Melatonin-induced restoration of the intestinal mucosal barrier in inflammatory bowel disease via activation of the SIRT1-LKB1-pAMPK axis - Summary - MDSpire

Melatonin-induced restoration of the intestinal mucosal barrier in inflammatory bowel disease via activation of the SIRT1-LKB1-pAMPK axis

  • By

  • Qingyi Mao

  • Beibei Lin

  • Wenhao Xia

  • Yu Zhang

  • Yue Lei

  • Qian Cao

  • Mengque Xu

  • May 5, 2026

  • 0 min

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Objective:

To evaluate the efficacy and investigate the mechanisms of melatonin in repairing the intestinal mucosal barrier in inflammatory bowel disease (IBD).

Key Findings:
  • IBD patients exhibited lower serum melatonin and fecal 2-oxomelatonin levels, indicating a potential deficiency.
  • Melatonin enhanced intestinal antimicrobial peptides and significantly alleviated colitis symptoms.
  • Melatonin restored the abundance of the beneficial probiotic Akkermansia while decreasing the harmful pathogen Desulfovibrio.
  • Melatonin upregulated SIRT1 and pAMPK in mouse colonic tissues, suggesting a pathway for its protective effects.
  • Inhibitors of SIRT1 and pAMPK abolished the protective effects of melatonin, confirming its mechanism of action.
Interpretation:

Melatonin may ameliorate colitis by regulating gut microbiota, modulating antimicrobial peptide secretion, and reinforcing intestinal epithelial barrier integrity through the SIRT1-LKB1-pAMPK pathway.

Limitations:
  • The study primarily focused on animal and cell models, which may limit the direct applicability of findings to human IBD.
  • The sample size for clinical analysis was relatively small, which may affect the robustness of the conclusions.
Conclusion:

Melatonin shows potential as a therapeutic agent for IBD by enhancing gut health through specific molecular pathways.

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