27. Azziz R, Black VY, Knochenhauer ES, Hines GA, Boots LR. Ovulation after glucocorticoid suppression of adrenal androgens in the polycystic ovary syndrome is not predicted by the basal dehydroepiandrosterone sulfate level. J Clin Endocrinol Metab 1999; 84: 946-950. [DOI:10.1210/jcem.84.3.5574] [PMID]
28. Fassnacht M, Schlenz N, Schneider SB, Wudy SA, Allolio B, Arlt W. Beyond adrenal and ovarian androgen generation: increased peripheral 5α-reductase activity in women with polycystic ovary syndrome. J Clin Endocrinol Metab 2003; 88: 2760-2766. [DOI:10.1210/jc.2002-021875] [PMID]
29. Polak K, Czyzyk A, Simoncini T, Meczekalski B. New markers of insulin resistance in polycystic ovary syndrome. J Endocrinol Invest 2017; 40: 1-8. [DOI:10.1007/s40618-016-0523-8] [PMID] [PMCID]
30. Corbould A. Chronic testosterone treatment induces selective insulin resistance in subcutaneous adipocytes of women. J Endocrinol 2007; 192: 585-594. [DOI:10.1677/joe.1.07070] [PMID]
31. Diamanti-Kandarakis E. Role of obesity and adiposity in polycystic ovary syndrome. Int J Obes 2007; 31 (Suppl.): S8-S13. [DOI:10.1038/sj.ijo.0803730] [PMID]
32. Tamura H, Nakamura Y, Korkmaz A, Manchester LC, Tan DX, Sugino N, et al. Melatonin and the ovary: physiological and pathophysiological implications. Fertil Steril 2009; 92: 328-343. [DOI:10.1016/j.fertnstert.2008.05.016] [PMID]
33. Luboshitzky R, Shen-Orr Z, Herer P, Nave R. Urinary 6-sulfatoxymelatonin excretion in hyperandrogenic women with polycystic ovary syndrome: the effect of ethinyl estradiol-cyproterone acetate treatment. Gynecol Endocrinol 2003; 17: 441-447. [DOI:10.1080/09513590312331290368] [PMID]
34. Luboshitzky R, Herer P, Shen-Orr Z. Urinary 6-sulfatoxymelatonin excretion in hyperandrogenic women: the effect of cyproterone acetate-ethinyl estradiol treatment. Exp Clin Endocrinol Diabetes 2004; 112: 102-107. [DOI:10.1055/s-2004-815765] [PMID]
35. Luboshitzky R, Qupti G, Ishay A, Shen-Orr Z, Futerman B, Linn S. Increased 6-sulfatoxymelatonin excretion in women with polycystic ovary syndrome. Fertil Steril 2001; 76: 506-510. [DOI:10.1016/S0015-0282(01)01930-6]
36. Daya S, Potgieter B. The effect of castration, testosterone and estradiol on14C-serotonin metabolism by organ cultures of male rat pineal glands. Experientia 1985; 41: 275-276. [DOI:10.1007/BF02002634] [PMID]
37. Hayashi K, Okatani Y. Mechanisms underlying the effects of estrogen on nocturnal melatonin synthesis in peripubertal female rats: relation to norepinephrine and adenylate cyclase. J Pineal Res 1999; 26: 178-183. [DOI:10.1111/j.1600-079X.1999.tb00581.x] [PMID]
38. Kruijver FP, Swaab DF. Sex hormone receptors are present in the human suprachiasmatic nucleus. Neuroendocrinology 2002; 75: 296-305. [DOI:10.1159/000057339] [PMID]
39. Tanavde VS, Maitra A. In vitro modulation of steroidogenesis and gene expression by melatonin: a study with porcine antral follicles. Endocr Res 2003; 29: 399-410. [DOI:10.1081/ERC-120026946] [PMID]
40. Jain P, Jain M, Haldar C, Singh TB, Jain S. Melatonin and its correlation with testosterone in polycystic ovarian syndrome. J Hum Reprod Sci 2013; 6: 253-258. [DOI:10.4103/0974-1208.126295] [PMID] [PMCID]
