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Published in: European Spine Journal 10/2009

01-10-2009 | Original Article

Dantrolene can reduce secondary damage after spinal cord injury

Authors: Adem Aslan, Mustafa Cemek, Mehmet Emin Buyukokuroglu, Korhan Altunbas, Orhan Bas, Yusuf Yurumez, Murat Cosar

Published in: European Spine Journal | Issue 10/2009

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Abstract

The aim of this experimental study was to investigate the possible protective effects of dantrolene on traumatic spinal cord injury (SCI). Twenty-four New Zealand rabbits were divided into three groups: Sham (no drug or operation, n = 8), Control (SCI + 1 mL saline intraperitoneally (i.p.), n = 8), and DNT (SCI + 10 mg/kg dantrolene in 1 mL, i.p., n = 8). Laminectomy was performed at T10 and balloon catheter was applied extradurally. Four and 24 h after surgery, rabbits were evaluated according to the Tarlov scoring system. Blood, cerebrospinal fluid and tissue sample from spinal cord were taken for measurements of antioxidant status or detection of apoptosis. After 4 h SCI, all animals in control or DNT-treated groups became paraparesic. Significant improvement was observed in DNT-treated group, 24 h after SCI, with respect to control. Traumatic SCI led to an increase in the lipid peroxidation and a decrease in enzymic or non-enzymic endogenous antioxidative defense systems, and increase in apoptotic cell numbers. DNT treatment prevented lipid peroxidation and augmented endogenous enzymic or non-enzymic antioxidative defense systems. Again, DNT treatment significantly decreased the apoptotic cell number induced by SCI. In conclusion, experimental results observed in this study suggest that treatment with dantrolene possess potential benefits for traumatic SCI.
Literature
3.
go back to reference Aslan A, Cemek M, Eser O, Altunbas K, Buyukokuroglu ME, Cosar M, Bas O, Ela Y, Fidan H (2009) Does dexmedetomidine reduce secondary damage after spinal cord injury? An experimental study. Eur Spine J 18:336–344. doi:10.1007/s00586-008-0872-x PubMedCrossRef Aslan A, Cemek M, Eser O, Altunbas K, Buyukokuroglu ME, Cosar M, Bas O, Ela Y, Fidan H (2009) Does dexmedetomidine reduce secondary damage after spinal cord injury? An experimental study. Eur Spine J 18:336–344. doi:10.​1007/​s00586-008-0872-x PubMedCrossRef
4.
go back to reference Ates O, Cayli SR, Altinoz E, Gurses I, Yucel N, Kocak A, Yologlu S, Turkoz Y (2006) Effects of resveratrol and methylprednisolone on biochemical, neurobehavioral and histopathological recovery after experimental spinal cord injury. Acta Pharmacol Sin 27:1317–1325. doi:10.1111/j.1745-7254.2006.00416.x PubMedCrossRef Ates O, Cayli SR, Altinoz E, Gurses I, Yucel N, Kocak A, Yologlu S, Turkoz Y (2006) Effects of resveratrol and methylprednisolone on biochemical, neurobehavioral and histopathological recovery after experimental spinal cord injury. Acta Pharmacol Sin 27:1317–1325. doi:10.​1111/​j.​1745-7254.​2006.​00416.​x PubMedCrossRef
6.
go back to reference Azbill RD, Mu X, Bruce-Keller AJ, Mattson MP, Springer JE (1997) Impaired mitochondrial function, oxidative stress and altered antioxidant enzyme activities following traumatic spinal cord injury. Brain Res 765:283–290. doi:10.1016/S0006-8993(97)00573-8 PubMedCrossRef Azbill RD, Mu X, Bruce-Keller AJ, Mattson MP, Springer JE (1997) Impaired mitochondrial function, oxidative stress and altered antioxidant enzyme activities following traumatic spinal cord injury. Brain Res 765:283–290. doi:10.​1016/​S0006-8993(97)00573-8 PubMedCrossRef
