Evidence map›Paper›PMID 37736695›Full record

ArticleCNS neuroscience & therapeutics2024

Melatonin regulates the circadian rhythm to ameliorate postoperative sleep disorder and neurobehavioral abnormalities in aged mice.

Xixi Jia, Yanan Song, Zhengqian Li, Ning Yang, Taotao Liu, Dengyang Han, Zhuonan Sun, Chengmei Shi, Yang Zhou, Jie Shi and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06281561 (Effect of Intranasal Dexmedetomidine Premedication on Sleep Disturbance After General Anaesthesia), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06281561 phase3unknown statusnot on this map

Effect of Intranasal Dexmedetomidine Premedication on Sleep Disturbance After General Anaesthesia

TypeinterventionalSponsorThe First Affiliated Hospital of Xiamen UniversityRan2024 to 2024Enrolled110ConditionsPostoperative Sleep DisturbanceArmsNormal Saline, Dexmedetomidine
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Xixi JiaDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.ORCID 0000-0001-6897-597X
Yanan SongDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Zhengqian LiDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Ning YangDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Taotao LiuDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Dengyang HanDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Zhuonan SunDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Chengmei ShiDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Yang ZhouDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Jie ShiNational Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.
Yajie LiuDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.
Xiangyang GuoDepartment of Anesthesiology, Peking University Third Hospital, Beijing, China.ORCID 0000-0002-5694-2174
Peking University · CN

Funding

National Natural Science Foundation of China 81701052
6 · The paper itself

Abstract

backgroundPostoperative sleep disorder (PSD) and delirium, which may be associated with surgery and inhalational anesthetics, induce adverse effects in old adults. Emerging evidence indicates that circadian rhythm contributes to various neuropathological diseases, including Alzheimer's disease. Thus, we analyzed the potential role of circadian rhythm in PSD and delirium-like behavior in aged mice and determined whether exogenous melatonin could facilitate entrainment of the circadian rhythm after laparotomy under sevoflurane anesthesia.

methodsWe selected old C57BL/6J mice which receiving laparotomy/sevoflurane anesthesia as model animals. We employed buried food, open field, and Y maze test to assess delirium-like behavior, and electroencephalography/electromyography (EEG/EMG) were used to investigate sleep changes. We analyzed the transcription rhythm of clock genes in superchiasmatic nucleus (SCN) to explore the effects of surgery and melatonin pretreatment on the circadian rhythm. Then, we measured melatonin receptor levels in SCN and ERK/CREB pathway-related proteins in hippocampus and prefrontal cortex to assess their role in PSDs and delirium-like behavior.

resultsLaparotomy under sevoflurane anesthesia had a greater influence than sevoflurane alone, leading to sleep disorder, a shift in sleep-wake rhythm, and delirium-like behavior. Bmal1, Clock, and Cry1 mRNA expression showed a peak shift, MT

conclusionsMelatonin receptors in SCN, circadian rhythm, and ERK/CREB signaling pathway participate in the pathophysiological processes of PSD and delirium-like behavior. Melatonin intervention could be a potential preventative approach for PSD and delirium.

Indexed as

DeliriumMelatoninSleep Wake DisordersAnimalsCircadian RhythmMiceMice, Inbred C57BLReceptors, MelatoninSevofluraneMelatoninReceptors, MelatoninSevofluranecircadian rhythmclock genesERK/CREB signaling pathwaymelatoninpostoperative neurobehavioral abnormalitiespostoperative sleep disorderssuprachiasmatic nucleus

Identifiers

PMID37736695
PMCPMC10916446
OpenAlexW4386944603

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.