Department of Neurosurgery, Faculty of Medicine, Abant Izzet Baysal University, Beşkavaklar Mahallesi. Oznur Apartment, No: 16/8, Bolu 14300, Turkey.
Spinal Cord. 2010 Jan;48(1):10-4. doi: 10.1038/sc.2009.73. Epub 2009 Jun 23.
To evaluate the serum melatonin levels in acute period of the spinal cord injury (SCI) caused by trauma in the rats.
Traumatic SCI induces many types of physiological and pathological damage, including hormonal level variations.
Forty male Sprague-Dawley rats were divided randomly into four groups. In the control group, neither laminectomy nor SCI were performed; only a large laminectomy was performed without SCI in the sham group. In the cervical and thoracic spinal trauma groups, laminectomies at C5-6 and a T6-7 were performed, respectively, followed by clip compression of the spinal cord. Blood samples were drawn 2, 6, 12 and 24 h after the procedures and assayed immediately.
The levels of melatonin in the neurotrauma groups were high in the first 2 h, but at the end of sixth hour, melatonin levels increased in sham-operated group, decreased in neurotrauma groups and did not change in control group. At the 12th hour, melatonin levels continued to decrease in thoracic group significantly. At the 24th hour, the melatonin levels decreased in the cervical, control and sham groups, whereas melatonin levels increased in the thoracic group.
The present study revealed that (1) activation of endogen melatonin secretion of the organism starts immediately after the SCI, but it shows a great lowering trend between 2 and 6 h post-SCI, (2) the tetraplegic rats, which had complete injuries at the lower cervical spinal cord, could not produce enough melatonin secretion; on the contrary, the paraplegic rats, which had complete injury at the upper thoracic spinal cord, showed normal melatonin secretion.
评估创伤性脊髓损伤(SCI)大鼠急性期血清褪黑素水平。
创伤性 SCI 可引起多种生理和病理损伤,包括激素水平变化。
40 只雄性 Sprague-Dawley 大鼠随机分为 4 组。在对照组中,既不进行椎板切除术也不进行 SCI;假手术组仅进行大椎板切除术而不进行 SCI。在颈胸脊髓创伤组中,分别进行 C5-6 和 T6-7 的椎板切除术,然后用夹钳压迫脊髓。手术后 2、6、12 和 24 h 采血并立即检测。
神经损伤组的褪黑素水平在最初 2 h 较高,但在第 6 小时末,假手术组褪黑素水平升高,神经损伤组降低,对照组不变。在 12 小时时,胸段组褪黑素水平继续显著下降。在 24 小时时,颈段、对照组和假手术组的褪黑素水平下降,而胸段组的褪黑素水平升高。
本研究表明:(1)SCI 后机体内源性褪黑素分泌立即激活,但在 SCI 后 2-6 h 呈明显下降趋势;(2)完全性下颈段脊髓损伤的四肢瘫大鼠不能产生足够的褪黑素分泌;相反,完全性上胸段脊髓损伤的截瘫大鼠表现出正常的褪黑素分泌。