Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?

Mohamed A Hendaus,1,2 Fatima A Jomha,3 Ahmed H Alhammadi1,2 1Department of Pediatrics, Section of Academic General Pediatrics, Hamad Medical Corporation, 2Department of Clinical Pediatrics, Weill-Cornell Medical College, Doha, Qatar; 3School of Pharmacy, Lebanese International University, Khiara, L...

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Autores principales: Hendaus MA, Jomha FA, Alhammadi AH
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Lenguaje:EN
Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:21671b229a0341f3974b45f00037b35e2021-12-02T05:32:50ZMelatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?1178-2021https://doaj.org/article/21671b229a0341f3974b45f00037b35e2016-09-01T00:00:00Zhttps://www.dovepress.com/melatonin-in-the-management-of-perinatal-hypoxic-ischemic-encephalopat-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Mohamed A Hendaus,1,2 Fatima A Jomha,3 Ahmed H Alhammadi1,2 1Department of Pediatrics, Section of Academic General Pediatrics, Hamad Medical Corporation, 2Department of Clinical Pediatrics, Weill-Cornell Medical College, Doha, Qatar; 3School of Pharmacy, Lebanese International University, Khiara, Lebanon Abstract: Perinatal hypoxic-ischemic encephalopathy (HIE) affects one to three per 1,000 live full-term births and can lead to severe and permanent neuropsychological sequelae, such as cerebral palsy, epilepsy, mental retardation, and visual motor or visual perceptive dysfunction. Melatonin has begun to be contemplated as a good choice in order to diminish the neurological sequelae from hypoxic-ischemic brain injury. Melatonin emerges as a very interesting medication, because of its capacity to cross all physiological barriers extending to subcellular compartments and its safety and effectiveness. The purpose of this commentary is to detail the evidence on the use of melatonin as a neuroprotection agent. The pharmacologic aspects of the drug as well as its potential neuroprotective characteristics in human and animal studies are described in this study. Melatonin seems to be safe and beneficial in protecting neonatal brains from perinatal HIE. Larger randomized controlled trials in humans are required, to implement a long-awaited feasible treatment in order to avoid the dreaded sequelae of HIE. Keywords: melatonin, hypoxia, use, encephalopathyHendaus MAJomha FAAlhammadi AHDove Medical PressarticlemelatoninhypoxiauseencephalopathyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2473-2479 (2016)
institution DOAJ
collection DOAJ
language EN
topic melatonin
hypoxia
use
encephalopathy
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle melatonin
hypoxia
use
encephalopathy
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Hendaus MA
Jomha FA
Alhammadi AH
Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
description Mohamed A Hendaus,1,2 Fatima A Jomha,3 Ahmed H Alhammadi1,2 1Department of Pediatrics, Section of Academic General Pediatrics, Hamad Medical Corporation, 2Department of Clinical Pediatrics, Weill-Cornell Medical College, Doha, Qatar; 3School of Pharmacy, Lebanese International University, Khiara, Lebanon Abstract: Perinatal hypoxic-ischemic encephalopathy (HIE) affects one to three per 1,000 live full-term births and can lead to severe and permanent neuropsychological sequelae, such as cerebral palsy, epilepsy, mental retardation, and visual motor or visual perceptive dysfunction. Melatonin has begun to be contemplated as a good choice in order to diminish the neurological sequelae from hypoxic-ischemic brain injury. Melatonin emerges as a very interesting medication, because of its capacity to cross all physiological barriers extending to subcellular compartments and its safety and effectiveness. The purpose of this commentary is to detail the evidence on the use of melatonin as a neuroprotection agent. The pharmacologic aspects of the drug as well as its potential neuroprotective characteristics in human and animal studies are described in this study. Melatonin seems to be safe and beneficial in protecting neonatal brains from perinatal HIE. Larger randomized controlled trials in humans are required, to implement a long-awaited feasible treatment in order to avoid the dreaded sequelae of HIE. Keywords: melatonin, hypoxia, use, encephalopathy
format article
author Hendaus MA
Jomha FA
Alhammadi AH
author_facet Hendaus MA
Jomha FA
Alhammadi AH
author_sort Hendaus MA
title Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
title_short Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
title_full Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
title_fullStr Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
title_full_unstemmed Melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
title_sort melatonin in the management of perinatal hypoxic-ischemic encephalopathy: light at the end of the tunnel?
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/21671b229a0341f3974b45f00037b35e
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AT jomhafa melatonininthemanagementofperinatalhypoxicischemicencephalopathylightattheendofthetunnel
AT alhammadiah melatonininthemanagementofperinatalhypoxicischemicencephalopathylightattheendofthetunnel
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