Protective effects of melatonin on mitochondrial injury and neonatal neuron apoptosis induced by maternal hypothyroidism

Mariyah Hidayat, S. Khaliq, Abdullah Khurram, K. Lone
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Abstract

In the current study, we reported the beneficial effects of melatonin in preventing neonatal neuronal apoptosis induced by maternal hypothyroidism. During the gestation and early lactation stages, the mother rats were given propylthiouracil (PTU) to inhibit their thyroid gland activity which resulted in the increased serum TSH and reduced T4 levels. This maternal hypothyroidism caused neuronal apoptosis of their pups, particularly in the CA3 area of hippocampus. Melatonin administration preserved function of thyroid gland and significantly reduced the apoptosis. Further studies have uncovered the potentially protective mechanisms of melatonin, that is, as a mitochondrial targeted antioxidant, melatonin preserves the mitochondrial outer membrane, inhibits the release of cytochrome C from mitochondria to cytoplasm and down regulates the gene expressions of Bax, along with caspases 3 and 9. Thus, melatonin breaks the mitochondria related apoptotic pathway to suppress the neuronal apoptosis induced by the maternal hypothyroidism.  Considering the limited remedies to effectively treat hypothyroidism associated neonatal brain damage, melatonin may provide an alternative method for this disorder.
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褪黑素对母亲甲状腺功能减退所致线粒体损伤及新生儿神经元凋亡的保护作用
在目前的研究中,我们报道了褪黑素在预防母亲甲状腺功能减退引起的新生儿神经元凋亡中的有益作用。在妊娠期和哺乳期早期给予丙硫尿嘧啶(PTU)抑制母鼠甲状腺活性,使其血清TSH升高,T4降低。母体甲状腺功能减退导致幼鼠神经元凋亡,尤其是海马CA3区神经元凋亡。褪黑素可保护甲状腺功能,显著减少细胞凋亡。进一步的研究揭示了褪黑素的潜在保护机制,即作为线粒体靶向抗氧化剂,褪黑素保护线粒体外膜,抑制细胞色素C从线粒体向细胞质的释放,下调Bax、caspases 3和caspases 9的基因表达。由此可见,褪黑素可破坏线粒体相关凋亡通路,抑制母体甲状腺功能减退所致的神经元凋亡。考虑到有效治疗甲状腺功能减退相关新生儿脑损伤的方法有限,褪黑激素可能为这种疾病提供了一种替代方法。
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