Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access
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Review

Volume 15, Number 3, August 2025, pages 69-80


Craniopharyngiomas, Alterations of Melatonin Secretion and Their Implications: A Systematic Review

Figures

Figure 1.
Figure 1. Melatonin synthesis in humans.
Figure 2.
Figure 2. PRISMA flowchart. PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses; CP: craniopharyngioma.

Tables

Table 1. Melatonin Secretion Evaluation
 
ReferencesPatients (n)Controls (n)Melatonin assessmentResults in patientsResults in controls
BMI: body mass index; RIA: radioimmunoassay; ELISA: enzyme-linked immunosorbent assay; SD: standard deviation.
Muller et al, 2006 [33] (SG)7930Salivary melatonin by RIA (pg/mL)BMI < 4 SD:BMI < 4 SD:
Morning: median - 7Morning: median - 5
Midday: median - 1Midday: median - 1
Evening: median - 1Evening: median - 1
Night: median - 12Night: median - 18
BMI > 4 SD:BMI > 4 SD:
Morning: median - 3Morning: median - 10
Midday: median - 2Midday: median - 1
Evening: median - 1Evening: median - 1
Night: median - 2Night: median - 15
Lipton et al, 2009 [34] (RA)3Historical dataPlasma melatonin by unspecified methodology (pg/mL)24-h levels:Daytime levels:
2.7 ± 0.078 - 50 pg/mL
0.82 ± 0.12
0.61 ± 0.02
Nighttime levels:Nocturnal levels:
0.84 ± 0.8250 - 60 pg/mL
0.74 ± 0.29
1.22 ± 1.27
Pickering et al, 2014 [35] (ML)1515Salivary melatonin by RIA (pg/mL)24-h median: 86.2 (35.4 - 249.0)24-h median: 52.8 (56.7 - 323.7)
Kamara et al, 2023 [36] (AR)530Salivary melatonin by ELISA (pg/mL)DLMO not estimable: 25 patientsNot applicable
DLMO estimable: 28 patients

 

Table 2. Risk of Bias Assessment
 
ReferencesConfoundingClassificationSelectionDeviationsMissing dataMeasurementReportingOverall risk
Muller et al, 2006 [33]ModerateLowModerateLowLowModerateModerateModerate
Lipton et al, 2009 [34]SeriousLowModerateSeriousSeriousSeriousSeriousSerious
Pickering et al, 2014 [35]LowLowLowLowLowLowLowLow
Kamara et al, 2023 [36]LowLowLowLowLowLowLowLow