41. Andreeva E, Absatarova Y, Sheremetyeva E, Derkatch D, Ponomareva T, Tiulpakov A, et al. Analysis of the informativeness of melatonin evaluation in polycystic ovary syndrome. Obesity and Metabolism 2016; 13: 15-20. [DOI:10.14341/omet2016415-20]
42. Shreeve N, Cagampang F, Sadek K, Tolhurst M, Houldey A, Hill CM, et al. Poor sleep in PCOS; is melatonin the culprit? Hum Reprod 2013; 28: 1348-1353. [DOI:10.1093/humrep/det013] [PMID]
43. Basheer M, Rai S. Melatonin vs. phytomelatonin: Therapeutic uses with special reference to polycystic ovarian syndrome (PCOS). Cogent Biol 2016; 2: 1136257. [DOI:10.1080/23312025.2015.1136257]
44. González F, Rote NS, Minium J, Kirwan JP. Reactive oxygen species-induced oxidative stress in the development of insulin resistance and hyperandrogenism in polycystic ovary syndrome. J Clin Endocrinol Metab 2006;91:336-340. [DOI:10.1210/jc.2005-1696] [PMID]
45. Sabuncu T, Vural H, Harma M, Harma M. Oxidative stress in polycystic ovary syndrome and its contribution to the risk of cardiovascular disease. Clin Biochem 2001; 34: 407-413. [DOI:10.1016/S0009-9120(01)00245-4]
46. Gupta RK, Miller KP, Babus JK, Flaws JA. Methoxychlor inhibits growth and induces atresia of antral follicles through an oxidative stress pathway. Toxicol Sci 2006; 93: 382-389. [DOI:10.1093/toxsci/kfl052] [PMID]
47. Reiter RJ, Tan DX, Maldonado MD. Melatonin as an antioxidant: physiology versus pharmacology. J Pineal Res 2005; 39: 215-216. [DOI:10.1111/j.1600-079X.2005.00261.x] [PMID]
48. Tan DX, Reiter RJ, Manchester LC, Yan MT, El-Sawi M, Sainz RM, et al. Chemical and physical properties and potential mechanisms: melatonin as a broad spectrum antioxidant and free radical scavenger. Curr Top Med Chem 2002; 2: 181-197. [DOI:10.2174/1568026023394443] [PMID]
49. Terzieva DD, Orbetzova MM, Mitkov MD, Mateva NG. Serum melatonin in women with polycystic ovary syndrome. Folia Med 2013; 55: 10-15. [DOI:10.2478/folmed-2013-0012] [PMID]
50. Zafari Zangeneh F, Naghizadeh MM, Abdollahi A, Bagheri M. Synchrony between ovarian function & sleep in polycystic ovary syndrome patients. Open Journal of Obstetrics and Gynecology 2014; 4: 725-731. [DOI:10.4236/ojog.2014.412101]
51. Wang L, Wang Y, Zhang X, Shi J, Wang M, Wei Z, et al. Common genetic variation in MTNR1B is associated with serum testosterone, glucose tolerance, and insulin secretion in polycystic ovary syndrome patients. Fertil Steril 2010; 94: 2486-2489. [DOI:10.1016/j.fertnstert.2010.01.059] [PMID]
52. Li C, Shi Y, You L, Wang L, Chen ZJ. Melatonin receptor 1A gene polymorphism associated with polycystic ovary syndrome. Gynecol Obstet Invest 2011; 72: 130-134. [DOI:10.1159/000323542] [PMID]
53. Li C, Shi Y, You L, Wang L, Chen ZJ. Association of rs10830963 and rs10830962 SNPs in the melatonin receptor (MTNR1B) gene among Han Chinese women with polycystic ovary syndrome. Mol Hum Reprod 2011; 17: 193-198. [DOI:10.1093/molehr/gaq087] [PMID]
54. Song X, Sun X, Ma G, Sun Y, Shi Y, Du Y, et al. Family association study between melatonin receptor gene polymorphisms and polycystic ovary syndrome in Han Chinese. Eur J Obstet Gynecol Reprod Biol 2015; 195: 108-112. [DOI:10.1016/j.ejogrb.2015.09.043] [PMID]
