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  4. Ampakines Stimulate Diaphragm Activity after Spinal Cord Injury

Ampakines Stimulate Diaphragm Activity after Spinal Cord Injury

Journal of Neurotrauma, 2021 · DOI: 10.1089/neu.2021.0301 · Published: December 15, 2021

Spinal Cord InjuryPharmacologyPulmonology

Simple Explanation

This research investigates the potential of ampakines, drugs that enhance brain activity, to improve breathing after a spinal cord injury (SCI). SCI often impairs respiratory function, leading to difficulties in breathing, coughing, and physical exertion. The study uses a rat model of cervical SCI to test whether low doses of two specific ampakines (CX717 and CX1739) can increase diaphragm muscle activity, which is essential for breathing. The findings suggest that ampakines can indeed stimulate diaphragm activity after SCI, potentially offering a new pharmacological approach to aid respiratory rehabilitation.

Study Duration
Not specified
Participants
25 adult male and female Sprague–Dawley rats (SCI group), 7 adult male and female Sprague–Dawley rats (intact group)
Evidence Level
Level 2; Animal Study

Key Findings

  • 1
    Both CX717 and CX1739 increased diaphragm EMG output ipsilateral to C2Hx during both baseline breathing and acute respiratory challenge at 4 days post-injury.
  • 2
    At 14 days post-injury, both ampakines produced sustained increases in ipsilateral diaphragm EMG output and enabled increased output during the respiratory challenge.
  • 3
    CX1739-treated rats showed an increase in ipsilateral diaphragm EMGpeak activity that remained elevated up to 40 min after the hypoxia exposure.

Research Summary

This study demonstrates that low-dose ampakine treatment can effectively increase diaphragm EMG activity after cervical SCI in rats, suggesting a potential pharmacological strategy for respiratory rehabilitation. The therapeutic impact of ampakines extended beyond quiet breathing, as it was also evident during respiratory challenges requiring greater diaphragm activation. Combining low-dose ampakines with brief hypoxia exposure showed promise in facilitating diaphragm EMG output, supporting the potential for neurorehabilitation paradigms.

Practical Implications

Respiratory Rehabilitation

Ampakines could be used as a pharmacological strategy to improve breathing in individuals with cervical spinal cord injuries.

Enhanced Motor Drive

Ampakine-treated individuals may be better able to increase respiratory motor drive when faced with respiratory challenges.

Neurorehabilitation Paradigms

Pairing low-dose ampakines with brief hypoxia exposure could be a valuable approach in neurorehabilitation.

Study Limitations

  • 1
    The study was conducted on rats, so the results may not directly translate to humans.
  • 2
    The C2 spinal hemisection model (C2Hx) is a specific type of SCI, and the findings may not be generalizable to all SCI types.
  • 3
    The study did not investigate the long-term effects of ampakine treatment on diaphragm activity.

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