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Melatonin exerts neuroprotective effects in mice with spinal cord injury by activating the Nrf2/Keap1 signaling pathway via the MT2 receptor.

Experimental and therapeutic medicine
January 1, 2024
Liyan Yan et al. (6 authors)
Journal ArticleAnimal Study
Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin treatment
increase
MT2 protein expression
mice with SCI
-
increased
#1
melatonin treatment
increase
Nrf2/Keap1 signaling pathway
mice with SCI
-
activated
#2
melatonin treatment
decrease
GFAP-positive cells
mice with SCI
-
reduced
#3
melatonin treatment
decrease
oxidative stress
mice with SCI
-
mitigated
#4
melatonin treatment
decrease
inflammatory responses around the injury site
mice with SCI
-
suppressed
#5
melatonin treatment
increase
polarization of microglia toward the M2 type
mice with SCI
-
promoted
#6
melatonin treatment
increase
number of neutrophil-positive cells
mice with SCI
-
increased
#7
melatonin treatment
neutral
transcription of Bax and Bcl2 in the injured spinal cord
mice with SCI
-
modulated
#8
melatonin treatment
decrease
severity of spinal injuries
mice with SCI
-
alleviated
#9
melatonin treatment
increase
functional recovery
mice with SCI
-
facilitated
#10
blocking MT2 with 4P-PDOT
decrease
neuroprotective effects of melatonin
mice with SCI
-
partially reversed
#11
Abstract

Spinal cord injury (SCI) is a devastating event that often leads to severe disability, and effective treatments for SCI are currently limited. The present study investigated the potential effects and specific mechanisms of melatonin treatment in SCI. Mice were divided into Sham (Sham), Vehicle (Veh), Melatonin (Mel), and Melatonin + 4-phenyl-2-propionamidotetralin (4P-PDOT) (Mel + 4PP) groups based on randomized allocation. The expression of MT2 and the nuclear factor-erythroid 2-related factor 2 (Nrf2)/Keap1 signaling pathways were examined, along with oxidative stress indicators, inflammatory factors and GFAP-positive cells near the injury site. The polarization of microglial cells in different inflammatory microenvironments was also observed. Cell survival, motor function recovery and spinal cord tissue morphology were assessed using staining and Basso Mouse Scale scores. On day 7 after SCI, the results revealed that melatonin treatment increased MT2 protein expression and activated the Nrf2/Keap1 signaling pathway. It also reduced GFAP-positive cells, mitigated oxidative stress, and suppressed inflammatory responses around the injury site. Furthermore, melatonin treatment promoted the polarization of microglia toward the M2 type, increased the number of neutrophil-positive cells, and modulated the transcription of Bax and Bcl2 in the injured spinal cord. Melatonin treatment alleviated the severity of spinal injuries and facilitated functional recovery in mice with SCI. Notably, blocking MT2 with 4P-PDOT partially reversed the neuroprotective effects of melatonin in SCI, indicating that the activation of the MT2/Nrf2/Keap1 signaling pathway contributes to the neuroprotective properties of melatonin in SCI. The therapeutic and translational potentials of melatonin in SCI warrant further investigation.

Study Links
PubMed ID38125360
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Melatonin exerts neuroprotective effects in mice with spinal... | Panacea Index