55. Peschke E, Frese T, Chankiewitz E, Peschke D, Preiss U, Schneyer U, et al. Diabetic Goto Kakizaki rats as well as type 2 diabetic patients show a decreased diurnal serum melatonin level and an increased pancreatic melatonin‐receptor status. J Pineal Res 2006; 40: 135-143. [DOI:10.1111/j.1600-079X.2005.00287.x] [PMID]
56. Pai SA, Majumdar AS. Protective effects of melatonin against metabolic and reproductive disturbances in polycystic ovary syndrome in rats. J Pharm Pharmacol 2014; 66: 1710-1721. [DOI:10.1111/jphp.12297] [PMID]
57. Faria JA, Kinote A, Ignacio-Souza LM, de Araújo TM, Razolli DS, Doneda DL, et al. Melatonin acts through MT1/MT2 receptors to activate hypothalamic Akt and suppress hepatic gluconeogenesis in rats. Am J Physiol Endocrinol Metab 2013; 305: E230-E242. [DOI:10.1152/ajpendo.00094.2013] [PMID]
58. Ha E, Yim SV, Chung JH, Yoon KS, Kang I, Cho YH, et al. Melatonin stimulates glucose transport via insulin receptor substrate‐1/phosphatidylinositol 3‐kinase pathway in C2C12 murine skeletal muscle cells. J Pineal Res 2006; 41: 67-72. [DOI:10.1111/j.1600-079X.2006.00334.x] [PMID]
59. Chottanapund S, Van Duursen MB, Navasumrit P, Hunsonti P, Timtavorn S, Ruchirawat M, et al. Anti-aromatase effect of resveratrol and melatonin on hormonal positive breast cancer cells co-cultured with breast adipose fibroblasts. Toxicol In Vitro 2014; 28: 1215-1221. [DOI:10.1016/j.tiv.2014.05.015] [PMID]
60. Al-Qadhi HI. Effect of melatonin supplementation on serum LH level and BMI in women with polycystic ovarian syndrome. J Pharm Sci Res 2018; 10: 1-4.
61. Swanton A, Storey L, McVeigh E, Child T. IVF outcome in women with PCOS, PCO and normal ovarian morphology. Euro J Obstet Gynecol Reprod Biol 2010; 149: 68-71. [DOI:10.1016/j.ejogrb.2009.11.017] [PMID]
62. Raju GA, Chavan R, Deenadayal M, Gunasheela D, Gutgutia R, Haripriya G, et al. Luteinizing hormone and follicle stimulating hormone synergy: a review of role in controlled ovarian hyper-stimulation. J Hum Reprod Sci 2013; 6: 227-234. [DOI:10.4103/0974-1208.126285] [PMID] [PMCID]
63. Doronzo G, Russo I, Mattiello L, Anfossi G, Bosia A, Trovati M. Insulin activates vascular endothelial growth factor in vascular smooth muscle cells: influence of nitric oxide and of insulin resistance. Eur J Clin Invest 2004; 34: 664-673. [DOI:10.1111/j.1365-2362.2004.01412.x] [PMID]
64. Pacchiarotti A, Carlomagno G, Antonini G, Pacchiarotti A. Effect of myo-inositol and melatonin versus myo-inositol, in a randomized controlled trial, for improving in vitro fertilization of patients with polycystic ovarian syndrome. Gynecol Endocrinol 2016; 32: 69-73. [DOI:10.3109/09513590.2015.1101444] [PMID]
65. Rose BI. Avoidance of severe ovarian hyperstimulation with IVM treatment. Development of In Vitro Maturation for Human Oocytes: Springer; 2017. [DOI:10.1007/978-3-319-53454-1_23] [PMCID]
66. Virant-Klun I, Krijgsveld J, Huntriss J, Rodgers RJ. New advances in reproductive biomedicine. Biomed Res Int 2014; 2014: 529170. [DOI:10.1155/2014/529170] [PMID] [PMCID]
67. Hao Y, Zhang Z, Han D, Cao Y, Zhou P, Wei Z, et al. Gene expression profiling of human blastocysts from in vivo and 'rescue IVM'with or without melatonin treatment. Mol Med Rep 2017; 16: 1278-1288. [DOI:10.3892/mmr.2017.6742] [PMID] [PMCID]
