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重复经脊髓磁刺激可改善大鼠挫伤性和穿透性脊髓损伤模型的功能恢复及组织修复。

Repetitive Trans Spinal Magnetic Stimulation Improves Functional Recovery and Tissue Repair in Contusive and Penetrating Spinal Cord Injury Models in Rats.

作者信息

Robac Amandine, Neveu Pauline, Hugede Alizée, Garrido Elisabeth, Nicol Lionel, Delarue Quentin, Guérout Nicolas

机构信息

EA3830 GRHV, Institute for Research and Innovation in Biomedicine (IRIB), Normandy University, UNIROUEN, 76000 Rouen, France.

Department of Neurosurgery, Rouen University Hospital, 1 Rue de Germont, 76000 Rouen, France.

出版信息

Biomedicines. 2021 Dec 3;9(12):1827. doi: 10.3390/biomedicines9121827.

Abstract

Spinal cord injury (SCI) is an incurable condition in which the brain is disconnected partially or completely from the periphery. Mainly, SCIs are traumatic and are due to traffic, domestic or sport accidents. To date, SCIs are incurable and, most of the time, leave the patients with a permanent loss of sensitive and motor functions. Therefore, for several decades, researchers have tried to develop treatments to cure SCI. Among them, recently, our lab has demonstrated that, in mice, repetitive trans-spinal magnetic stimulation (rTSMS) can, after SCI, modulate the lesion scar and can induce functional locomotor recovery non-invasively. These results are promising; however, before we can translate them to humans, it is important to reproduce them in a more clinically relevant model. Indeed, SCIs do not lead to the same cellular events in mice and humans. In particular, SCIs in humans induce the formation of cystic cavities. That is why we propose here to validate the effects of rTSMS in a rat animal model in which SCI leads to the formation of cystic cavities after penetrating and contusive SCI. To do so, several techniques, including immunohistochemical, behavioral and MRI, were performed. Our results demonstrate that rTSMS, in both SCI models, modulates the lesion scar by decreasing the formation of cystic cavities and by improving axonal survival. Moreover, rTSMS, in both models, enhances functional locomotor recovery. Altogether, our study describes that rTSMS exerts positive effects after SCI in rats. This study is a further step towards the use of this treatment in humans.

摘要

脊髓损伤(SCI)是一种无法治愈的疾病,其中大脑与外周部分或完全断开连接。主要而言,脊髓损伤是创伤性的,由交通、家庭或运动事故引起。迄今为止,脊髓损伤无法治愈,并且在大多数情况下,会使患者永久性丧失感觉和运动功能。因此,几十年来,研究人员一直试图开发治疗脊髓损伤的方法。其中,最近我们实验室已经证明,在小鼠中,重复性经脊髓磁刺激(rTSMS)在脊髓损伤后可以调节损伤瘢痕,并能无创地诱导功能性运动恢复。这些结果很有前景;然而,在我们将其应用于人类之前,在更具临床相关性的模型中重现这些结果很重要。事实上,脊髓损伤在小鼠和人类中不会导致相同的细胞事件。特别是,人类的脊髓损伤会诱导囊性空洞的形成。这就是为什么我们在此提议在大鼠动物模型中验证rTSMS的效果,在该模型中,穿透性和挫伤性脊髓损伤后会导致囊性空洞的形成。为此,我们采用了多种技术,包括免疫组织化学、行为学和磁共振成像技术。我们的结果表明,在两种脊髓损伤模型中,rTSMS通过减少囊性空洞的形成和改善轴突存活来调节损伤瘢痕。此外,在两种模型中,rTSMS均能增强功能性运动恢复。总之,我们的研究表明rTSMS在大鼠脊髓损伤后发挥了积极作用。这项研究朝着在人类中使用这种治疗方法又迈进了一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5931/8698720/f173bccdc5f6/biomedicines-09-01827-g001.jpg

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