Melatonin Yaşlı Sıçanlarda Postoperatif Kognitif Disfonksiyonu İyileştirir: Oksidatif Stres, PSD95 ve Ca2+/Kalmodulin Bağımlı Protein Kinazın Önemi

İnci Turan, V. H. Özaçmak, Hale SAYAN ÖZAÇMAK
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Abstract

Aim: Postoperative cognitive dysfunction (POCD) is usually seen in the aged patients in postoperative period. In the present study, we aimed to investigate the effects of melatonin on cognitive and synaptic dysfunction and oxidative stress in POCD model constructed by abdominal surgery in aged rats. Material and Methods: Twenty months old male Wistar rats were randomly allocated into the control group, melatonin treated-control group, surgery group and melatonin treated-surgery group. The novel object recognition test (NORT) was used to assess the postoperative cognitive ability of rats at the end of the experiments. The contents of malondialdehyde (MDA) and reduced glutathione (GSH) were evaluated in the synaptosomes of hippocampus by spectrophotometric methods. The protein levels of calcium-calmodulin dependent protein kinase II (CaMKII) and postsynaptic density protein 95 (PSD95) were measured by using ELISA. . Results: Animals in surgery group showed significant an impairment of novel object recognition memory in NORT. Surgery group also exhibited increased content of MDA (21.05±3.96) and decreased levels of GSH (5.86±0.26) and PSD95 (156.04±2.56) in the hippocampus (respectively p=0.012, p
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目的:老年患者术后认知功能障碍(POCD)较为常见。在本研究中,我们旨在研究褪黑素对腹部手术建立的老年大鼠POCD模型认知、突触功能障碍和氧化应激的影响。材料与方法:将20月龄雄性Wistar大鼠随机分为对照组、褪黑素治疗-对照组、手术组和褪黑素治疗-手术组。实验结束时,采用新目标识别测试(NORT)评估大鼠的术后认知能力。用分光光度法测定海马突触体中丙二醛(MDA)和还原性谷胱甘肽(GSH)的含量。ELISA法检测大鼠钙钙调素依赖性蛋白激酶II (CaMKII)和突触后密度蛋白95 (PSD95)蛋白水平。结果:手术组大鼠NORT新物体识别记忆明显受损。手术组海马组织MDA含量升高(21.05±3.96),GSH(5.86±0.26)、PSD95(156.04±2.56)水平降低(p=0.012, p=0.012)
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