J Physiol, 2023 · DOI: 10.1113/JP283753 · Published: April 1, 2023
This study investigates bumetanide's effect on spinal inhibition after spinal cord injury (SCI), comparing it to step-training, which improves spinal inhibition by restoring chloride homeostasis. The research showed that bumetanide increased postsynaptic inhibition in SCI rats, hyperpolarizing the reversal potential for inhibitory postsynaptic potentials (IPSPs). However, in step-trained SCI rats, bumetanide decreased presynaptic inhibition, suggesting it might improve postsynaptic inhibition after SCI but hinder the recovery of presynaptic inhibition with step-training.
Bumetanide could be a viable option to improve postsynaptic inhibition after SCI.
Bumetanide decreases the recovery of presynaptic inhibition with step-training.
Future clinical trials should consider patients' levels of postsynaptic and presynaptic inhibition.