Department of Clinical Pharmacology and Toxicology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
International Experimental Central Nervous System Injury & Repair (IECNSIR), Dept. of Surgical Sciences, Anesthesiology & Intensive Care Medicine, Uppsala University Hospital, Uppsala University, Uppsala, Sweden.
Int Rev Neurobiol. 2023;172:37-77. doi: 10.1016/bs.irn.2023.06.003. Epub 2023 Sep 26.
Military personnel are often victims of spinal cord injury resulting in lifetime disability and decrease in quality of life. However, no suitable therapeutic measures are still available to restore functional disability or arresting the pathophysiological progression of disease in victims for leading a better quality of life. Thus, further research in spinal cord injury using novel strategies or combination of available neuroprotective drugs is urgently needed for superior neuroprotection. In this regard, our laboratory is engaged in developing TiO nanowired delivery of drugs, antibodies and enzymes in combination to attenuate spinal cord injury induced pathophysiology and functional disability in experimental rodent model. Previous observations show that histamine antagonists or antioxidant compounds when given alone in spinal cord injury are able to induce neuroprotection for short periods after trauma. In this investigation we used a combination of histaminergic drugs with antioxidant compound H-290/51 using their nanowired delivery for neuroprotection in spinal cord injury of longer duration. Our observations show that a combination of H3 receptor inverse agonist BF-2549 with H3 receptor antagonist and H4 receptor agonist clobenpropit induced neuroprotection is potentiated by antioxidant compound H-290/51 in spinal cord injury. These observations suggests that histamine receptors are involved in the pathophysiology of spinal cord injury and induce superior neuroprotection in combination with an inhibitor of lipid peroxidation H-290/51, not reported earlier. The possible mechanisms and significance of our findings in relation to future clinical approaches in spinal cord injury is discussed.
军人常因脊髓损伤而导致终身残疾和生活质量下降。然而,目前仍没有合适的治疗方法来恢复功能障碍或阻止疾病的病理生理进展,以提高生活质量。因此,迫切需要使用新策略或结合现有的神经保护药物,对脊髓损伤进行进一步的研究,以获得更好的神经保护效果。在这方面,我们实验室正在开发 TiO2 纳米线药物、抗体和酶的联合递送,以减轻实验性啮齿动物模型中的脊髓损伤诱导的病理生理学和功能障碍。先前的观察结果表明,组胺拮抗剂或抗氧化化合物单独用于脊髓损伤时,能够在创伤后短时间内诱导神经保护。在这项研究中,我们使用了组氨酸能药物与抗氧化化合物 H-290/51 的联合纳米线递送,以在较长时间的脊髓损伤中实现神经保护。我们的观察结果表明,H3 受体反向激动剂 BF-2549 与 H3 受体拮抗剂和 H4 受体激动剂氯苯丙哌嗪的联合使用,通过抗氧化化合物 H-290/51 增强了神经保护作用,这在以前的研究中尚未报道过。讨论了我们的发现与未来脊髓损伤临床治疗方法的关系及其可能的机制和意义。