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褪黑素在母体甲状腺功能减退期间是否能保护胎儿大脑?一项实验研究。

Does melatonin protect fetal brain during maternal hypothyroidism? An experimental study.

作者信息

Hidayat Mariyah

机构信息

Dr. Mariyah Hidayat Professor of Anatomy, University of Health Sciences, Lahore, Pakistan.

出版信息

Pak J Med Sci. 2022 May-Jun;38(5):1216-1221. doi: 10.12669/pjms.38.5.5536.

Abstract

OBJECTIVES

To study the effects of melatonin in preventing neonatal neuronal apoptosis induced by maternal hypothyroidism.

METHODS

Twelve healthy female Wistar rats, 12-16 weeks, were divided equally into three groups. Group-A was labelled as control. Group-B was made hypothyroid by giving 15mg/kg of propylthiouracyl (PTU) daily whereas Group-C was given PTU along with melatonin (10mg of melatonin/kg/day) in drinking water. After one week of treatment, the female rats were allowed to mate and conceive. The treatment of all groups continued throughout the period of pregnancy and lactation. After delivery, a total of 30 pups, 10 from each group, were labelled and sacrificed on 22nd day of life. The serum levels of TSH, T3 and T4 of the pups were measured. The brains were extracted from the skull and homogenized for isolation of mitochondria to determine the levels of cytochrome c oxidase and for isolation of RNAs to measure the levels of gene expressions of caspases 3, 9 and 8.

RESULTS

Group-B pups showed a significant increase in serum levels of TSH (21 ± 3.7 mg/dl), and gene expression levels of caspase 3 (0.85±0.02) and 9 (0.69±0.02) where as in Group-C, there was visible reduction in concentration of TSH (15 ± 2.4 mg/dl), caspase 3 (0.50±0.02) and 9 (0.25±0.01) expressions. Increase in cytochrome c oxidase enzyme concentration (3.416 ± 0.001) in Group-B was the result of mitochondrial outer membrane rupture, causing decrease in the number of neurons by accelerating apoptosis. A decrease in its level in Group-C (2.100 ± 0.001) indicated inhibition of apoptosis.

CONCLUSION

Intake of melatonin during pregnancy and lactation protected the brains of offspring from extensive apoptosis during maternal hypothyroidism.

摘要

目的

研究褪黑素在预防母体甲状腺功能减退所致新生儿神经元凋亡中的作用。

方法

将12只12 - 16周龄的健康雌性Wistar大鼠平均分为三组。A组为对照组。B组通过每日给予15mg/kg丙硫氧嘧啶(PTU)使其甲状腺功能减退,而C组在饮用水中给予PTU的同时加入褪黑素(10mg褪黑素/千克/天)。治疗一周后,让雌性大鼠交配受孕。所有组的治疗在整个妊娠和哺乳期持续进行。分娩后,每组共10只幼崽,共30只幼崽被标记,并在出生后第22天处死。测量幼崽血清中促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3)和甲状腺素(T4)的水平。从颅骨中取出大脑并匀浆,用于分离线粒体以测定细胞色素c氧化酶水平,以及分离RNA以测量半胱天冬酶3、9和8的基因表达水平。

结果

B组幼崽血清TSH水平显著升高(21±3.7mg/dl),半胱天冬酶3(0.85±0.02)和9(0.69±0.02)的基因表达水平也显著升高;而在C组,TSH浓度(15±2.4mg/dl)、半胱天冬酶3(0.50±0.02)和9(0.25±0.01)的表达明显降低。B组细胞色素c氧化酶浓度升高(3.416±0.001)是线粒体外膜破裂的结果,通过加速凋亡导致神经元数量减少。C组其水平降低(2.100±0.001)表明凋亡受到抑制。

结论

妊娠和哺乳期摄入褪黑素可保护后代大脑在母体甲状腺功能减退期间免受广泛凋亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486b/9247757/f08c3da72d21/PJMS-38-1216-g001.jpg

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