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Melatonin ameliorates neurological deficits through MT2/IL-33/ferritin H signaling-mediated inhibition of neuroinflammation and ferroptosis after traumatic brain injury.

Free radical biology & medicine
April 1, 2023
Yuan Gao et al. (19 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tMolecular Study
Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin (MLT)
decrease
TBI-induced cerebral edema
-
-
attenuated
#1
melatonin (MLT)
decrease
neurological outcomes
-
-
attenuated
#2
melatonin (MLT)
decrease
inflammation
-
-
inhibiting
#3
melatonin (MLT)
decrease
ferroptosis
-
-
inhibiting
#4
melatonin (MLT)
decrease
inflammatory responses
-
-
suppressed
#5
melatonin (MLT)
decrease
ferroptosis
-
-
suppressed
#6
melatonin (MLT)
increase
MT2 pathway
-
-
activation of
#7
melatonin (MLT)
increase
IL-33 pathway
-
-
activation of
#8
Fth deletion
increase
ferroptosis post-TBI
-
-
increases susceptibility to
#9
Fth depletion
increase
post-TBI inflammatory response
-
remarkably
exacerbated
#10
Fth depletion
decrease
anti-inflammatory effects of MLT
in vivo and in vitro
-
abolished
#11
melatonin (MLT)
increase
CD206
-
-
promoting the polarization of
#12
Abstract

Although traumatic brain injury (TBI) is a common cause of death and disability worldwide, there is currently a lack of effective therapeutic drugs and targets. To reveal the complex pathophysiologic mechanisms of TBI, we performed transcriptome analysis of the mouse cerebral cortex and immunohistochemical analysis of human cerebral tissues. The genes Mt1, Mt2, Il33, and Fth1 were upregulated post-TBI and enriched in pathways associated with the inflammatory response, oxidative phosphorylation, and ferroptosis. As an agonist of MT1/2, melatonin (MLT) confers anti-oxidant, anti-inflammatory, and anti-ferroptosis effects after TBI. However, whether these upregulated genes and their corresponding pathways are involved in the neuroprotective effect of MLT remains unclear. In this study, interventions to inhibit MT1/2, IL-33, and ferroptosis (i.e., ferritin H (Fth)-KO) were applied post-TBI. The results showed that MLT attenuated TBI-induced cerebral edema and neurological outcomes by inhibiting inflammation and ferroptosis. Mechanistically, MLT mainly suppressed inflammatory responses and ferroptosis via the activation of MT2 and IL-33 pathways. Building on the previous finding that Fth deletion increases susceptibility to ferroptosis post-TBI, we demonstrated that Fth depletion remarkably exacerbated the post-TBI inflammatory response, and abolished the anti-inflammatory effects of MLT both in vivo and in vitro. Furthermore, the post-TBI anti-inflammatory effect of MLT, which occurs by promoting the polarization of CD206

Medical Subject Headings (MeSH)
AnimalsHumansMiceBrain EdemaBrain Injuries, TraumaticInflammationInterleukin-33MelatoninNeuroinflammatory DiseasesFerritins
Study Links
PubMed ID36805045
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