3b8ba076ebc915e1269755f87d310d01 337131.pdf 9d7261a56c24cdcc50c0f7ad920caee2988b92ef 337131.pdf 19ee800527b72147a8f46a45386d74ace9412fa7387c5909dc2685d528670038 337131.pdf Title: Melatonin as a Possible Stimulus to Unmask an Oxytocin-Deficient State in Hypopituitarism and Hypothalamic Damage Subject: DOI: 10.1210/clinem/dgaf201; The Journal of Clinical Endocrinology & Metabolism, 110, 12, 2025-04-1.; Abstract: Context: Increasing evidence supports the presence of oxytocin deficiency (OXT-D) in hypopituitarism and hypothalamic damage (HHD). Identifying an applicable and reliable test to diagnose OXT-D is an unmet need. Melatonin (MEL) might be a candidate for such a test as it regulates OXT release in animals. Objective: This work aimed to examine the effects of melatonin on OXT release in HHD compared to healthy controls (HCs) and to describe the psychopathology, sexual function, and quality of life (QoL) and their associations with OXT. Methods: This proof-of-concept study (NCT05319301) included 20 participants with HHD (11 women) and 20 HCs (11 women). Blood samples were collected over 120 minutes to assess plasma OXT. A linear mixed-effects regression model was used to evaluate the change in OXT in response to MEL in HHD compared to HCs. Results: MEL significantly increased O Keywords: hypopituitarism; melatonin; oxytocin; arginine-vasopressin deficiency; pineal gland; stimulation test Author: Queralt Asla Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64); modified using iTextSharp.LGPLv2.Core 3.7.4.0 CreationDate: Tue Nov 11 02:12:26 2025 CET ModDate: Mon Oct 26 09:15:02 2026 CET Custom Metadata: yes Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 10 Encrypted: no Page size: 593.972 x 782.986 pts Page rot: 0 File size: 582113 bytes Optimized: no PDF version: 1.6 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- XKINNH+UniversLTStd-CnObl Type 1C Custom yes yes yes 1428 0 ZCRTVF+UniversLTStd-Cn Type 1C Custom yes yes yes 1429 0 JPSKKP+UniversLTStd-BoldCn Type 1C Custom yes yes yes 1430 0 TQAJOX+UniversLTStd-Bold Type 1C Custom yes yes yes 29 0 BLKJCR+UniversLTStd-Light Type 1C Custom yes yes yes 51 0 UIJGCW+UniversLTStd-LightObl Type 1C Custom yes yes yes 52 0 YFEZHD+STIXGeneral-Regular Type 1C Custom yes yes yes 31 0 QSFDAK+SabonLTStd-Bold Type 1C Custom yes yes yes 1431 0 ZEATDM+SabonLTStd-Roman Type 1C Custom yes yes yes 32 0 PHPHAL+ArialMT TrueType WinAnsi yes yes no 1 0 QZBOGY+UniversLTStd-Obl Type 1C Custom yes yes yes 30 0 IGLSGG+UniversLTStd Type 1C Custom yes yes yes 33 0 USCRJG+SabonLTStd-Italic Type 1C Custom yes yes yes 37 0 QGSHXL+ACaslonPro-Bold Type 1C Custom yes yes yes 41 0 VHRFKD+ACaslonPro-BoldItalic Type 1C Custom yes yes yes 42 0 HOYEST+ACaslonPro-Regular Type 1C Custom yes yes yes 43 0 HMJNFJ+ACaslonPro-Italic Type 1C Custom yes yes yes 47 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-10-27 03:56:27 CET RepresentationInformation: 337131.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-10-26 09:19:44 CET Size: 582113 Format: PDF Version: 1.6 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Tagged PDF PDFMetadata: Objects: 1500 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: OneColumn PageMode: UseOutlines Language: en Outlines: Item: Title: Melatonin as a Possible Stimulus to Unmask an Oxytocin-Deficient State in Hypopituitarism and Hypothalamic Damage Destination: head1 Children: Item: Title: Materials and Methods Destination: secdgaf201-s0 Children: Item: Title: Trial Design Destination: secdgaf201-s0.1 Item: Title: Study Participants Destination: secdgaf201-s0.2 Item: Title: Procedures Destination: secdgaf201-s0.3 Item: Title: Safety Events Destination: secdgaf201-s0.4 Item: Title: Biochemical Measurements Destination: secdgaf201-s0.5 Item: Title: Statistical Analysis Destination: secdgaf201-s0.6 Item: Title: Results Destination: secdgaf201-s1 Children: Item: Title: Sample Characteristics Destination: secdgaf201-s1.1 Item: Title: Oxytocin Levels in Response to Melatonin Destination: secdgaf201-s1.2 Item: Title: Adverse Events Destination: secdgaf201-s1.3 