Liu Xinwei, Wang Yu, Yang Jishun, Liu Yunen, Zhou Dapeng, Hou Mingxiao, Xiang Liangbi
Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Rescue Center of Severe Wound and Trauma of Chinese PLA, Shenyang 110016, China.
The Medical Department, No. 100 Hospital of Chinese PLA, Suzhou 215007, China.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015 Jun;159(2):220-6. doi: 10.5507/bp.2015.012. Epub 2015 Apr 24.
To determine the anti-edema effects of melatonin on spinal cord injury (SCI) in rats.
A total of 150 adult male Sprague-Dawley rats were randomly allocated to the following three groups (n=50): a sham group which underwent laminectomy without dural compression; an SCI group, which underwent laminectomy followed by SCI and received saline i.p. immediately after injury and then daily for 2 days; an MT group, which underwent laminectomy followed by SCI and received a 100 mg/kg dose of melatonin i.p. immediately after SCI and then daily for 2 days. The cords were removed at 12, 24, 48 and 72 h after surgery in every group. Spinal cord edema was evaluated by determining the spinal cord water content. Expressions of AQP4 and GFAP positive cells in injured spinal cord were detected by immunohistochemical staining, and protein expressions of AQP4 and GFAP were detected by Western blotting.
Spinal cord water content was obviously increased after SCI, which was maintained almost unchanged by melatonin treatment (100 mg/kg) at 12 h after injury but was significantly reduced from 24 h to 72 h. The expressions of AQP4 and GFAP increased in the injured spinal cord segments, which were decreased by melatonin treatment (100 mg/kg) between 24 h and 72 h after SCI.
Melatonin (100 mg/kg) had anti-edema effects after acute SCI probably by down-regulating the expression level of AQP4 protein, and it may eliminate astrocytic swelling after SCI through down-regulating the expression level of GFAP protein.
确定褪黑素对大鼠脊髓损伤(SCI)的抗水肿作用。
将150只成年雄性Sprague-Dawley大鼠随机分为以下三组(n = 50):假手术组,接受椎板切除术但无硬脊膜压迫;脊髓损伤组,接受椎板切除术,随后造成脊髓损伤,并在损伤后立即腹腔注射生理盐水,然后连续2天每天注射一次;褪黑素组,接受椎板切除术,随后造成脊髓损伤,并在脊髓损伤后立即腹腔注射100mg/kg剂量的褪黑素,然后连续2天每天注射一次。每组在手术后12、24、48和72小时取出脊髓。通过测定脊髓含水量评估脊髓水肿情况。采用免疫组织化学染色检测损伤脊髓中AQP4和GFAP阳性细胞的表达,采用蛋白质印迹法检测AQP4和GFAP的蛋白质表达。
脊髓损伤后脊髓含水量明显增加,损伤后12小时褪黑素治疗(100mg/kg)使其几乎保持不变,但从24小时至72小时显著降低。损伤脊髓节段中AQP4和GFAP的表达增加,脊髓损伤后24至72小时褪黑素治疗(100mg/kg)使其降低。
褪黑素(100mg/kg)在急性脊髓损伤后具有抗水肿作用,可能是通过下调AQP4蛋白的表达水平实现的,并且它可能通过下调GFAP蛋白的表达水平消除脊髓损伤后的星形胶质细胞肿胀。