Melatonin ameliorates cerebral ischemia/reperfusion injury through SIRT3 activation

Life Sci. 2019 Dec 15:239:117036. doi: 10.1016/j.lfs.2019.117036. Epub 2019 Nov 4.

Abstract

Aims: Previous literature has shown that melatonin plays a critical role in protecting against cerebral ischemia/reperfusion (I/R) injury. Sirtuin3(SIRT3), as one member of the sirtuin family, protects against oxidative stress-related diseases. However, the association between melatonin and SIRT3 in cerebral I/R injury is not well understood. Our experiment was planned to investigate whether melatonin protects against cerebral I/R injury through SIRT3 activation.

Main methods: We selected transient middle cerebral artery occlusion (tMCAO) mice as the model of cerebral I/R injury. Male C57/BL6 mice were pre-treated with or without a selective SIRT3 inhibitor and then subjected to tMCAO surgery. Melatonin (20 mg/kg) was given to mice by intraperitoneal injection after ischemia and before reperfusion. Then, we observed the changes in the SIRT3 and downstream relative proteins, infarction volume, neurological score, Nissl, H&E and TUNEL staining, and the expression of apoptosis proteins after tMCAO.

Key findings: Melatonin upregulated the expression of SIRT3 after tMCAO, and alleviated the neurological dysfunction and cell apoptosis through SIRT3 activation.

Significance: Our research proved that melatonin promoted SIRT3 expression after tMCAO and alleviated cerebral I/R injury by activating the SIRT3 signaling pathway. This study provides novel therapeutic targets and mechanisms for the treatment of ischemic stroke in the clinic, especially during cerebrovascular reperfusion.

Keywords: Apoptosis; Ischemia-reperfusion injury; Melatonin; SIRT3.

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Brain Ischemia / drug therapy
  • Infarction, Middle Cerebral Artery / drug therapy
  • Male
  • Melatonin / metabolism
  • Melatonin / pharmacology*
  • Mice
  • Mice, Inbred C57BL
  • Oxidative Stress / drug effects
  • Protective Agents / therapeutic use
  • Reperfusion Injury / drug therapy
  • Reperfusion Injury / metabolism*
  • Signal Transduction / drug effects
  • Sirtuin 3 / metabolism*
  • Sirtuin 3 / physiology
  • Stroke / drug therapy

Substances

  • Protective Agents
  • Sirt3 protein, mouse
  • Sirtuin 3
  • Melatonin