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  4. Catalytic antioxidant nanoparticles mitigate secondary injury progression and promote functional recovery in spinal cord injury model

Catalytic antioxidant nanoparticles mitigate secondary injury progression and promote functional recovery in spinal cord injury model

J Control Release, 2023 · DOI: 10.1016/j.jconrel.2023.10.028 · Published: December 1, 2023

Spinal Cord InjuryPharmacologyBiomedical

Simple Explanation

Traumatic spinal cord injury (SCI) involves primary and secondary injuries. Primary injury is caused by physical impact/trauma that immediately damages the spinal cord tissue at the impacted site. The initial injury rapidly activates progressive degenerative events known as “secondary injury” that expands the initial lesion site and, with time, affects the entire spinal cord [1]. An effective intervention that can interrupt the cascade of secondary injury progression and stabilize the injured spinal cord from progressive degeneration is sorely needed [3].

Study Duration
4 Weeks
Participants
Sprague-Dawley rats (male/female) 6 to 8 weeks old
Evidence Level
Not specified

Key Findings

  • 1
    a single dose of antioxidant NPs, administered intravenously three hours after injury, effectively restored the redox balance at the lesion site, interrupting the secondary injury progression.
  • 2
    This led to reduced spinal cord tissue inflammation, apoptosis, cavitation, and inhibition of syringomyelia.
  • 3
    the treatment reduced scar tissue forming collagen at the lesion site, protected axons from demyelination, and stimulated lesion healing

Research Summary

This study explored nanoparticles containing antioxidant enzymes (antioxidant NPs) to neutralize excess ROS at the lesion site and its impact. Overall data suggest that restoring the redox balance at the lesion site shifts the dynamics in the injured spinal cord microenvironment from degenerative to regenerative, potentially by promoting endogenous repair mechanisms. Antioxidant NPs show promise to be developed as an early therapeutic intervention in stabilizing injured spinal cord for enhanced recovery.

Practical Implications

Early Therapeutic Intervention

Antioxidant NPs can be developed as an early therapeutic intervention to stabilize the injured spinal cord.

Enhanced Functional Recovery

Treatment with antioxidant NPs leads to improved motor and sensory functions and rapid post-injury weight loss recovery.

Redox Balance Restoration

Restoring the redox balance at the lesion site shifts the dynamics in the injured spinal cord microenvironment from degenerative to regenerative.

Study Limitations

  • 1
    Further research is needed to fully elucidate the cellular and molecular mechanisms involved in the injured spinal cord microenvironment following treatment with antioxidant NPs
  • 2
    Determining the optimal treatment time window is crucial to assess the potential benefits of delayed intervention with antioxidant NPs
  • 3
    This study was not designed and powered to test the differences between the sexes

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