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褪黑素疗法对鸡松果体切除术后脊柱侧弯发展的影响。

The effects of melatonin therapy on the development of scoliosis after pinealectomy in the chicken.

作者信息

Bagnall K, Raso V J, Moreau M, Mahood J, Wang X, Zhao J

机构信息

Department of Cell Biology and Anatomy, University of Alberta, Edmonton, Canada.

出版信息

J Bone Joint Surg Am. 1999 Feb;81(2):191-9. doi: 10.2106/00004623-199902000-00006.

Abstract

The mechanism underlying the development of scoliosis after pinealectomy in young chickens is unknown. However, since the main product of the pineal gland is melatonin, melatonin remains an obvious focus in studies designed to discover this mechanism. One confounding factor is that serum melatonin levels are close to zero after pinealectomy but scoliosis does not develop in all chickens that have had this procedure. Therefore, the role of melatonin in the development of scoliosis in chickens after pinealectomy remains controversial. In the current investigation, two pilot studies demonstrated that a physiological therapeutic dose of melatonin (2.5 milligrams per kilogram of body weight) restored the circadian rhythm of melatonin, as measured by serum assay. In the main study, this dose was administered daily starting either immediately after the pinealectomy or two weeks after it, when scoliosis had developed. Scoliosis was assessed on weekly radiographs, and the Cobb angle was determined for all chickens in which scoliosis developed. Overall, scoliosis developed in only 56 percent (fifty) of the eighty-nine chickens that had had a pinealectomy; this rate was consistent throughout all experimental groups. Scoliosis did not develop in any of the control chickens, which did not have a pinealectomy. On the basis of the average Cobb angles in the chickens in which scoliosis had developed, it was determined that neither the prevalence nor the pattern of the scoliosis was affected by the therapy in any of the experimental groups. It was thus concluded that melatonin therapy after pinealectomy in young chickens has no effect on the development or progression of scoliosis. These results raise doubts regarding the role of melatonin in the development of scoliosis after pinealectomy in the young chicken.

摘要

幼鸡松果体切除术后脊柱侧弯发展的潜在机制尚不清楚。然而,由于松果体的主要产物是褪黑素,褪黑素仍是旨在发现该机制的研究中的一个明显焦点。一个混杂因素是,松果体切除术后血清褪黑素水平接近零,但并非所有接受该手术的鸡都会发生脊柱侧弯。因此,褪黑素在幼鸡松果体切除术后脊柱侧弯发展中的作用仍存在争议。在当前的研究中,两项初步研究表明,通过血清检测,生理治疗剂量的褪黑素(每千克体重2.5毫克)恢复了褪黑素的昼夜节律。在主要研究中,该剂量在松果体切除术后立即或术后两周(脊柱侧弯已发展时)开始每日给药。每周通过X光片评估脊柱侧弯情况,并为所有发生脊柱侧弯的鸡测定Cobb角。总体而言,89只接受松果体切除术的鸡中只有56%(50只)发生了脊柱侧弯;这一比例在所有实验组中都是一致的。未进行松果体切除术的对照鸡均未发生脊柱侧弯。根据发生脊柱侧弯的鸡的平均Cobb角,确定任何实验组的治疗均未影响脊柱侧弯的发生率或模式。因此得出结论,幼鸡松果体切除术后的褪黑素治疗对脊柱侧弯的发展或进展没有影响。这些结果对褪黑素在幼鸡松果体切除术后脊柱侧弯发展中的作用提出了质疑。

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