Zhang Can, Zhai Tianyu, Zhu Jinghui, Wei Dongmin, Ren Shuting, Yang Yanling, Gao Feng, Zhao Lin
Medical School of Yan'an University, No. 580 Shengdi Road, Baota District, Yan'an, 716000, Shaanxi, China.
Neurochem Res. 2023 Dec;48(12):3473-3484. doi: 10.1007/s11064-023-03993-x. Epub 2023 Aug 1.
Spinal cord injury (SCI) is a serious problem in the central nervous system resulting in high disability and mortality with complex pathophysiological mechanisms. Oxidative stress is one of the main secondary reactions of SCI, and its main pathophysiological marker is the production of excess reactive oxygen species. The overproduction of reactive oxygen species and insufficient antioxidant capacity lead to the occurrence of oxidative stress and neuroinflammation, and the dysregulation of oxidative stress and neuroinflammation leads to further aggravation of damage. Oxidative stress can initiate a variety of inflammatory and apoptotic pathways, and targeted antioxidant therapy can greatly reduce oxidative stress and reduce neuroinflammation, which has a certain positive effect on rehabilitation and prognosis in SCI. This article reviewed the research on different types of antioxidants and related treatments in SCI, focusing on the mechanisms of oxidative stress.
脊髓损伤(SCI)是中枢神经系统的一个严重问题,会导致高致残率和死亡率,其病理生理机制复杂。氧化应激是SCI的主要继发性反应之一,其主要病理生理标志物是过量活性氧的产生。活性氧的过度产生和抗氧化能力不足导致氧化应激和神经炎症的发生,而氧化应激和神经炎症的失调会导致损伤进一步加重。氧化应激可引发多种炎症和凋亡途径,靶向抗氧化治疗可大大降低氧化应激并减轻神经炎症,这对SCI的康复和预后具有一定的积极作用。本文综述了SCI中不同类型抗氧化剂及相关治疗的研究,重点关注氧化应激的机制。