Neuroprotective effects of infliximab in experimental spinal cord ischemic injury

Abstract Reactive oxygen species (ROS) have been implicated in the pathogenesis of spinal cord injury after both ischemia–reperfusion (I/R) and trauma. This experimental study was designed to investigate the potential effects of infliximab, an anti-tumor necrosis factor-α agent, on I/R injury of the...

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Veröffentlicht in:Journal of clinical neuroscience 2010-12, Vol.17 (12), p.1563-1567
Hauptverfasser: Guven, Cagatay, Borcek, Alp Ozgun, Cemil, Berker, Kurt, Gokhan, Yildirim, Zuhal, Ucankus, Nese Lortlar, Kilic, Nedret, Ceviker, Necdet
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container_end_page 1567
container_issue 12
container_start_page 1563
container_title Journal of clinical neuroscience
container_volume 17
creator Guven, Cagatay
Borcek, Alp Ozgun
Cemil, Berker
Kurt, Gokhan
Yildirim, Zuhal
Ucankus, Nese Lortlar
Kilic, Nedret
Ceviker, Necdet
description Abstract Reactive oxygen species (ROS) have been implicated in the pathogenesis of spinal cord injury after both ischemia–reperfusion (I/R) and trauma. This experimental study was designed to investigate the potential effects of infliximab, an anti-tumor necrosis factor-α agent, on I/R injury of the rabbit spinal cord. Eighteen New Zealand white rabbits were divided into three groups, each consisting of six rabbits: sham (no I/R), I/R, and infliximab (I/R + infliximab). Spinal cord ischemia was induced by applying an infrarenal aortic cross clamp for 30 minutes. At 48 hours after ischemia, animals were functionally evaluated using the Tarlov score. Changes in the spinal cord were observed by measuring tissue levels of malondialdehyde (MDA), glutathione (GSH), advanced oxidation protein products (AOPP), and superoxide dismutase (SOD) and by evaluating hematoxylin–eosin-stained sections. At 48 hours after ischemia, the Tarlov scores in the infliximab group were higher than those of the I/R group, MDA and AOPP levels in the I/R group were significantly higher than those in the sham and infliximab groups ( p < 0.05), and SOD levels in the infliximab group were significantly higher than those in the I/R and sham groups ( p < 0.05). The sham group had higher GSH levels than the infliximab group; however, the difference was not statistically significant ( p > 0.05). Histological examination revealed that the infliximab group had significantly less vascular proliferation, edema, and neuron loss than the I/R group. These results indicate that infliximab may protect the spinal cord against injury in a rabbit I/R model.
doi_str_mv 10.1016/j.jocn.2010.04.027
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This experimental study was designed to investigate the potential effects of infliximab, an anti-tumor necrosis factor-α agent, on I/R injury of the rabbit spinal cord. Eighteen New Zealand white rabbits were divided into three groups, each consisting of six rabbits: sham (no I/R), I/R, and infliximab (I/R + infliximab). Spinal cord ischemia was induced by applying an infrarenal aortic cross clamp for 30 minutes. At 48 hours after ischemia, animals were functionally evaluated using the Tarlov score. Changes in the spinal cord were observed by measuring tissue levels of malondialdehyde (MDA), glutathione (GSH), advanced oxidation protein products (AOPP), and superoxide dismutase (SOD) and by evaluating hematoxylin–eosin-stained sections. At 48 hours after ischemia, the Tarlov scores in the infliximab group were higher than those of the I/R group, MDA and AOPP levels in the I/R group were significantly higher than those in the sham and infliximab groups ( p &lt; 0.05), and SOD levels in the infliximab group were significantly higher than those in the I/R and sham groups ( p &lt; 0.05). The sham group had higher GSH levels than the infliximab group; however, the difference was not statistically significant ( p &gt; 0.05). Histological examination revealed that the infliximab group had significantly less vascular proliferation, edema, and neuron loss than the I/R group. 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At 48 hours after ischemia, the Tarlov scores in the infliximab group were higher than those of the I/R group, MDA and AOPP levels in the I/R group were significantly higher than those in the sham and infliximab groups ( p &lt; 0.05), and SOD levels in the infliximab group were significantly higher than those in the I/R and sham groups ( p &lt; 0.05). The sham group had higher GSH levels than the infliximab group; however, the difference was not statistically significant ( p &gt; 0.05). Histological examination revealed that the infliximab group had significantly less vascular proliferation, edema, and neuron loss than the I/R group. 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subjects Animal models
Animals
Antibodies, Monoclonal - therapeutic use
Antioxidants
Glutathione - metabolism
Infliximab
Ischemia
Malondialdehyde - metabolism
Neurology
Neurons - metabolism
Neurons - pathology
Neuroprotective Agents - therapeutic use
Oxidative stress
Rabbits
Reperfusion injury
Spinal cord
Spinal Cord Injuries - drug therapy
Spinal Cord Injuries - metabolism
Spinal Cord Injuries - pathology
Spinal Cord Ischemia - drug therapy
Spinal Cord Ischemia - metabolism
Spinal Cord Ischemia - pathology
Superoxide Dismutase - metabolism
title Neuroprotective effects of infliximab in experimental spinal cord ischemic injury
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