9.
go back to reference Beutler E, Dubon O, Kelly BM (1963) Improved method for the determination of blood glutathione. J Lab Clin Med 61:882–888PubMed Beutler E, Dubon O, Kelly BM (1963) Improved method for the determination of blood glutathione. J Lab Clin Med 61:882–888PubMed
12.
go back to reference Buyukokuroglu ME, Taysi S, Koç M, Bakan N (2003) Dantrolene protects erythrocytes against oxidative stress during whole-body irradation in rats. Cell Biochem Funct 21:127–131. doi:10.1002/cbf.1008 CrossRef Buyukokuroglu ME, Taysi S, Koç M, Bakan N (2003) Dantrolene protects erythrocytes against oxidative stress during whole-body irradation in rats. Cell Biochem Funct 21:127–131. doi:10.​1002/​cbf.​1008 CrossRef
16.
go back to reference Duzenli S, Bakuridze K, Gepdiremen A (2005) The effects of ruthenium red, dantrolene and nimodipine, alone or in combination, in NMDA induced neurotoxicity of cerebellar granular cell culture of rats. Toxicol In Vitro 19:589–594. doi:10.1016/j.tiv.2005.03.007 PubMedCrossRef Duzenli S, Bakuridze K, Gepdiremen A (2005) The effects of ruthenium red, dantrolene and nimodipine, alone or in combination, in NMDA induced neurotoxicity of cerebellar granular cell culture of rats. Toxicol In Vitro 19:589–594. doi:10.​1016/​j.​tiv.​2005.​03.​007 PubMedCrossRef
19.
go back to reference Gorio A, Madaschi L, Di Stefano B, Carelli S, Di Giulio AM, De Biasi S, Coleman T, Cerami A, Brines M (2005) Methylprednisolone neutralizes the beneficial effects of erythropoietin in experimental spinal cord injury. Proc Natl Acad Sci USA 102:16379–16384. doi:10.1073/pnas.0508479102 PubMedCrossRef Gorio A, Madaschi L, Di Stefano B, Carelli S, Di Giulio AM, De Biasi S, Coleman T, Cerami A, Brines M (2005) Methylprednisolone neutralizes the beneficial effects of erythropoietin in experimental spinal cord injury. Proc Natl Acad Sci USA 102:16379–16384. doi:10.​1073/​pnas.​0508479102 PubMedCrossRef
26.
go back to reference Jessup W, Mohr D, Gieseg SP, Dean RT, Stocker R (1992) The participation of nitric oxide in cell free- and its restriction of macrophage-mediated oxidation of low-density lipoprotein. Biochim Biophys Acta 1180:73–82PubMed Jessup W, Mohr D, Gieseg SP, Dean RT, Stocker R (1992) The participation of nitric oxide in cell free- and its restriction of macrophage-mediated oxidation of low-density lipoprotein. Biochim Biophys Acta 1180:73–82PubMed
28.
go back to reference Kaynar MY, Hanci M, Kuday C, Belce A, Gumustas K, Kokoglu E (1994) Changes in the activity of antioxidant enzymes (SOD, GPX, CAT) after experimental spinal cord injury. Tokushima J Exp Med 41:133–136PubMed Kaynar MY, Hanci M, Kuday C, Belce A, Gumustas K, Kokoglu E (1994) Changes in the activity of antioxidant enzymes (SOD, GPX, CAT) after experimental spinal cord injury. Tokushima J Exp Med 41:133–136PubMed
29.
go back to reference Kocogullari CU, Emmiler M, Cemek M, Sahin O, Aslan A, Ayva E, Tur L, Buyukokuroglu ME, Demirkiran I, Cekirdekci A (2008) Can dantrolene protect spinal cord against ischemia-reperfusion injury? An experimental study. Thorac Cardiovasc Surg 56:406–411. doi:10.1055/s-2008-1038731 PubMedCrossRef Kocogullari CU, Emmiler M, Cemek M, Sahin O, Aslan A, Ayva E, Tur L, Buyukokuroglu ME, Demirkiran I, Cekirdekci A (2008) Can dantrolene protect spinal cord against ischemia-reperfusion injury? An experimental study. Thorac Cardiovasc Surg 56:406–411. doi:10.​1055/​s-2008-1038731 PubMedCrossRef
30.
