PMID- 29198013 OWN - NLM STAT- MEDLINE DCOM- 20181001 LR - 20181113 IS - 1573-2576 (Electronic) IS - 0360-3997 (Linking) VI - 41 IP - 2 DP - 2018 Mar TI - Short- and Long-Term Protective Effects of Melatonin in a Mouse Model of Sepsis-Associated Encephalopathy. PG - 515-529 LID - 10.1007/s10753-017-0708-0 [doi] AB - Brain dysfunction is a common complication after sepsis and is an independent risk factor for a poor prognosis, which is partly attributed to the dysregulated inflammatory response and oxidative damage. Melatonin regulates the sleep-wake cycle and also has potent anti-inflammatory and antioxidant properties, yet the protective effects of melatonin on sepsis-induced neurobehavioral dysfunction remain to be elucidated. In the present study, melatonin was administered intraperitoneally daily at a dose of 10 mg/kg for three consecutive days immediately (early treatment) or 7 days (delayed treatment) after sham operation or cecal ligation and puncture (CLP), followed by an additional treatment in drinking water until the end of behavioral tests. The concentrations of pro-inflammatory cytokines (tumor necrosis factor (TNF-alpha), interleukin-1beta (IL-1beta), IL-6, IL-10), malondialdehyde (MDA), superoxide dismutase (SOD), reactive oxygen species (ROS), brain-derived neurotrophic factor (BDNF), and glial cell line-derived neurotrophic factor (GDNF) were determined at the indicated time points. Compared with the CLP + vehicle group, we found that early melatonin treatment resulted in increased survival rate but not improvement in measures of neurobehavioral outcomes, which was accompanied by significantly lower plasma level of IL-1beta. Intriguingly, delayed melatonin treatment improved neurobehavioral dysfunction by normalization of hippocampal BDNF and GDNF expressions. In conclusion, our study suggests the beneficial effects of both early and delayed melatonin treatment after sepsis development, which implicates melatonin has a potential therapeutic value in sepsis-associated organ damage including brain dysfunction. FAU - Ji, Mu-Huo AU - Ji MH AD - Department of Anesthesiology, Jinling Clinical Medical College of Nanjing Medical University, Nanjing, China. FAU - Xia, De-Guo AU - Xia DG AD - Department of Anesthesiology, Clinical Medical College of Yangzhou University (Subei People's Hospital of Jiangsu Province), Yangzhou, Jiangsu Province, China. FAU - Zhu, Lan-Yue AU - Zhu LY AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China. FAU - Zhu, Xia AU - Zhu X AD - Department of Anesthesiology, Jinling Clinical Medical College of Nanjing Medical University, Nanjing, China. FAU - Zhou, Xiao-Yan AU - Zhou XY AD - Department of Anesthesiology, Jinling Clinical Medical College of Nanjing Medical University, Nanjing, China. FAU - Xia, Jiang-Yan AU - Xia JY AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China. FAU - Yang, Jian-Jun AU - Yang JJ AD - Department of Anesthesiology, Jinling Clinical Medical College of Nanjing Medical University, Nanjing, China. yjyangjj@126.com. LA - eng GR - 81771156/National Science Foundation of China/ GR - 81471105,81772126/National Natural Science Foundation of China (CN)/ PT - Journal Article PL - United States TA - Inflammation JT - Inflammation JID - 7600105 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Cytokines) RN - 0 (Glial Cell Line-Derived Neurotrophic Factor) RN - 0 (Protective Agents) RN - JL5DK93RCL (Melatonin) SB - IM MH - Animals MH - Behavior, Animal/drug effects MH - Brain-Derived Neurotrophic Factor/metabolism MH - Cytokines/analysis MH - Glial Cell Line-Derived Neurotrophic Factor MH - Hippocampus/metabolism MH - Melatonin/administration & dosage/*pharmacology/therapeutic use MH - Mice MH - Protective Agents/pharmacology MH - Sepsis-Associated Encephalopathy/*drug therapy MH - Survival Rate MH - Time Factors OTO - NOTNLM OT - cognitive function OT - melatonin OT - neuroplasticity OT - sepsis EDAT- 2017/12/05 06:00 MHDA- 2018/10/03 06:00 CRDT- 2017/12/04 06:00 PHST- 2017/12/05 06:00 [pubmed] PHST- 2018/10/03 06:00 [medline] PHST- 2017/12/04 06:00 [entrez] AID - 10.1007/s10753-017-0708-0 [pii] AID - 10.1007/s10753-017-0708-0 [doi] PST - ppublish SO - Inflammation. 2018 Mar;41(2):515-529. doi: 10.1007/s10753-017-0708-0.