Influência da suplementação da melatonina e triptofano na qualidade do sono de mulheres em tratamento do câncer de mama: uma revisão integrativa

Authors

Keywords:

melatonina, triptofano, sono, câncer de mama

Abstract

Melatonin is a useful therapeutic agent that improves the quality of sleep and life, of patients with cancer. While sleep disturbances are common throughout breast cancer treatment, such symptoms remain underdiagnosed in clinical practice. Frequency, severity, and pattern of insomnia vary during treatment, affecting patients after the first cycle of chemotherapy and during the perioperative period. Tryptophan low levels, an essential amino acid for protein synthesis and precursor of the neurotransmitter serotonin and melatonin metabolite, may be related to these symptoms. The aim was reviewing the literature on the action of melatonin and tryptophan, supplemented orally, on the sleep quality of women undergoing breast cancer treatment. A search for articles published between January 2010 and December 2021 in Lilacs, PubMed, Science Direct, Scopus, and Web of Science databases, yielded 883 articles. And, based on the inclusion criteria, 6 studies were selected in this integrative review. The results show the benefit and efficiency of using melatonin supplementation on the quality and total sleep time, associated with the perioperative of breast cancer and during its treatment. It was possible to identify that tryptophan supplementation led to an increase in circulating melatonin and decrease the prevalence of insomnia that affects the study population.

References

BADRIA, F. A. Melatonin, serotonin, and tryptamine in some Egyptian food and medicinal plants. Journal of Medicinal Food, v. 5, n. 3, p.153-157, 2002. DOI:10.1089/10966200260398189.

BARDWELL, W. A. et al. The relative importance of specific risk factors for insomnia in women treated for early-stage breast cancer. Psychooncology, v. 17, p. 9-18, 2008. DOI: 10.1002/pon.1192.

BOLLU, P. C. Sleep medicine: insomnia and sleep. Missouri Medicine, v. 116, n. 1, p. 68-75, 2019.

BRZECKA, A. et al. The association of sleep disorders, obesity and sleep-related hypoxia with cancer. Current Genomics, v. 21, n. 6, p. 444-453, 2020. DOI: 10.2174/1389202921999200403151720.

BURGESS, C. et al. Depression and anxiety in women with early breast cancer: five year observational cohort study. British Medical Journal, v. 330, n. 702, 2005. DOI: 10.1136/bmj.38343.670868.D3.

CARDINALI, D. P.; GOLOMBEK, D. A. Let there be sleep-on time. Lancet, v. 373, n. 9662, p. 439-441, 2009. DOI: 10.1016/S0140-6736(08)61813-9.

CUTANDO, A. et al. Role of melatonin in cancer treatment. Anticancer Research, v. 32, n. 7, p. 2747–2753, 2012.

DAVIS, M. P. et al. Insomnia in patients with advanced cancer. American Journal of Hospice and Palliative Medicine, v. 31, n. 4, p. 365-373, 2014. DOI: 10.1177/1049909113485804.

DIBNER, C.; SCHIBLER, U.; ALBRECHT, U. The mammalian circadian timing system: organization and coordination of central and peripheral clocks. Annual review of physiology, n. 72, p. 517-549, 2010. DOI: 10.1146/annurev-physiol-021909-135821.

DUAN, K. M. et al. The role of tryptophan metabolism in postpartum depression. Metabolic Brain Disease, v. 33, p. 647-660, 2018. DOI: 10.1007/s11011-017-0178-y.

EDGAR, R. S. et al. Peroxiredoxins are conserved markers of circadian rhythms. Nature, v. 485, p. 459-464, 2012.

FLEMING, L. et al., Insomnia in breast cancer: a prospective observational study. Sleep, v. 42, n. 3, p. 245, 2019. DOI: 10.1093/sleep/zsy245.

GOLOMBEK, D. A. et al. Some implications of melatonin use in chronopharmacology of insomnia. European Journal of Pharmacology, v. 762, p. 42-48, 2015. DOI: 10.1016/j.ejphar.2015.05.032.

