“…Melatonin is known to have a variety of biological functions, including circadian rhythm regulation, anti-inflammatory, free radical scavenging, edema reduction, suppression of the hypothalamic-pituitary endocrine axis, suppression of cancer, stimulation of mitochondrial biogenesis, immunomodulation, blood pressure regulation and the epigenetic regulation, and has therapeutic effects on a variety of secondary injuries after SCI ( Giannoulia-Karantana et al, 2006 ; de Faria Poloni et al, 2011 ; Mazzoccoli et al, 2011 ; Xu L.X. et al, 2017 ; Chang et al, 2018 ; Onaolapo et al, 2020 ; Cho et al, 2021 ; Vasey et al, 2021 ). Melatonin can also regulate the intestinal biological clock and the types of intestinal microbiota, improve the metabolic disorder caused by intestinal microbiota imbalance after SCI, and indirectly play a role in the recovery of function and the treatment of complications ( Paulose et al, 2016 ).…”