Wu Bin, Liang Jie
Department of Orthopedic Surgery, The People's Hospital of China Three Gorges University, Yichang, Hubei 443000, P.R. China.
Exp Ther Med. 2019 May;17(5):3877-3882. doi: 10.3892/etm.2019.7456. Epub 2019 Mar 29.
Spinal cord injury (SCI) is a devastating neurological injury that frequently leads to neurological defects and disabilities. The only effective pharmacotherapy currently available is methylprednisolone (MP), which is controversial due to its high incidence of complications, adverse events and ultimately limited efficacy in SCI. Therefore, the development of alternative therapeutic agents for the treatment of SCI is of great clinical significance. In the present study, an acute SCI rat model was induced and, following a modified Allen method, the function of pectolinarigenin (PG) in SCI was investigated. A total of 36 rats were randomly divided into 6 groups (n=6 in each group); a sham surgery group and an SCI + saline group were used as negative controls and an SCI + MP (30 mg/kg) group was used as a positive control. The remaining animals were subdivided into three groups: SCI + PG (10 mg/kg); SCI + PG (30 mg/kg); and SCI + PG (50 mg/kg). Basso-Beattie-Bresnahan locomotor rating scoring was performed to assess functional recovery. Nissl staining and TUNEL staining were used to evaluated neuronal lesion volume and apoptosis, respectively. The results demonstrated that PG significantly improved functional recovery and reduced tissue loss, and neuronal apoptosis. Furthermore, a western blotting assay was conducted to measure the expression of genes associated with apoptosis. The data suggested that PG downregulated the activated caspase-3, caspase-9 and poly-ADP-ribose polymerase expression and reduced the Bax: Bcl2 ratio. The findings of the present study suggested that PG may exert a protective effect against SCI in rats, potentially by inhibiting neuronal apoptosis and PG may therefore serve as a novel therapeutic agent against SCI.
脊髓损伤(SCI)是一种严重的神经损伤,常常导致神经功能缺损和残疾。目前唯一有效的药物治疗是甲基强的松龙(MP),但由于其并发症发生率高、不良事件多且最终对脊髓损伤的疗效有限,存在争议。因此,开发用于治疗脊髓损伤的替代治疗药物具有重要的临床意义。在本研究中,诱导建立急性脊髓损伤大鼠模型,并按照改良的艾伦法,研究了芹菜素(PG)在脊髓损伤中的作用。总共36只大鼠随机分为6组(每组n = 6);假手术组和脊髓损伤+生理盐水组作为阴性对照,脊髓损伤+ MP(30 mg/kg)组作为阳性对照。其余动物再细分为三组:脊髓损伤+ PG(10 mg/kg);脊髓损伤+ PG(30 mg/kg);脊髓损伤+ PG(50 mg/kg)。采用Basso-Beattie-Bresnahan运动评分进行功能恢复评估。分别使用尼氏染色和TUNEL染色评估神经元损伤体积和凋亡情况。结果表明,PG显著改善了功能恢复,减少了组织损失和神经元凋亡。此外,进行了蛋白质印迹分析以测量与凋亡相关基因的表达。数据表明,PG下调了活化的半胱天冬酶-3、半胱天冬酶-9和聚ADP核糖聚合酶的表达,并降低了Bax:Bcl2比值。本研究结果表明,PG可能对大鼠脊髓损伤发挥保护作用,可能是通过抑制神经元凋亡实现的,因此PG可能作为一种新型的脊髓损伤治疗药物。