HAJAK, G. et al. The influence of intravenous l-tryptophan on plasma melatonin and sleep in men. Pharmacopsychiatry, v. 24, n. 1. p. 17-20, 1991. DOI: 10.1055/s-2007-1014427

HANSEN, M. V. et al. the effect of melatonin on depression, anxiety, cognitive function and sleep disturbances in patients with breast cancer. The Melody trial: protocol for a randomised, placebo-controlled, double-blinded trial. British Medical Journal, v. 2, n. 1, 2012. DOI: 10.1136/bmjopen-2011-000647.

HANSEN, M. V. et al. Effect of melatonin on depressive symptoms and anxiety in patients undergoing breast cancer surgery: a randomized, double-blind, placebo-controlled trial. Breast Cancer Research Treatment, v. 145, n. 3, p. 683–695, 2014. DOI: 10.1007/s10549-014-2962-2.

HANSEN, M. V. et al. Effect of melatonin on cognitive function and sleep in relation to breast cancer surgery: a randomized, double-blind, placebo-controlled trial. International Journal of Breast Cancer, v. 2014, 2014. DOI: 10.1155/2014/416531.

HOENICKE, K. et al. Determination of free and conjugated indole-3-acetic acid, tryptophan and tryptophan metabolites in grape must and wine. Journal of Agricultural and Food Chemistry, v. 49, n. 11, p. 5494-5501, 2001. DOI: 10.1021/jf010575v.

HUETHER, G. et al. The metabolic fate of infused L-tryptophan in men: possible clinical implications of the accumulation of circulating tryptophan and tryptophan metabolites. Psycopharmacology, v. 109, p. 422-432, 1992. DOI: 10.1007/BF02247718.

HULVAT, M. C. Cancer incidence and trends. Surgery Clinical, v. 100, n. 3, p. 469-481, 2020. DOI: https://doi.org/10.1016/j.suc.2020.01.002.

INNOMINATO, P. F. et al. The effect of melatonin on sleep and quality of life in patients with advanced breast cancer. Support Care Cancer, v. 24, p. 1097-1105, 2015. DOI: 10.1007/s00520-015-2883-6,

KURDI, M. S.; MUTHUKALAI, S. P. The efficacy of oral melatonin improving sleep in cancer patients with insomnia: a randomized double-blind placebo-controlled study. Indian Journal Palliative Care, v. 22, p. 295-300, 2016. DOI: 10.4103/0973-1075.185039.

LAYMAN, D. K. et al. Applications for α-lactalbumin in human nutrition. Nutrition Reviews, v. 76, n. 6, p. 444-460, 2018. DOI: 10.1093/nutrit/nuy004.

LI, Y. et al. Melatonin for the prevention and treatment of cancer. Oncotarget, v. 8, n. 24, p: 39896-39921, 2017. DOI: 10.18632/oncotarget.16379.

LIU, L. et al. Pre-treatment symptom cluster in breast cancer patients is associated with worse sleep, fatigue and depression during chemotherapy. Psychooncology, v. 18, n. 2, p. 187-194, 2009. DOI: 10.1002/pon.1412.

MADSEN, M. T. et al. Effect of melatonin on sleep in the perioperative period after breast cancer surgery: a randomized, double-blind, placebo-controlled trial. Journal of Clinical Sleep Medicine, v. 12, n. 2, p. 225-233, 2016. DOI: 10.5664/jcsm.5490.

MARINO, M. et al. measuring sleep: accuracy, sensitivity, and specificity of wrist actigraphy compared to polysomnography. Sleep, v. 36, n. 11, p. 1747-1755, 2013. DOI: 10.5665/sleep.3142.

MENG. X. et al. Dietary sources and bioactivities of melatonin. Nutrients, v. 9, n. 367, 2017. doi:10.3390/nu90403671.

MERCAU, M. E. et al. Melatonin prevents early pituitary dysfunction induced by sucrose-rich diets. Journal of pineal research, n. 66, v. 2, 2019. DOI: 10.1111/jpi.12545.

PALMER, A. S. et al. Clinical impact of melatonin on breast cancer patients undergoing chemotherapy; effects on cognition, sleep and depressive symptoms: a randomized, double-blind, placebo-controlled trial. Plos One, v. 15, n. 4, 2020. DOI: https://doi.org/10.1371/journal.pone.0231379.

