Boyaci Mehmet Gazi, Eser Olcay, Kocogullari Cevdet Ugur, Karavelioglu Ergun, Tokyol Cigdem, Can Yesim
a Department of Neurosurgery , School of Medicine, Afyon Kocatepe University , Afyonkarahisar , Turkey.
b Department of Cardiovascular Surgery , Derince Education and Research Hospital , Kocaeli , Turkey.
Br J Neurosurg. 2015 Feb;29(1):46-51. doi: 10.3109/02688697.2014.954986. Epub 2014 Sep 5.
The aim of this study is to investigate the putative neuroprotective effect of alpha-lipoic acid (LA) on spinal ischemia/reperfusion (I/R) injury in rabbits.
Thirty-five adult female New Zeland rabbits, weighing 2,000-3,500 g (mean: 2,800), were divided randomly into five groups of seven rabbits each (n: 7) as Group 1: sham, only laparotomy; Group 2 (İ/R): I/R; Group 3 (LA): I/R and 100 mg/kg of LA; Group 4 (MP): I/R and 30 mg/kg of methylprednisolone (MP); and Group 5 (LA + MP): I/R and 100 mg/kg of LA plus 30 mg/kg of MP.
A statically significant effect of LA, MP, and LA plus MP on lowering malondialdehyde levels both in the blood and in the cerebrospinal fluid (CSF) has been observed. Nitric oxide is significantly decreased in the blood and spinal cord tissues, and also in the CSF but it is not significant. Superoxide dismutase, catalase, and glutathione levels were increased by LA administration.
LA exhibits antioxidant efficacy in spinal cord I/R injury, but it cannot decrease the oxidative stress. The histopathological result of the present study also demonstrated that LA has neuroprotective effect in spinal cord injury.
本研究旨在探讨α-硫辛酸(LA)对兔脊髓缺血/再灌注(I/R)损伤的假定神经保护作用。
35只成年雌性新西兰兔,体重2000 - 3500克(平均:2800克),随机分为五组,每组7只(n = 7):第1组:假手术组,仅行剖腹术;第2组(I/R):缺血/再灌注组;第3组(LA):缺血/再灌注组加100毫克/千克的LA;第4组(MP):缺血/再灌注组加30毫克/千克的甲基强的松龙(MP);第5组(LA + MP):缺血/再灌注组加100毫克/千克的LA加30毫克/千克的MP。
已观察到LA、MP以及LA加MP在降低血液和脑脊液(CSF)中丙二醛水平方面具有统计学显著效果。血液、脊髓组织以及脑脊液中的一氧化氮显著降低,但差异不显著。给予LA后超氧化物歧化酶、过氧化氢酶和谷胱甘肽水平升高。
LA在脊髓I/R损伤中表现出抗氧化功效,但不能降低氧化应激。本研究的组织病理学结果还表明LA在脊髓损伤中具有神经保护作用。