Improved Functional Recovery in Rat Spinal Cord Injury Induced by a Drug Combination Administered with an Implantable Polymeric Delivery System

Spinal cord injury (SCI) is an incurable condition, in which a cascade of cellular and molecular events triggered by inflammation and excitotoxicity impairs endogenous regeneration, namely remyelination and axonal outgrowth. We designed a treatment solution based on an implantable biomaterial (elect...

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Veröffentlicht in:Journal of neurotrauma 2020-08, Vol.37 (15), p.1708-1719
Hauptverfasser: Bighinati, Andrea, Focarete, Maria Letizia, Gualandi, Chiara, Pannella, Micaela, Giuliani, Alessandro, Beggiato, Sarah, Ferraro, Luca, Lorenzini, Luca, Giardino, Luciana, Calzà, Laura
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container_end_page 1719
container_issue 15
container_start_page 1708
container_title Journal of neurotrauma
container_volume 37
creator Bighinati, Andrea
Focarete, Maria Letizia
Gualandi, Chiara
Pannella, Micaela
Giuliani, Alessandro
Beggiato, Sarah
Ferraro, Luca
Lorenzini, Luca
Giardino, Luciana
Calzà, Laura
description Spinal cord injury (SCI) is an incurable condition, in which a cascade of cellular and molecular events triggered by inflammation and excitotoxicity impairs endogenous regeneration, namely remyelination and axonal outgrowth. We designed a treatment solution based on an implantable biomaterial (electrospun poly (l-lactic acid) [PLLA]) loaded with ibuprofen and triiodothyronine (T3) to counteract inflammation, thus improving endogenous regeneration. efficacy was tested by implanting the drug-loaded PLLA in the rat model of T8 contusion SCI. We observed the expected recovery of locomotion beginning on day 7. In PLLA-implanted rats (i.e., controls), the recovery stabilized at 21 days post-lesion (DPL), after which no further improvement was observed. On the contrary, in PLLA + ibuprofen (Ibu) + T3 (PLLA-Ibu-T3) rats a further recovery and a significant treatment effect were observed, also confirmed by the gait analysis on 49 DPL. Glutamate release at 24 h and 8 DPL was reduced in PLLA-Ibu-T3- compared to PLLA-implanted rats, such as the estimated lesion volume at 60 DPL. The myelin- and 200-neurofilament-positive area fraction was higher in PLLA-Ibu-T3-implanted rats, where the percentage of astrocytes was significantly reduced. The implant of a PLLA electrospun scaffold loaded with Ibu and T3 significantly improves the endogenous regeneration, leading to an improvement of functional locomotion outcome in the SCI.
doi_str_mv 10.1089/neu.2019.6949
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The myelin- and 200-neurofilament-positive area fraction was higher in PLLA-Ibu-T3-implanted rats, where the percentage of astrocytes was significantly reduced. 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subjects Astrocytes
Biomaterials
Contusions
Excitotoxicity
Gait
Gamma rays
Ibuprofen
Inflammation
Laboratory animals
Locomotion
Medical research
Myelin
Myelination
Neurodegeneration
Nonsteroidal anti-inflammatory drugs
Polylactic acid
Recovery of function
Regeneration
Spinal cord injuries
Thyroid hormones
Transplants & implants
Trauma
Triiodothyronine
title Improved Functional Recovery in Rat Spinal Cord Injury Induced by a Drug Combination Administered with an Implantable Polymeric Delivery System
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