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  4. Bexarotene improves motor function after spinal cord injury in mice

Bexarotene improves motor function after spinal cord injury in mice

Neural Regeneration Research, 2023 · DOI: 10.4103/1673-5374.373676 · Published: December 1, 2023

Spinal Cord InjuryPharmacologyRegenerative Medicine

Simple Explanation

Spinal cord injuries (SCI) pose significant challenges due to the limited regenerative capacity of the central nervous system. Early intervention is crucial to prevent further damage. This study investigates the potential therapeutic effects of bexarotene (Bex) on SCI in mice. The study found that bexarotene treatment reduced collagen deposition and pathological neurons in the injured spinal cord. It also increased the number of nerve cell synapses, reduced oxidative stress, and inhibited pyroptosis, a form of cell death. These improvements were linked to the activation of autophagy, a cellular process that clears damaged components. Further experiments showed that bexarotene enhances the translocation of transcription factor E3 into the nucleus, which in turn activates signaling pathways that promote autophagy.

Study Duration
28 days
Participants
180 mice (C57BL/6J female, 20–30 g, 6–7 weeks old)
Evidence Level
Not specified

Key Findings

  • 1
    Bexarotene reduces collagen deposition and the number of pathological neurons in the injured spinal cord.
  • 2
    Bexarotene increases the number of synapses of nerve cells, reduces oxidative stress, and inhibits pyroptosis.
  • 3
    Bexarotene regulates nuclear translocation of transcription factor E3 through the AMP-activated protein kinase-S-phase kinase-associated protein 2-coactivator-associated arginine methyltransferase 1 and AMP-activated protein kinase-mammalian target of rapamycin signal pathways.

Research Summary

This study investigates the effects of bexarotene (Bex) on spinal cord injury (SCI) in mice. The researchers found that Bex treatment improved motor function recovery after SCI. Bex treatment was found to attenuate pyroptosis and enhance autophagy in the spinal cord after SCI. The study demonstrated that Bex reduces levels of reactive oxygen species (ROS) by activating mitophagy. The study found that Bex promotes TFE3 translocation into the nucleus through the AMPK-mTOR and AMPK-SKP2-CARM1 signaling pathways to enhance autophagy and mitophagy, inhibiting oxidative stress and pyroptosis in an SCI model.

Practical Implications

Potential Therapeutic Agent

Bexarotene may be a potential therapeutic agent for improving spinal cord survival and recovery after SCI.

Targeting Autophagy

The study suggests that targeting autophagy through bexarotene or similar compounds could be a promising strategy for treating SCI.

Clinical Application

Bexarotene has potential clinical application value after the necessary clinical trials are conducted.

Study Limitations

  • 1
    The effect of Bex on the recovery of sensory function was not examined.
  • 2
    Whether the effect of Bex is based on sex was not fully explored.
  • 3
    The exact mechanisms through which Bex activates the AMPK-mTOR and AMPK-SKP2-CARM1 pathways were not fully elucidated.

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