Department of Neurosurgery, Henry Ford Health System, Detroit, Michigan 48202, USA.
J Neurosurg. 2011 Jan;114(1):102-15. doi: 10.3171/2010.4.JNS10118. Epub 2010 May 21.
This study was designed to investigate the efficacy of delayed thymosin β(4) (Tβ(4)) treatment of traumatic brain injury (TBI) in rats.
Young adult male Wistar rats were divided into the following groups: 1) sham group (6 rats); 2) TBI + saline group (9 rats); 3) and TBI + Tβ(4) group (10 rats). Traumatic brain injury was induced by controlled cortical impact over the left parietal cortex. Thymosin β(4) (6 mg/kg) or saline was administered intraperitoneally starting at Day 1 and then every 3 days for an additional 4 doses. Neurological function was assessed using a modified neurological severity score (mNSS), foot fault, and Morris water maze tests. Animals were killed 35 days after injury, and brain sections were stained for immunohistochemistry to assess angiogenesis, neurogenesis, and oligodendrogenesis after Tβ(4) treatment.
Compared with the saline treatment, delayed Tβ(4) treatment did not affect lesion volume but significantly reduced hippocampal cell loss, enhanced angiogenesis and neurogenesis in the injured cortex and hippocampus, increased oligodendrogenesis in the CA3 region, and significantly improved sensorimotor functional recovery and spatial learning.
These data for the first time demonstrate that delayed administration of Tβ(4) significantly improves histological and functional outcomes in rats with TBI, indicating that Tβ(4) has considerable therapeutic potential for patients with TBI.
本研究旨在探讨延迟给予胸腺肽β(4)(Tβ(4))对创伤性脑损伤(TBI)大鼠的疗效。
将年轻成年雄性 Wistar 大鼠分为以下几组:1)假手术组(6 只大鼠);2)TBI+盐水组(9 只大鼠);3)TBI+Tβ(4)组(10 只大鼠)。TBI 通过左顶叶皮质的皮质控制冲击诱导。Tβ(4)(6mg/kg)或生理盐水从第 1 天开始腹膜内给药,然后每 3 天再给药 4 次。使用改良神经功能严重程度评分(mNSS)、足误和 Morris 水迷宫测试评估神经功能。动物在损伤后 35 天处死,脑切片进行免疫组织化学染色,以评估 Tβ(4)治疗后的血管生成、神经发生和少突胶质细胞发生。
与盐水处理相比,延迟 Tβ(4)处理并未影响损伤体积,但显著减少海马细胞丢失,增强损伤皮质和海马中的血管生成和神经发生,增加 CA3 区的少突胶质细胞发生,并显著改善感觉运动功能恢复和空间学习。
这些数据首次表明,延迟给予 Tβ(4)可显著改善 TBI 大鼠的组织学和功能结果,表明 Tβ(4)对 TBI 患者具有相当大的治疗潜力。