68. de Lemos AJJM, Costa FS, Peixoto CA, Teixeira ÁAC, da Silva SB, Ferreira CGM, et al. Combination of melatonin and metformin hydrochloride for treatment polycystic ovarian in female rats. Acta Scientiae Veterinariae 2016; 44: 1-10. [DOI:10.22456/1679-9216.81208]
69. Fernando S, Wallace EM, Vollenhoven B, Lolatgis N, Hope N, Wong M, et al. Melatonin in assisted reproductive technology: a pilot double-blind randomized placebo-controlled clinical trial. Front Endocrinol 2018; 9: 545. [DOI:10.3389/fendo.2018.00545] [PMID] [PMCID]
70. Tamura H, Takasaki A, Taketani T, Tanabe M, Kizuka F, Lee L, et al. Melatonin as a free radical scavenger in the ovarian follicle. Endocr J 2013; 60: 1-13. [DOI:10.1507/endocrj.EJ12-0263] [PMID]
71. Entezari Najafabadi M, Karimpour Malekshah A, Esmailnejad Moghaddam A, Ghasemi Hamidabadi H, Heidari M. Effect of embryonic fibroblast cells conditioned medium on in vitro maturation of immature mouse oocytes. J Mazandaran Univ Med Sci 2014; 23: 107-114.
72. Kim MK, Park EA, Kim HJ, Choi WY, Cho JH, Lee WS, et al. Does supplementation of in-vitro culture medium with melatonin improve IVF outcome in PCOS? Reprod Biomed Online 2013; 26: 22-29. [DOI:10.1016/j.rbmo.2012.10.007] [PMID]
73. Nikmard F, Hosseini E, Bakhtiyari M, Ashrafi M, Amidi F, Aflatoonian R. Effects of melatonin on oocyte maturation in PCOS mouse model. Anim Sci J 2017; 88: 586-592. [DOI:10.1111/asj.12675] [PMID]
74. Ahmadi M, Rostamzadeh A, Fathi F, Mohammadi M, Rezaie MJ. The effect of Melatonin on histological changes of ovary in induced polycystic ovary syndrome model in mice. Middle East Fertility Society Journal 2017; 22: 255-259. [DOI:10.1016/j.mefs.2017.03.009]
75. Rocha RM, Lima LF, Alves AM, Celestino JJ, Matos MH, Lima-Verde IB, et al. Interaction between melatonin and follicle-stimulating hormone promotes in vitro development of caprine preantral follicles. Domest Anim Endocrinol 2013; 44: 1-9. [DOI:10.1016/j.domaniend.2012.07.001] [PMID]
76. Galano A, Tan DX, Reiter RJ. Melatonin as a natural ally against oxidative stress: a physicochemical examination. J Pineal Res 2011; 51: 1-16. [DOI:10.1111/j.1600-079X.2011.00916.x] [PMID]
77. Polson DW, Wadsworth J, Adams J, Franks S. Polycystic ovaries-a common finding in normal women. The Lancet 1988; 331: 870-872. [DOI:10.1016/S0140-6736(88)91612-1]
78. Kang X, Jia L, Shen X. Manifestation of hyperandrogenism in the continuous light exposure-induced PCOS rat model. Biomed Res Int 2015; 2015: 943694. [DOI:10.1155/2015/943694] [PMID] [PMCID]
79. Prata Lima MF, Baracat EC, Simões MJ. Effects of melatonin on the ovarian response to pinealectomy or continuous light in female rats: similarity with polycystic ovary syndrome. Braz J Med Biol Res 2004; 37: 987-995. [DOI:10.1590/S0100-879X2004000700007] [PMID]
80. Basheer M, Rai S, Ghosh H, Ahmad Hajam Y. Therapeutic efficacy of melatonin against polycystic ovary syndrome (pcos) induced by letrozole in wistar rat. Pak J Biol Sci 2018; 21: 340-347. [DOI:10.3923/pjbs.2018.340.347] [PMID]