Item: Title: Psychopathology, Sexual Function, and Quality of Life Across Groups Destination: secdgaf201-s1.4 Item: Title: Psychopathology, Sexual Function, and Quality of Life and Their Associations With Oxytocin Destination: secdgaf201-s1.5 Item: Title: Discussion Destination: secdgaf201-s2 Item: Title: Acknowledgments Destination: acknow Item: Title: Funding Destination: secdgaf201-s3 Item: Title: Disclosures Destination: secdgaf201-s4 Item: Title: Data Availability Destination: secdgaf201-s5 Item: Title: Clinical Trial Information Destination: secdgaf201-s6 Item: Title: References Destination: reflist Info: Title: Melatonin as a Possible Stimulus to Unmask an Oxytocin-Deficient State in Hypopituitarism and Hypothalamic Damage Author: Queralt Asla Subject: DOI: 10.1210/clinem/dgaf201; The Journal of Clinical Endocrinology & Metabolism, 110, 12, 2025-04-1.; Abstract: Context: Increasing evidence supports the presence of oxytocin deficiency (OXT-D) in hypopituitarism and hypothalamic damage (HHD). Identifying an applicable and reliable test to diagnose OXT-D is an unmet need. Melatonin (MEL) might be a candidate for such a test as it regulates OXT release in animals. Objective: This work aimed to examine the effects of melatonin on OXT release in HHD compared to healthy controls (HCs) and to describe the psychopathology, sexual function, and quality of life (QoL) and their associations with OXT. Methods: This proof-of-concept study (NCT05319301) included 20 participants with HHD (11 women) and 20 HCs (11 women). Blood samples were collected over 120 minutes to assess plasma OXT. A linear mixed-effects regression model was used to evaluate the change in OXT in response to MEL in HHD compared to HCs. Results: MEL significantly increased O Keywords: hypopituitarism; melatonin; oxytocin; arginine-vasopressin deficiency; pineal gland; stimulation test Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64); modified using iTextSharp.LGPLv2.Core 3.7.4.0 CreationDate: Tue Nov 11 02:42:26 CET 2025 ModDate: Mon Oct 26 09:15:02 CET 2026 ID: 0x9f6068bb9d1b3ae9540378d271afdfe0, 0x05938e1f2f54636a6333fe71dd57887f Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: ZEATDM+SabonLTStd-Roman FontSubset: true FirstChar: 1 LastChar: 84 FontDescriptor: FontName: ZEATDM+SabonLTStd-Roman Flags: Nonsymbolic FontBBox: -165, -228, 1000, 944 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: IGLSGG+UniversLTStd FontSubset: true FirstChar: 1 LastChar: 45 FontDescriptor: FontName: IGLSGG+UniversLTStd Flags: Nonsymbolic FontBBox: -168, -250, 992, 947 FontFile3: true 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Atila Betina Biagetti Franziska Plessow Mirjam Christ-Crain Anne Eckert Susan M. Webb Elizabeth A. Lawson Anna Aulinas DOI: 10.1210/clinem/dgaf201; The Journal of Clinical Endocrinology & Metabolism, 110, 12, 2025-04-1.; Abstract: Context: Increasing evidence supports the presence of oxytocin deficiency (OXT-D) in hypopituitarism and hypothalamic damage (HHD). Identifying an applicable and reliable test to diagnose OXT-D is an unmet need. Melatonin (MEL) might be a candidate for such a test as it regulates OXT release in animals. Objective: This work aimed to examine the effects of melatonin on OXT release in HHD compared to healthy controls (HCs) and to describe the psychopathology, sexual function, and quality of life (QoL) and their associations with OXT. Methods: This proof-of-concept study (NCT05319301) included 20 participants with HHD (11 women) and 20 HCs (11 women). Blood samples were collected over 120 minutes to assess plasma OXT. A linear mixed-effects regression model was used to evaluate the change in OXT in response to MEL in HHD compared to HCs. Results: MEL significantly increased O © The Author(s) 2025. Published by Oxford University Press on behalf of the Endocrine Society. hypopituitarism melatonin oxytocin arginine-vasopressin deficiency pineal gland stimulation test Journal The Journal of Clinical Endocrinology & Metabolism © The Author(s) 2025. 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