Melatonin reduces oxidative damage to skin and normalizes blood coagulation in a rat model of thermal injury.

This study was designed to determine the effect of melatonin treatment on the glutathione (GSH) and lipid peroxidation (LPO) levels in the skin as well as prothrombin time (PT) and fibrin degradation products (FDPs) in the blood of rats with thermal injury. Under ether anaesthesia, the shaved dorsum of the rats was exposed to 90 degrees C bath for 10 s to induce burn injury. Rats were decapitated either 3 or 24 hours after burn injury. Melatonin (10 mg/kg) was administered i.p. immediately after burn injury to same animals. In the 24 hour burn group, melatonin injections were repeated for two more occasions 8 and 16 h after burn injury. In the control group the same protocol was applied except that the dorsum was exposed to a 25 degrees C water bath for 10 s. Severe skin scald injury (30% of total body surface area) caused a significant decrease in PT at post burn 3 and 24 hours. FDPs was not increased at post burn 3 hour but was significantly increased at post burn 24 hour. GSH levels were significantly depressed at post burn 3 hour but were not changed at post burn 24 hour. LPO levels were significantly increased both at post burn 3 and 24 hours. Skin protein levels were significantly reduced at post burn 24 hour as evidenced by electrophoresis. Treatment of rats with melatonin normalized PT levels both at post burn 3 and 24 hours. FDP decreased at post burn 24 hour due to melatonin treatment. GSH levels significantly increased as a result of melatonin treatment both at post burn 3 and 24 hours melatonin treatment. LPO levels were not changed by melatonin at post burn 3 hour; however, the melatonin significantly decreased LPO values at post burn 24 hours. In conclusion, exogenously administered melatonin reduced skin oxidant damage and normalized the activated blood coagulation induced by thermal trauma.

[1]  J. Parrado,et al.  Protective effect of melatonin against the 1‐methyl‐4‐phenylpyridinium‐induced inhibition of Complex I of the mitochondrial respiratory chain , 2000, Journal of pineal research.

[2]  T. Baglin Fortnightly Review: Disseminated intravascular coagulation: diagnosis and treatment , 1996, BMJ.

[3]  Seymour I. Schwartz,et al.  Principles of Surgery , 1891, The Southern Medical Record.

[4]  R. Reiter,et al.  Actions of Melatonin in the Reduction of Oxidative Stress , 2000, Journal of Biomedical Science.

[5]  Sato Honma,et al.  Melatonin induces γ-glutamylcysteine synthetase mediated by activator protein-1 in human vascular endothelial cells , 1999 .

[6]  R. Reiter,et al.  The Oxidant/Antioxidant Network: Role of Melatonin , 1999, Neurosignals.

[7]  U. K. Laemmli,et al.  Cleavage of Structural Proteins during the Assembly of the Head of Bacteriophage T4 , 1970, Nature.

[8]  G. Ingram,et al.  Reference method for the one-stage prothrombin time test on hlman blood. International committee for standardization in hematology. , 1976, Thrombosis and haemostasis.

[9]  Mammen Ef Disseminated intravascular coagulation (DIC). , 2000 .

[10]  E. Beutler Glutathione in red blood cell metabolism , 1975 .

[11]  R. Reiter,et al.  Melatonin, mitochondria, and cellular bioenergetics , 2001, Journal of pineal research.

[12]  J. Michalak,et al.  The relationship between plasma triglycerides, cholesterol, total lipids and lipid peroxidation products during human atherosclerosis. , 1986, Clinica chimica acta; international journal of clinical chemistry.

[13]  R. Gamelli,et al.  Antithrombin III concentrate in the acute phase of thermal injury. , 2000, Burns : journal of the International Society for Burn Injuries.

[14]  Vanesa Martín,et al.  Regulation of antioxidant enzymes: a significant role for melatonin , 2004, Journal of pineal research.

[15]  放射線影響研究所 Technical report series , 1989 .

[16]  M. Jeschke,et al.  Differential expression of hepatocyte growth factor in liver, kidney, lung, and spleen following burn in rats. , 2000, Cytokine.

[17]  D. Herndon,et al.  Free radical activity and loss of plasma antioxidants, vitamin E, and sulfhydryl groups in patients with burns: the 1993 Moyer Award. , 1993, The Journal of burn care & rehabilitation.

[18]  P A Ward,et al.  Pathophysiologic events related to thermal injury of skin. , 1990, The Journal of trauma.

[19]  Y. Youn,et al.  The role of mediators in the response to thermal injury , 2005, World Journal of Surgery.

[20]  C. Gentile,et al.  The chemistry of melatonin's interaction with reactive species , 2003, Journal of pineal research.

[21]  R. Reiter,et al.  Melatonin‐induced increased activity of the respiratory chain complexes I and IV can prevent mitochondrial damage induced by ruthenium red in vivo , 2000, Journal of pineal research.

[22]  R. Gamelli,et al.  Antithrombin(H) concentrate infusions are safe and effective in patients with thermal injuries. , 2000, The Journal of burn care & rehabilitation.

[23]  R. Reiter,et al.  Oxidative Damage to Catalase Induced by Peroxyl Radicals: Functional Protection by Melatonin and Other Antioxidants , 2003, Free radical research.

[24]  H. Parlakpınar,et al.  Protective effect of melatonin on random pattern skin flap necrosis in pinealectomized rat , 2004, Journal of pineal research.

[25]  R. Demling,et al.  Excessive liver oxidant stress causes mortality in response to burn injury combined with endotoxin and is prevented with antioxidants. , 1997, The Journal of burn care & rehabilitation.