81. Giannetto A, Fernandes JM, Nagasawa K, Mauceri A, Maisano M, De Domenico E, et al. Influence of continuous light treatment on expression of stress biomarkers in Atlantic cod. Dev Comp Immunol 2014; 44: 30-34. [DOI:10.1016/j.dci.2013.11.011] [PMID]
82. Fenkci V, Fenkci S, Yilmazer M, Serteser M. Decreased total antioxidant status and increased oxidative stress in women with polycystic ovary syndrome may contribute to the risk of cardiovascular disease. Fertil Steril 2003; 80: 123-127. [DOI:10.1016/S0015-0282(03)00571-5]
83. Lemos AJ, Peixoto CA, Teixeira ÁA, Luna RL, Rocha SW, Santos HM, et al. Effect of the combination of metformin hydrochloride and melatonin on oxidative stress before and during pregnancy, and biochemical and histopathological analysis of the livers of rats after treatment for polycystic ovary syndrome. Toxicol Appl Pharmacol 2014; 280: 159-168. [DOI:10.1016/j.taap.2014.05.015] [PMID]
84. Kim JB, Jung JY, Ahn JC, Rhee CK, Hwang HJ. Antioxidant and anti-apoptotic effect of melatonin on the vestibular hair cells of rat utricles. Clin Exp Otorhinolaryngol 2009; 2: 6-12. [DOI:10.3342/ceo.2009.2.1.6] [PMID] [PMCID]
85. Kang JT, Koo OJ, Kwon DK, Park HJ, Jang G, Kang SK, et al. Effects of melatonin on in vitro maturation of porcine oocyte and expression of melatonin receptor RNA in cumulus and granulosa cells. J Pineal Res 2009; 46: 22-28. [DOI:10.1111/j.1600-079X.2008.00602.x] [PMID]
86. Korkmaz A, Rosales-Corral S, Reiter RJ. Gene regulation by melatonin linked to epigenetic phenomena. Gene 2012; 503: 1-11. [DOI:10.1016/j.gene.2012.04.040] [PMID]
87. Shkolnik K, Tadmor A, Ben-Dor S, Nevo N, Galiani D, Dekel N. Reactive oxygen species are indispensable in ovulation. Proc Natl Acad Sci USA 2011; 108: 1462-1467. [DOI:10.1073/pnas.1017213108] [PMID] [PMCID]
88. Shi JM, Tian XZ, Zhou GB, Wang L, Gao C, Zhu SE, et al. Melatonin exists in porcine follicular fluid and improves in vitro maturation and parthenogenetic development of porcine oocytes. J Pineal Res 2009; 47: 318-323. [DOI:10.1111/j.1600-079X.2009.00717.x] [PMID]
89. Van Hooff MH, Voorhorst FJ, Kaptein MB, Hirasing RA, Koppenaal C, Schoemaker J. Polycystic ovaries in adolescents and the relationship with menstrual cycle patterns, luteinizing hormone, androgens, and insulin. Fertil Steril 2000; 74: 49-58. [DOI:10.1016/S0015-0282(00)00584-7]
90. Dowdy D. Emotional needs of teens with polycystic ovary syndrome. J Pediatr Nurs 2012; 27: 55-64. [DOI:10.1016/j.pedn.2010.08.001] [PMID]
91. Tagliaferri V, Romualdi D, Scarinci E, Cicco S, Florio CD, Immediata V, et al. Melatonin treatment may be able to restore menstrual cyclicity in women with pcos: a pilot study. Reprod Sci 2018; 25: 269-275. [DOI:10.1177/1933719117711262] [PMID]
92. Wilson SJ, Nutt DJ, Alford C, Argyropoulos SV, Baldwin DS, Bateson AN, et al. British association for psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders. J Psychopharmacol 2010; 24: 1577-1601. [DOI:10.1177/0269881110379307] [PMID]
93. Chan WY, Ng TB. Effects of pineal indoles on ovarian response to gonadotropin-induced ovulation in mice. J Neural Transm Gen Sect 1995; 100: 239-24. [DOI:10.1007/BF01276461] [PMID]

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