Traumatisme crânien: altération du rythme circadien et production de Mélatonine



Les résultats sur Neurorehabil Neural Repair indiquant que dans les patients avec traumatisme crânien il y a aussi une diminution de la production de Mélatonie.

Circadian Melatonin Rhythm Following Traumatic Brain Injury.
Neurorehabil Neural Repair. 2016 May 23;
Authors: Grima NA, Ponsford JL, St Hilaire MA, Mansfield D, Rajaratnam SM

BACKGROUND: Sleep-wake disturbances are highly prevalent following traumatic brain injury (TBI), impeding rehabilitaion and quality of life. However, the mechanisms underlying these sleep disturnbances are unclear, and efficacious treatments are lacking. To investigate possible mechanisms underlying sleep disturbance in TBI, we examined characteristics of the circadian rhythm of melatonin, a hormone involved in sleep-wake regulation. We compared TBI patients reporting sleep disturbance with age- and gender-matched healthy volunteers.
METHODS: We conducted an overnight observational study with salivary melatonin ( mélatonine )samples collected hourly in 9 patients with severe TBI and 9 controls. Salivary dim light melatonin ( mélatonine )onset (DLMO) as well as melatonin ( mélatonine )synthesis onset (SynOn) and offset (SynOff) were used to determine circadian timing. Total overnight salivary melatonin ( mélatonine )production was calculated as the area under the curve from melatonin ( mélatonine )synthesis onset to offset.
RESULTS: Compared with healthy individuals, TBI patients showed 42% less melatonin ( mélatonine )production overnight (d = 0.87; P = .034). The timing of DLMO was delayed by approximately 1.5 hours in patients with TBI compared with controls (d = 1.23; P = .003).
CONCLUSIONS: In patients with TBI, melatonin ( mélatonine )production was attenuated overnight, and the timing of melatonin ( mélatonine )secretion was delayed. We suggest that disruption to the circadian regulation of melatonin ( mélatonine )synthesis is a feature of severe TBI, possibly contributing to the sleep difficulties that are commonly reported in this population.

PMID: 27221043 [PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/27221043?dopt=Abstract



Melatonine - Multilenguages section Key Melatonin