Machida Masafumi, Dubousset Jean, Yamada Thoru, Kimura Jun, Saito Masashi, Shiraishi Tateru, Yamagishi Masaaki
Department of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan.
J Pineal Res. 2006 Aug;41(1):1-7. doi: 10.1111/j.1600-079X.2005.00312.x.
The etiology of idiopathic scoliosis is unknown. Scoliosis with many characteristics closely resembling those seen in idiopathic scoliosis has been produced in young chickens and bipedal rats after pinealectomy. In this study, we induced experimental scoliosis in C57BL/6J mice without pinealectomy and melatonin treatment suppressed the development of scoliosis. A total of 100 mice were divided into four groups: 20 quadrupedal mice served as controls; 30 mice underwent resection of two forelegs and tail at 3 wk of age (bipedal mice); the remaining 20 quadrupedal and 30 bipedal mice received intraperitoneal melatonin (8 mg/kg BW) at 19:00 hr daily. Before killing, blood samples were collected in the middle of dark cycle and melatonin levels were measured by radioimmunoassay. Spine X-ray and helical 3D-CT were examined after killing at 5 months of age. The bipedal mice without a tail were able to walk with standing posture, whereas the quadrupedal mice did not walk with standing posture. In C57BL/6J mice, the serum melatonin was reduced to nearly zero; however, the normal level was restored in both bipedal and quadrupedal mice after the injection of melatonin. Scoliosis with rib humps developed in 29 of 30 bipedal and in five quadrupedal mice. None of mice with melatonin treatment developed scoliosis. The results suggest that melatonin deficiency in bipedal mice appears to play crucial role for development of scoliosis. Also the restoration of melatonin levels prevents the development of scoliosis.
特发性脊柱侧凸的病因尚不清楚。松果体切除术后的幼鸡和双足大鼠出现了许多特征与特发性脊柱侧凸极为相似的脊柱侧凸。在本研究中,我们在未进行松果体切除和褪黑素治疗的C57BL/6J小鼠中诱导了实验性脊柱侧凸,褪黑素治疗抑制了脊柱侧凸的发展。总共100只小鼠被分为四组:20只四足小鼠作为对照;30只小鼠在3周龄时接受了两条前腿和尾巴的切除(双足小鼠);其余20只四足小鼠和30只双足小鼠每天19:00接受腹腔注射褪黑素(8 mg/kg体重)。处死前,在黑暗周期中间采集血样,通过放射免疫测定法测量褪黑素水平。在5个月龄处死小鼠后检查脊柱X光和螺旋3D-CT。无尾双足小鼠能够以站立姿势行走,而四足小鼠不能以站立姿势行走。在C57BL/6J小鼠中,血清褪黑素降至几乎为零;然而,在注射褪黑素后,双足和四足小鼠的褪黑素水平均恢复正常。30只双足小鼠中有29只出现了伴有肋骨隆起的脊柱侧凸,5只四足小鼠出现了脊柱侧凸。接受褪黑素治疗的小鼠均未出现脊柱侧凸。结果表明,双足小鼠体内褪黑素缺乏似乎在脊柱侧凸的发展中起关键作用。此外,褪黑素水平的恢复可预防脊柱侧凸的发展。