Solaroglu Ihsan, Kaptanoglu Erkan, Okutan Ozerk, Beskonakli Etem, Attar Ayhan, Kilinc Kamer
Department of Neurological Surgery, Ankara Ataturk Research and Education Hospital, Ankara 06100, Turkey.
Surg Neurol. 2005;64 Suppl 2:S17-21. doi: 10.1016/j.surneu.2005.07.058.
Apoptosis has increasingly been considered as an important factor in secondary injury after spinal cord injury (SCI). Manifestation of apoptotic cell death process involves activation of the caspase-3 apoptotic cascade. The aim of the study was to demonstrate the effect of magnesium sulfate on caspase-3 activity and to compare its effectiveness with methylprednisolone after acute SCI.
The rats were randomly and blindly allocated into 5 groups of 8 rats each. Spinal cord contusion injury was produced by the weight drop method. The control group consisted of non-injured rats. In the trauma group, no treatment was given, whereas 1 mL saline, 600 mg/kg magnesium sulfate, and 30 mg/kg methylprednisolone sodium succinate (MPSS) were administered in the vehicle and both treatment groups immediately after injury. Twenty-four hours after trauma, spinal cord samples were obtained, and tissue caspase-3 activity levels were examined. A 1-way analysis of variance and the post hoc test were used for statistical analysis.
The results showed that caspase-3 activity increased to statistically significantly higher levels in spinal cord after contusion injury than in the control group. Caspase-3 enzyme activity levels were significantly reduced in animals treated either with magnesium sulfate or MPSS.
We have shown that magnesium sulfate decreases caspase-3 activity in rat spinal cord subjected to contusion injury. Magnesium sulfate may have potential therapeutic benefits by reducing apoptotic tissue damage after SCI.
细胞凋亡日益被视为脊髓损伤(SCI)后继发性损伤的一个重要因素。凋亡性细胞死亡过程的表现涉及半胱天冬酶-3凋亡级联反应的激活。本研究的目的是证明硫酸镁对半胱天冬酶-3活性的影响,并将其与急性脊髓损伤后甲基强的松龙的有效性进行比较。
将大鼠随机、盲法分为5组,每组8只。采用重物坠落法造成脊髓挫伤损伤。对照组由未受伤的大鼠组成。在创伤组中,不给予任何治疗,而在损伤后立即给假手术组和两个治疗组分别注射1 mL生理盐水、600 mg/kg硫酸镁和30 mg/kg甲泼尼龙琥珀酸钠(MPSS)。创伤后24小时,获取脊髓样本,并检测组织半胱天冬酶-3活性水平。采用单因素方差分析和事后检验进行统计分析。
结果显示,挫伤损伤后脊髓中半胱天冬酶-3活性增加至统计学上显著高于对照组的水平。用硫酸镁或MPSS治疗的动物中,半胱天冬酶-3酶活性水平显著降低。
我们已经表明,硫酸镁可降低遭受挫伤损伤的大鼠脊髓中的半胱天冬酶-3活性。硫酸镁可能通过减少脊髓损伤后的凋亡性组织损伤而具有潜在的治疗益处。