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  4. In vivo evaluation of microglia activation by intracranial iron overload in central pain after spinal cord injury

In vivo evaluation of microglia activation by intracranial iron overload in central pain after spinal cord injury

Journal of Orthopaedic Surgery and Research, 2017 · DOI: 10.1186/s13018-017-0578-z · Published: March 24, 2017

Spinal Cord InjuryImmunologyPain Management

Simple Explanation

Central pain (CP) is a common problem after spinal cord injury (SCI). This study looks at how iron overload in the brain and activation of microglia (a type of brain cell) might play a role in CP development after SCI. Rats with SCI were given different treatments: an iron-chelating agent, minocycline (a microglia inhibitor), or a nitric oxide synthase inhibitor. The researchers then measured pain behavior, iron levels, and signs of microglia activation in the rats' brains. The study found that SCI led to iron overload in certain brain regions, which then activated microglia. This activation seems to be linked to the NF-κB signaling pathway, which can cause inflammation and nerve damage, ultimately contributing to CP.

Study Duration
12 weeks
Participants
75 female Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    SCI induces intracranial iron overload, especially in the hindlimb sensory area, hippocampus, and thalamus.
  • 2
    Intracranial iron overload activates microglia via the NF-κB signaling pathway.
  • 3
    Treatment with an iron-chelating agent (DFX) or inhibitors of NF-κB or microglia can relieve CP resulting from SCI.

Research Summary

This study investigates the roles of iron overload and subsequent microglia activation in the remodeling of the brain after SCI. The results indicate that after SCI, activation of IRP can lead to intracranial iron overload, which activates microglia via the NF-κB signaling pathway. The proinflammatory cytokines secreted by these microglia causes neuronal damage and loss, leading to CP.

Practical Implications

Therapeutic Target Identification

Targeting iron overload and microglia activation could provide new avenues for treating central pain after spinal cord injury.

Pharmacological Interventions

Iron-chelating agents, NF-κB inhibitors, and microglia inhibitors may offer effective strategies for relieving CP in SCI patients.

Further Research Directions

Further research is required to fully elucidate the mechanisms of CP and explore additional therapeutic targets.

Study Limitations

  • 1
    Mechanisms of CP out of scope of this article.
  • 2
    Behavioristics and intracranial iron content analysis revealed that NOS inhibitors treatment was slightly better compared with iron chelator and the microglia activation inhibitors, although this difference was not statistically significant
  • 3
    Not specified

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