Abstract

Objective To investigate the protective effect of melatonin and its possible mechanism for repairing in the immature white matter damage due to brain hypoxia-ischemia(HI). Methods Forty-eight three-day SD rats after birth were randomly divided into 3 groups: sham-operated(SHAM) group, HI group and melatonin treatment(MT) group.Periventricular white matter damage(PWMD) to animal models were estabished according to Rice modeling.MT group was treated with melatonin pre-operatively, immediately postoperation, 1 hour postoperation and 24 hours postoperation via intraperitoneal injection, and the other groups were injected with the same volume of dissolvent.The rats were executed by decollation after 2 days and 14 days.The histological changes in periventricular white matter were observed by HE staining and immunohistochemistry. Results For the 3 groups, the structure in ope-ration side of the white matter in the peripheral ventricles of the brain 2 days postoperation were significant different(P<0.05). The O4 positive cells decreased one by one/greatest in the SHAM group[(75.548±7.333)/hpf] followed by MT group[(59.971±3.635)/hpf], and HI group[(40.511±2.848)/hpf](P<0.05). The expression of Casepase-3 increased in the SHAM group(107.724±10.266), MT group(132.289±8.537), and HI group(202.168±14.367), and the difference was statically significant(P<0.05). Ventricular index was greater in operation side of the white matter in the peripheral ventricles of the 14-day- brain in the SHAM group(0.928±0.063), MT group(1.813±0.110), HI group (2.752±0.201), increasingly, while absorbance value of myelin basic protein decreased one by one in sequence(39.504±1.673, 21.729±1.614, 11.344±1.118). Conclusions MT plays a role in protecting the periventricular white matter via inhibiting the apoptosis of oligodendrocyte progenitor cell, and thus benefits the PWMD. Key words: Oligodendrocyte progenitor cell; Melatonin; Caspase-3; Hypoxia-ischemia brain damage; Periventricular white matter damage

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