• Melatonin reduces oxidative stress and lipid peroxidation in hypoxic cardiomyocytes, inhibiting ferroptosis.
• Melatonin improves myocardial infarction size, cardiac injury, and pathological changes in a rat model of AMI.
• The cardioprotective effect of melatonin is linked to suppression of iron accumulation and ferroptosis.
• Targeting ferroptosis with melatonin may offer a novel therapeutic strategy for acute myocardial infarction.
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