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  4. Astaxanthin promotes locomotor function recovery and attenuates tissue damage in rats following spinal cord injury: a systematic review and trial sequential analysis

Astaxanthin promotes locomotor function recovery and attenuates tissue damage in rats following spinal cord injury: a systematic review and trial sequential analysis

Frontiers in Neuroscience, 2023 · DOI: 10.3389/fnins.2023.1255755 · Published: October 10, 2023

Spinal Cord InjuryPharmacologyNeurology

Simple Explanation

Spinal cord injury (SCI) is a devastating condition with limited therapeutic options, and oxidative stress plays a critical role in its pathology. Astaxanthin (AST), a natural antioxidant, is being explored for its potential in treating SCI due to its anti-inflammatory and anti-apoptotic properties. This review evaluates the neurobiological roles of AST in treating SCI in rats and its potential for clinical application, focusing on its efficacy, safety, and mechanism of action.

Study Duration
Not specified
Participants
Laboratory rats subjected to SCI
Evidence Level
Systematic Review

Key Findings

  • 1
    AST treatment in rats with SCI shows increased Basso, Beattie, and Bresnahan (BBB) scores, indicating improved locomotor function recovery compared to controls.
  • 2
    AST treatment is associated with improved outcomes in spared white matter area, motor neuron survival, and modulation of SOD and MDA levels.
  • 3
    Trial sequential analysis confirms that AST can facilitate locomotor recovery in rats following SCI, suggesting its potential as a candidate for clinical trials.

Research Summary

This review assesses the potential of astaxanthin (AST) for treating spinal cord injury (SCI) in rats, focusing on neurological roles and clinical translation potential. Meta-analyses revealed that AST treatment is associated with improved Basso, Beattie, and Bresnahan (BBB) scores and other outcomes such as spared white matter area, motor neuron survival, and SOD and MDA levels. The review suggests that AST modulates oxidative stress, neuroinflammation, neuron loss, and autophagy via multiple signaling pathways, making it a promising candidate for future SCI clinical trials.

Practical Implications

Clinical trials for SCI

AST shows promise as a therapeutic candidate for future clinical trials in spinal cord injury.

Neuroprotective agent

AST can be considered as a potential natural neuroprotective agent for SCI treatment.

Further Research Needed

Extensive pre-clinical studies are needed to fully elucidate the mechanisms of AST on SCI.

Study Limitations

  • 1
    Limited number of included studies challenges results.
  • 2
    Substantial heterogeneity between studies.
  • 3
    Potential risk of bias within included studies.

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