Neuroprotection unveiled: melatonin mitigates apoptotic pathways in traumatic brain injury

Sezer Onur Gunara1,2, Mehmet Yigit Akgun1,2, Ugur Seker3

  • 1Department of Neurosurgery, Koc University Hospital, Istanbul, Türkiye.

PubMed
Abstract

Insights

Melatonin treatment reduced brain damage and demyelination after traumatic brain injury (TBI) in mice. It also decreased apoptosis by modulating key proteins, suggesting a therapeutic role for melatonin in TBI management.

Area of Science:

  • Neuroscience
  • Pharmacology

Background:

  • Traumatic brain injury (TBI) is a significant cause of mortality and disability.
  • Apoptosis plays a critical role in TBI-induced neurodegeneration.
  • Current TBI treatments are limited, necessitating the exploration of novel therapeutic agents.

Purpose of the Study:

  • To investigate the neuroprotective effects of melatonin in a mouse model of TBI.
  • To elucidate the role of melatonin in modulating caspase-dependent apoptotic pathways following TBI.

Main Methods:

  • TBI was induced in mice using a free-fall impact model.
  • Mice were divided into control, TBI, and TBI + melatonin groups.
  • Histological and immunohistochemical analyses were performed to assess brain damage and apoptotic protein expression.

Main Results:

  • TBI caused significant brain tissue loss, demyelination, and increased expression of pro-apoptotic proteins (Bax, caspase-3, caspase-9).
  • Melatonin treatment (10 mg/kg) attenuated demyelination and reduced the expression of pro-apoptotic proteins.
  • Melatonin administration also led to increased expression of anti-apoptotic protein Bcl-2.

Conclusions:

  • Melatonin exhibits significant neuroprotective effects against TBI in mice.
  • Melatonin attenuates TBI-induced apoptosis and demyelination by modulating apoptotic signaling pathways.
  • Melatonin holds promise as a potential therapeutic agent for managing TBI.