go back to reference Lim PA, Tow AM (2006) Recovery and regeneration after spinal cord injury: a review and summary of recent literature. Ann Acad Med Singapore 36:49–57 Lim PA, Tow AM (2006) Recovery and regeneration after spinal cord injury: a review and summary of recent literature. Ann Acad Med Singapore 36:49–57
31.
go back to reference Liu JB, Tang TS, Yang HL (2006) Antioxidation of quercetin against spinal cord injury in rats. Chin J Traumatol 9:303–307PubMed Liu JB, Tang TS, Yang HL (2006) Antioxidation of quercetin against spinal cord injury in rats. Chin J Traumatol 9:303–307PubMed
36.
go back to reference Omaye ST, Turnbul JD, Savberlich HE (1979) Ascorbic acid analysis II Determination after derivatisation with 22 dinitrophenylhidrazine Selected methods for determination of ascorbic acid in animal cells tissues and fluids. In: McCormick DB, Wright LD (eds) Methods in enzymology. Academic Pres, New York, pp 7–8 Omaye ST, Turnbul JD, Savberlich HE (1979) Ascorbic acid analysis II Determination after derivatisation with 22 dinitrophenylhidrazine Selected methods for determination of ascorbic acid in animal cells tissues and fluids. In: McCormick DB, Wright LD (eds) Methods in enzymology. Academic Pres, New York, pp 7–8
37.
go back to reference Ozdemir M, Cengiz SL, Gurbilek M, Ogun TC, Ustun ME (2005) Effects of magnesium sulfate on spinal cord tissue lactate and malondialdehyde levels after spinal cord trauma. Magnes Res 18:170–174PubMed Ozdemir M, Cengiz SL, Gurbilek M, Ogun TC, Ustun ME (2005) Effects of magnesium sulfate on spinal cord tissue lactate and malondialdehyde levels after spinal cord trauma. Magnes Res 18:170–174PubMed
38.
go back to reference Paglia DE, Valentine WN (1967) Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 70:158–169PubMed Paglia DE, Valentine WN (1967) Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 70:158–169PubMed
39.
42.
go back to reference Suzuki I, Katoh N (1990) A simple and cheap method for measuring serum vitamin A in cattle using spectrophototmeter. Jpn J Vet Sci 52:1281–1283 Suzuki I, Katoh N (1990) A simple and cheap method for measuring serum vitamin A in cattle using spectrophototmeter. Jpn J Vet Sci 52:1281–1283
43.
go back to reference Tator CH, Fehlings MG (1991) Review of the secondary injury theory of acute spinal cord trauma with emphasis on vascular mechanisms. J Neurosurg 75:15–26PubMedCrossRef Tator CH, Fehlings MG (1991) Review of the secondary injury theory of acute spinal cord trauma with emphasis on vascular mechanisms. J Neurosurg 75:15–26PubMedCrossRef
45.
go back to reference Vaquero J, Zurita M, Oya S, Aguayo C, Bonilla C (2006) Early administration of methylprednisolone decreases apoptotic cell death after spinal cord injury. Histol Histopathol 21:1091–1102PubMed Vaquero J, Zurita M, Oya S, Aguayo C, Bonilla C (2006) Early administration of methylprednisolone decreases apoptotic cell death after spinal cord injury. Histol Histopathol 21:1091–1102PubMed
46.
go back to reference White PF, Katzung BG (2004) Skeletal muscle relaxant. In: Katzung BG (ed) Basic and clinical pharmacology. McGraw–Hill, Singapore, pp 428–446 White PF, Katzung BG (2004) Skeletal muscle relaxant. In: Katzung BG (ed) Basic and clinical pharmacology. McGraw–Hill, Singapore, pp 428–446
Metadata
Title
Dantrolene can reduce secondary damage after spinal cord injury
Authors
Adem Aslan
Mustafa Cemek
Mehmet Emin Buyukokuroglu
Korhan Altunbas
Orhan Bas
Yusuf Yurumez
Murat Cosar
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 10/2009
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-009-1033-6

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