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  4. Altered oxidative stress and antioxidant defence in skeletal muscle during the first year following spinal cord injury

Altered oxidative stress and antioxidant defence in skeletal muscle during the first year following spinal cord injury

Physiol Rep, 2019 · DOI: 10.14814/phy2.14218 · Published: August 5, 2019

Spinal Cord InjuryGeneticsMusculoskeletal Medicine

Simple Explanation

This study investigates how spinal cord injury (SCI) affects oxidative stress, antioxidant capacity, and apoptotic signaling in skeletal muscle during the first year after injury. Oxidative stress, an imbalance between the production and removal of reactive oxygen species (ROS), is known to promote muscle atrophy. The researchers analyzed muscle biopsies from individuals with SCI at 1, 3, and 12 months post-injury, comparing them to able-bodied controls. They measured various markers related to ROS production, antioxidant defenses, and cell death pathways. The results suggest that SCI leads to increased ROS production and apoptosis in the early months after injury, followed by changes in antioxidant capacity and mitochondrial function later on. These findings provide insights into the mechanisms underlying muscle atrophy following SCI.

Study Duration
12 Months
Participants
7 spinal cord injured individuals and 7 able-bodied controls
Evidence Level
Not specified

Key Findings

  • 1
    Increased protein content of NADPH oxidase 2, xanthine oxidase, and pro-caspase-3 was observed at 1 and 3 months after spinal cord injury compared to able-bodied controls, suggesting increased ROS production and apoptotic signaling.
  • 2
    Total and reduced glutathione content, markers of antioxidant defense, were elevated at 1 and 3 months after SCI, indicating a compensatory response to increased ROS production.
  • 3
    At 12 months post-SCI, mitochondrial complexes and superoxide dismutase 2 protein content were decreased, while 4-hydroxynonenal protein adducts (a marker of lipid peroxidation) were increased, suggesting impaired mitochondrial function and increased oxidative damage in the later stages.

Research Summary

This study examined the effects of spinal cord injury (SCI) on oxidative stress and antioxidant defenses in human skeletal muscle over the first year post-injury. Muscle biopsies were analyzed at 1, 3, and 12 months after SCI, compared to able-bodied controls. The key findings indicate increased ROS production and apoptotic signaling in the early phase (1-3 months) after SCI, evidenced by elevated levels of NADPH oxidase 2, xanthine oxidase, and pro-caspase-3. This was accompanied by a rise in glutathione, an antioxidant, suggesting a compensatory response. In the later phase (12 months), the study observed decreased mitochondrial complexes and SOD2 protein content, along with increased 4HNE protein adducts, indicating mitochondrial dysfunction and increased oxidative damage. These findings provide insight into the temporal changes in ROS homeostasis following SCI.

Practical Implications

Rehabilitative Strategies

The findings suggest that rehabilitation strategies, especially in the early stages after SCI, need to consider the potential for exacerbating oxidative stress and muscle atrophy.

Antioxidant Therapies

The study highlights the potential for antioxidant therapies as adjuvant treatments in the early phase after SCI to mitigate oxidative stress and muscle wasting.

Targeted Interventions

Further research is needed to investigate the ROS-response to rehabilitative efforts and to develop targeted interventions that can improve outcomes following SCI.

Study Limitations

  • 1
    The relatively low number of participants might limit the detection of more subtle alterations.
  • 2
    The study did not control for the overall physical activity of able-bodied participants, which may account for some variation in the measured parameters.
  • 3
    The study acknowledges that more profound changes could precede the first 1-month biopsy, but obtaining biopsies at earlier time points was not feasible.

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