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Melatonin alleviates early brain injury by inhibiting the NRF2-mediated ferroptosis pathway after subarachnoid hemorrhage.

Free radical biology & medicine
January 1, 1970
Sheng-Ji Ma et al. (10 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tAnimal Study
Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
intraperitoneal injection of melatonin (40 mg/kg)
decrease
changes in ferroptosis-related indicators such as lipid peroxidation and iron metabolism
male SD rats with subarachnoid hemorrhage model
to a certain degree
effectively ameliorated
#1
melatonin
neutral
subarachnoid hemorrhage
rats with subarachnoid hemorrhage
-
protective effect
#2
melatonin
decrease
lipid peroxidation
rats with subarachnoid hemorrhage
-
inhibition
#3
melatonin
decrease
iron accumulation
rats with subarachnoid hemorrhage
-
reduction
#4
melatonin
decrease
neuronal ferroptosis
rats with subarachnoid hemorrhage
-
inhibited
#5
melatonin
increase
NRF2 signaling pathway
rats with subarachnoid hemorrhage
-
activating
#6
melatonin
decrease
ferroptosis in subarachnoid hemorrhage-induced neuronal injury
rats
-
inhibits
#7
melatonin
increase
neurological function
rats
-
improving
#8
Abstract

Ferroptosis is a novel form of cell death that plays a critical role in the pathological and physiological processes of early brain injury following subarachnoid hemorrhage. Melatonin, as the most potent endogenous antioxidant, has shown strong protective effects against pathological changes following subarachnoid hemorrhage, but its impact on ferroptosis induced by subarachnoid hemorrhage remains unexplored. In our study, we established a subarachnoid hemorrhage model in male SD rats. We found that subarachnoid hemorrhage induced changes in ferroptosis-related indicators such as lipid peroxidation and iron metabolism, while intraperitoneal injection of melatonin (40 mg/kg) effectively ameliorated these changes to a certain degree. Moreover, in a subset of rats with subarachnoid hemorrhage who received pre-treatment via intravenous injection of the melatonin receptor antagonist Luzindole (1 mg/kg) and 4P-PDOT (1 mg/kg), we found that the protective effect of melatonin against subarachnoid hemorrhage includes inhibition of lipid peroxidation and reduction of iron accumulation depended on melatonin receptor 1B (MT2). Furthermore, our study demonstrated that melatonin inhibited neuronal ferroptosis by activating the NRF2 signaling pathway, as evidenced by in vivo inhibition of NRF2. In summary, melatonin acts through MT2 and activates NRF2 and downstream genes such as HO-1/NQO1 to inhibit ferroptosis in subarachnoid hemorrhage-induced neuronal injury, thereby improving neurological function in rats. These results suggest that melatonin is a promising therapeutic target for subarachnoid hemorrhage.

Medical Subject Headings (MeSH)
RatsMaleAnimalsMelatoninFerroptosisNF-E2-Related Factor 2Rats, Sprague-DawleyReceptors, MelatoninSubarachnoid HemorrhageBrain InjuriesIron
Study Links
PubMed ID37717795
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Melatonin alleviates early brain injury by inhibiting the NR... | Panacea Index