PASHAKI, A. S. et al. A randomized, controlled, parallel-group, trial on the effects of melatonin on fatigue associated with breast cancer and its adjuvant treatments. Integrative Cancer Therapies, v. 20, p. 1-6, 2021. DOI: 10.1177/1534735420988343.

PATEL, T.; KURDI, M. S. A comparative study between oral melatonin and oral midazolam on preoperative anxiety, cognitive, and psychomotor functions. Journal Anaesthesiology Clinical Pharmacology, v. 31, N. 1, p. 37-43, 2015. DOI: 10.4103/0970-9185.150534.

PEREIRA, G. A.; DOMINGOS, A. L. G.; AGUIAR, A. S. Relationship between food consumption and improvements in circulating melatonin in humans: integrative review. Critical Reviews in food in Science and Nutrition, v. 62, n. 2, p. 670-678, 2020. DOI: 10.1080/10408398.2020.1825924.

POSADZKI, P. P. et al. Melatonin and health: an umbrella review of health outcomes and biological mechanisms of action. BMC Medicine, v. 16, n. 1, p. 18, 2018. DOI: 10.1186/s12916-017-1000-8

SCHIEBER, K. et al. The course of cancer-related insomnia: don’t expect it to disappear after cancer treatment. Sleep Medicine, v. 58, p. 107-113, 2019. DOI: 10.1016/j.sleep.2019.02.018.

SPINWEBER, C. L. L-tryptophan administered to chronic sleep-onset insomniacs: late-appearing reduction of sleep latency. Psychopharmacology, v. 90, n. 2, p. 151-155, 51986. DOI:10.1007/BF00181230

SUTANTO, C. N.; LOH, W. W.; KIM, J. E. The impact of tryptophan supplementation on sleep quality: a systematic review, meta-analysis, and meta-regression. Nutrition Reviews, v. 80, n. 2, p. 306-316, 2022. DOI: 10.1093/nutrit/nuab027.

TALIB, W. H. et al. Melatonin in cancer treatment: current knowledge and future opportunities. Molecules, v. 26, n. 9, 2021. DOI: 10.3390/molecules26092506.

VAN DALFSEN, J. H.; MARKUS, C. R. Interaction between 5-HTTLPR genotype and cognitive stress vulnerability on sleep quality: effects of sub-chronic tryptophan administration. International Journal of Neuropsychopharmacology, v, 18, n. 3, 2015. DOI: 10.1093/ijnp/pyu057.

VIVAS, J. P. et al. Triptófano como suplemento dietético y tratamiento de los sofocos, la astenia y el insomnio en el cáncer. Nutrición Hospitalaria. v. 38, n. 3, p. 568-574, 2021. DOI: http://dx.doi.org/10.20960/nh.03404.

WANG, D. et al. Tryptophan for the sleeping disorder and mental symptom of new-type drug dependence: a randomized, double-blind, placebo-controlled trial. Medicine (Baltimore), v. 95, n. 28, 2016. DOI: 10.1097/MD.0000000000004135.

WILHELMSEN, M. et al. Analgesic effects of melatonin: a review of current evidence from experimental and clinical studies. Journal of pineal research, v. 51, n. 3, p. 270-277, 2011. DOI: 10.1111/j.1600-079X.2011.00895.x.

ZHOU, J. et al. Higher-protein diets improve indexes of sleep in energy-restricted overweight and obese adults: results from 2 randomized controlled trials. American Journal of Clinical Nutrition, v. 103, n. 3, p. 766-774, 2016. DOI: 10.3945/ajcn.115.124669. Epub 2016 Feb 10.

Published

2024-12-19

How to Cite

van Keulen, H. V., van Keulen, G. E., Silva, J. P., Nunes, R. M., & de Aguiar, A. S. (2024). Influência da suplementação da melatonina e triptofano na qualidade do sono de mulheres em tratamento do câncer de mama: uma revisão integrativa. REVISTA CIENTÍFICA DA FAMINAS, 19(1), 100–111. Retrieved from https://periodicos.faminas.edu.br/index.php/RCFaminas/article/view/837