Hutton Lisa C, Abbass Mahila, Dickinson Hayley, Ireland Zoe, Walker David W
Fetal and Neonatal Research Group, Department of Physiology, Monash University, Clayton, Victoria, Australia.
Dev Neurosci. 2009;31(5):437-51. doi: 10.1159/000232562. Epub 2009 Aug 14.
Birth asphyxia is associated with disturbed development of the neonatal brain. In this study, we determined if low-dose melatonin (0.1 mg/kg/day), administered to the mother over 7 days at the end of pregnancy, could protect against the effects of birth asphyxia in a precocial species - the spiny mouse (Acomys cahirinus). At 37 days of gestation (term is 38-39 days), pups were subjected to birth asphyxia (7.5 min uterine ischemia) and compared to Cesarean section-delivered controls. At 24 h of age, birth asphyxia had increased markers of CNS inflammation (microglia, macrophage infiltration) and apoptosis (activated caspase-3, fractin) in cortical gray matter, which were reduced to control levels by prior maternal melatonin treatment. Melatonin may be an effective prophylactic agent for use in late pregnancy to protect against hypoxic-ischemic brain injury at birth.
出生窒息与新生儿脑发育紊乱有关。在本研究中,我们确定在妊娠末期给母体连续7天施用低剂量褪黑素(0.1毫克/千克/天)是否能预防早熟物种——刺毛鼠(埃及刺鼠)出生窒息的影响。在妊娠37天(足月为38 - 39天)时,幼崽遭受出生窒息(7.5分钟子宫缺血),并与剖宫产分娩的对照组进行比较。在24小时龄时,出生窒息增加了皮质灰质中中枢神经系统炎症(小胶质细胞、巨噬细胞浸润)和细胞凋亡(活化的半胱天冬酶 - 3、碎片蛋白)的标志物,而先前母体褪黑素治疗可将这些标志物降至对照水平。褪黑素可能是一种有效的预防剂,用于妊娠晚期以预防出生时的缺氧缺血性脑损伤。