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  4. A novel CX3CR1 inhibitor AZD8797 facilitates early recovery of rat acute spinal cord injury by inhibiting inflammation and apoptosis

A novel CX3CR1 inhibitor AZD8797 facilitates early recovery of rat acute spinal cord injury by inhibiting inflammation and apoptosis

INTERNATIONAL JOURNAL OF MOlecular medicine, 2020 · DOI: 10.3892/ijmm.2020.4509 · Published: January 31, 2020

Spinal Cord InjuryPharmacologyImmunology

Simple Explanation

This study investigates a new drug, AZD8797, to help rats recover from spinal cord injuries. The drug works by blocking a specific protein (CX3CR1) that causes inflammation and cell death. The research found that AZD8797, when given after a spinal cord injury, helps rats regain movement better than if they received no treatment. The drug's effect is comparable to that of methylprednisolone, a common treatment for spinal cord injuries. Further analysis revealed that AZD8797 achieves this improvement by reducing inflammation and preventing cell death (apoptosis and necrosis) in the injured spinal cord tissue. This suggests that targeting CX3CR1 could be a promising approach for treating spinal cord injuries.

Study Duration
14 days
Participants
75 adult male Sprague‑Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    CX3CR1 and CX3CL1 expression levels increase after spinal cord injury, peaking at 10 days, suggesting their involvement in the inflammatory response.
  • 2
    AZD8797 treatment enhances early behavioral recovery after spinal cord injury in rats, as evidenced by improved Basso Beattie Bresnahan (BBB) scores.
  • 3
    AZD8797 treatment suppresses apoptosis and necrosis, and inhibits the inflammatory response by reducing levels of cytokines like IL-1β, IL-6, and TNF-α after spinal cord injury.

Research Summary

The study aimed to evaluate the effect of the CX3CR1 inhibitor AZD8797 in early recovery after acute SCI and elucidate its potential mechanism in blocking inflammation and apoptosis. AZD8797 improved locomotive recovery after 10 days of SCI and was as effective as methylprednisolone. The effect of AZD8797 was mediated by suppressing apoptosis, necrosis and inflammatory responses The current study has demonstrated that AZD8797 can effectively block overwhelming inflammation, apoptosis and necrosis after SCI and facilitate early recovery of locomotive function.

Practical Implications

Therapeutic Potential

AZD8797 shows promise as a therapeutic agent for spinal cord injury by promoting early recovery.

Targeted Intervention

Targeting the CX3CL1/CX3CR1 signaling pathway may offer a novel approach to reduce inflammation and cell death after SCI.

Clinical Translation

Further preclinical and clinical trials are warranted to assess the efficacy and safety of AZD8797 in humans with SCI.

Study Limitations

  • 1
    The study was conducted on rats, and results may not directly translate to humans.
  • 2
    Further investigation is required for elucidating the combined effect of CX3CL1/CX3CR1 signaling
  • 3
    The long-term effects of AZD8797 treatment were not assessed.

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