Ueda Yoshitomo, Masuda Tadashi, Ishida Akimasa, Misumi Sachiyo, Shimizu Yuko, Jung Cha-Gyun, Hida Hideki
Department of Neurophysiology and Brain Science, Nagoya City University Graduate School of Medical Science, Nagoya, Japan.
J Neurosci Res. 2014 Nov;92(11):1499-508. doi: 10.1002/jnr.23434. Epub 2014 Jun 25.
Intracerebral hemorrhage (ICH) can cause direct brain injury at the insult site and indirect damage in remote brain areas. Although a protective effect of melatonin (ML) has been reported for ICH, its detailed mechanisms and effects on remote brain injury remain unclear. To clarify the mechanism of indirect neuroprotection after ICH, we first investigated whether ML improved motor function after ICH and then examined the underlying mechanisms. The ICH model rat was made by collagenase injection into the left globus pallidus, adjacent to the internal capsule. ML oral administration (15 mg/kg) for 7 days after ICH resulted in significant recovery of motor function. Retrograde labeling of the corticospinal tract by Fluoro-Gold revealed a significant increase in numbers of positive neurons in the cerebral cortex. Immunohistological analysis showed that ML treatment induced no difference in OX41-positive activated microglia/macrophage at day 1 (D1) but a significant reduction in 8-hydroxydeoxyguanosin-positive cells at D7. Neutral red assay revealed that ML significantly prevented H2 O2 -induced cell death in cultured oligodendrocytes and astrocytes but not in neurons. Electrophysiological response in the cerebral cortex area where the number of Fluoro-Gold-positive cells was increased was significantly improved in ML-treated rats. These data suggest that ML improves motor abilities after ICH by protecting oligodendrocytes and astrocytes in the vicinity of the lesion in the corticospinal tract from oxidative stress and causes enhanced electrical responsiveness in the cerebral cortex remote to the ICH pathology.
脑出血(ICH)可在损伤部位导致直接脑损伤,并在远隔脑区造成间接损害。尽管已有报道褪黑素(ML)对脑出血具有保护作用,但其详细机制以及对远隔脑损伤的影响仍不清楚。为阐明脑出血后间接神经保护的机制,我们首先研究了ML是否能改善脑出血后的运动功能,然后探究其潜在机制。通过向靠近内囊的左侧苍白球注射胶原酶制作脑出血模型大鼠。脑出血后连续7天口服ML(15毫克/千克)可使运动功能显著恢复。用荧光金逆行标记皮质脊髓束显示,大脑皮质中阳性神经元数量显著增加。免疫组织学分析表明,ML治疗在第1天(D1)对OX4阳性活化小胶质细胞/巨噬细胞无差异,但在D7时8-羟基脱氧鸟苷阳性细胞显著减少。中性红试验表明,ML可显著预防培养的少突胶质细胞和星形胶质细胞中过氧化氢诱导的细胞死亡,但对神经元无效。在ML治疗的大鼠中,荧光金阳性细胞数量增加的大脑皮质区域的电生理反应显著改善。这些数据表明,ML通过保护皮质脊髓束病变附近的少突胶质细胞和星形胶质细胞免受氧化应激,从而改善脑出血后的运动能力,并使远离脑出血病理部位的大脑皮质的电反应性增强。