Takahashi Goro, Sakurai Masahiro, Abe Koji, Itoyama Yasuto, Tabayashi Koichi
Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8574, Japan.
Ann Thorac Surg. 2004 Aug;78(2):602-7. doi: 10.1016/j.athoracsur.2004.02.133.
Paraplegia is a serious complication of operations on the thoracic and thoracoabdominal aorta. To investigate the mechanism by which motor neurons are damaged during these operations, we have reported a rabbit model of spinal cord ischemia. We also tested whether a free radical scavenger MCI-186 that is useful for treating ischemic damage in the brain can protect against ischemic spinal cord damage.
Fifteen minutes of ischemia was induced, then MCI-186 or vehicle was injected intravenously. Cell damage was analyzed by observing the function of the lower limbs and by counting the number of motor neurons. To investigate the mechanism by which MCI-186 prevents ischemic spinal cord damage, we observed the immunoreactivity of 8-hydroxy-2'-deoxyguanosine as an oxidative DNA damage marker and redox effector as a DNA repair marker.
In sham control, 8-hydroxy-2'-deoxyguanosine was not observed, and the nuclear expression of redox effector was observed. In vehicle injection group (group I), the nuclear expression of 8-hydroxy-2'-deoxyguanosine was observed at 1 and 2 days after reperfusion. The nuclear expression of redox effector was observed at 8 hours and 1 day, and disappeared at 2 days after transient ischemia. In MCI-186 injection group (group M), the nuclear expression of 8-hydroxy-2'-deoxyguanosine was not observed, and redox effector was observed at 8 hours and 1 and 2 days.
These results suggest that redox effector decreased in motor neurons after transient ischemia and this reduction preceded oxidative DNA damage. MCI-186 works as a radical scavenger and reduced oxidative DNA damage, so redox effector did not disappear. MCI-186 could be a strong candidate for a use as a therapeutic agent in the treatment of ischemic spinal cord injury.
截瘫是胸主动脉和胸腹主动脉手术的严重并发症。为了研究这些手术过程中运动神经元受损的机制,我们报道了一种脊髓缺血的兔模型。我们还测试了对治疗脑缺血损伤有用的自由基清除剂MCI-186是否能预防缺血性脊髓损伤。
诱导15分钟的缺血,然后静脉注射MCI-186或赋形剂。通过观察下肢功能和计数运动神经元数量来分析细胞损伤。为了研究MCI-186预防缺血性脊髓损伤的机制,我们观察了作为氧化性DNA损伤标志物的8-羟基-2'-脱氧鸟苷的免疫反应性以及作为DNA修复标志物的氧化还原效应物。
在假手术对照组中,未观察到8-羟基-2'-脱氧鸟苷,且观察到氧化还原效应物的核表达。在赋形剂注射组(I组)中,再灌注后1天和2天观察到8-羟基-2'-脱氧鸟苷的核表达。短暂缺血后8小时和1天观察到氧化还原效应物的核表达,2天后消失。在MCI-186注射组(M组)中,未观察到8-羟基-2'-脱氧鸟苷的核表达,且在8小时以及1天和2天观察到氧化还原效应物。
这些结果表明,短暂缺血后运动神经元中的氧化还原效应物减少,且这种减少先于氧化性DNA损伤。MCI-186作为自由基清除剂发挥作用,减少了氧化性DNA损伤,因此氧化还原效应物没有消失。MCI-186可能是治疗缺血性脊髓损伤的有力候选治疗药物。