Post-Injury Estrogen Treatment of Chronic Spinal Cord Injury Improves Locomotor Function in Rats

Spinal cord injury (SCI) causes loss of neurological function and, depending on serverity, may cause paralysis. The only recommended pharmacotherapy for the treatment of SCI is high-dose methylprednisolone and its use is controversial. We have previously shown that estrogen treatment attenuated cell death, axonal and myelin damage, calpain and caspase activities, and inflammation in acute SCI. The aim of this study was to examine whether post-treatment of SCI with estrogen would improve locomotor function by protecting cells and axons and reducing inflammation during chronic phase following injury. Moderately severe injury (40 g.cm force) was induced in male Sprague-Dawley rats following laminectomy at T10. Three groups of animals were used: sham (laminectomy only), vehicle (dimethyl sulfoxide or DMSO) treated injury group, and estrogen treated injury group. Animals were treated with 4 mg/kg estrogen at 15 min and 24 h post-injury followed by 2 mg/kg estrogen daily for the next 5 days. Following treatment, animals were sacrificed at the end of 6 weeks following injury, and 1-cm segments of spinal cord (lesion, rostral to lesion, and caudal to lesion) were removed for biochemical analyses. Estrogen treatment reduced COX-2 activity, blocked NF-κB translocation, prevented glial reactivity, attenuated neuron death, inhibited activation and activity of calpain and caspase-3, decreased axonal damage, reduced myelin loss in the lesion and penumbra, and improved locomotor function when compared with vehicle treated animals. These findings suggest that estrogen may be useful as a promising therapeutic agent for prevention of damage and improvement of locomotor function in chronic SCI.