Aslan Adem, Cemek Mustafa, Buyukokuroglu Mehmet Emin, Altunbas Korhan, Bas Orhan, Yurumez Yusuf, Cosar Murat
Department of Neurosurgery, Faculty of Medicine, Afyon Kocatepe University, Ali Cetinkaya Kampusu, Afyonkarahisar, Turkey.
Eur Spine J. 2009 Oct;18(10):1442-51. doi: 10.1007/s00586-009-1033-6. Epub 2009 May 26.
The aim of this experimental study was to investigate the possible protective effects of dantrolene on traumatic spinal cord injury (SCI). Twenty-four New Zealand rabbits were divided into three groups: Sham (no drug or operation, n = 8), Control (SCI + 1 mL saline intraperitoneally (i.p.), n = 8), and DNT (SCI + 10 mg/kg dantrolene in 1 mL, i.p., n = 8). Laminectomy was performed at T10 and balloon catheter was applied extradurally. Four and 24 h after surgery, rabbits were evaluated according to the Tarlov scoring system. Blood, cerebrospinal fluid and tissue sample from spinal cord were taken for measurements of antioxidant status or detection of apoptosis. After 4 h SCI, all animals in control or DNT-treated groups became paraparesic. Significant improvement was observed in DNT-treated group, 24 h after SCI, with respect to control. Traumatic SCI led to an increase in the lipid peroxidation and a decrease in enzymic or non-enzymic endogenous antioxidative defense systems, and increase in apoptotic cell numbers. DNT treatment prevented lipid peroxidation and augmented endogenous enzymic or non-enzymic antioxidative defense systems. Again, DNT treatment significantly decreased the apoptotic cell number induced by SCI. In conclusion, experimental results observed in this study suggest that treatment with dantrolene possess potential benefits for traumatic SCI.
本实验研究的目的是探讨丹曲林对创伤性脊髓损伤(SCI)可能的保护作用。将24只新西兰兔分为三组:假手术组(未用药或未手术,n = 8)、对照组(SCI + 1 mL生理盐水腹腔注射(i.p.),n = 8)和丹曲林组(SCI + 10 mg/kg丹曲林溶于1 mL中腹腔注射,n = 8)。在T10水平进行椎板切除术,并在硬膜外放置球囊导管。术后4小时和24小时,根据Tarlov评分系统对兔进行评估。采集血液、脑脊液和脊髓组织样本,用于测量抗氧化状态或检测细胞凋亡。SCI后4小时,对照组或丹曲林治疗组的所有动物均出现双下肢轻瘫。SCI后24小时,丹曲林治疗组相对于对照组有显著改善。创伤性SCI导致脂质过氧化增加,酶促或非酶促内源性抗氧化防御系统减少,凋亡细胞数量增加。丹曲林治疗可预防脂质过氧化,并增强内源性酶促或非酶促抗氧化防御系统。此外,丹曲林治疗显著减少了SCI诱导的凋亡细胞数量。总之,本研究观察到的实验结果表明,丹曲林治疗对创伤性SCI具有潜在益处。