Marcon Raphael Martus, Cristante Alexandre Fogaça, de Barros Tarcísio Eloy Pessoa, Ferreira Ricardo, Dos Santos Gustavo Bispo
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Divisão de Cirurgia de Coluna Vertebral, Laboratório de Investigação Médica (LIM 41), São Paulo/SP, Brazil.
Clinics (Sao Paulo). 2016 Jul;71(6):351-60. doi: 10.6061/clinics/2016(06)11.
To evaluate the functional and histological effects of ganglioside G(M1) and erythropoietin after experimental spinal cord contusion injury.
Fifty male Wistar rats underwent experimental spinal cord lesioning using an NYU-Impactor device and were randomly divided into the following groups, which received treatment intraperitoneally. The G(M1) group received ganglioside G(M1) (30 mg/kg); the erythropoietin group received erythropoietin (1000 IU/kg); the combined group received both drugs; and the saline group received saline (0.9%) as a control. A fifth group was the laminectomy group, in which the animals were subjected to laminectomy alone, without spinal lesioning or treatment. The animals were evaluated according to the Basso, Beattie and Bresnahan (BBB) scale, motor evoked potential recordings and, after euthanasia, histological analysis of spinal cord tissue.
The erythropoietin group had higher BBB scores than the G(M1) group. The combined group had the highest BBB scores, and the saline group had the lowest BBB scores. No significant difference in latency was observed between the three groups that underwent spinal cord lesioning and intervention. However, the combined group showed a significantly higher signal amplitude than the other treatment groups or the saline group (p<0.01). Histological tissue analysis showed no significant difference between the groups. Axonal index was significantly enhanced in the combined group than any other intervention (p<0.01).
G(M1) and erythropoietin exert therapeutic effects on axonal regeneration and electrophysiological and motor functions in rats subjected to experimental spinal cord lesioning and administering these two substances in combination potentiates their effects.
评估神经节苷脂G(M1)和促红细胞生成素在实验性脊髓挫伤损伤后的功能和组织学效应。
50只雄性Wistar大鼠使用纽约大学冲击器进行实验性脊髓损伤,并随机分为以下几组,接受腹腔内治疗。G(M1)组接受神经节苷脂G(M1)(30mg/kg);促红细胞生成素组接受促红细胞生成素(1000IU/kg);联合组接受两种药物;生理盐水组接受生理盐水(0.9%)作为对照。第五组为椎板切除术组,其中动物仅接受椎板切除术,无脊髓损伤或治疗。根据Basso、Beattie和Bresnahan(BBB)量表、运动诱发电位记录对动物进行评估,并在安乐死后对脊髓组织进行组织学分析。
促红细胞生成素组的BBB评分高于G(M1)组。联合组的BBB评分最高,生理盐水组的BBB评分最低。在接受脊髓损伤和干预的三组之间,潜伏期未观察到显著差异。然而,联合组的信号幅度明显高于其他治疗组或生理盐水组(p<0.01)。组织学组织分析显示各组之间无显著差异。联合组的轴突指数比任何其他干预组都显著增强(p<0.01)。
G(M1)和促红细胞生成素对实验性脊髓损伤大鼠的轴突再生、电生理和运动功能具有治疗作用,联合使用这两种物质可增强其效果。