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  4. Pre- and post-traumatic boric acid therapy prevents oxidative stress-mediated neuronal apoptosis in spinal cord injury

Pre- and post-traumatic boric acid therapy prevents oxidative stress-mediated neuronal apoptosis in spinal cord injury

Iranian Journal of Basic Medical Sciences, 2025 · DOI: https://dx.doi.org/10.22038/ ijbms.2024.81531.17649 · Published: April 1, 2025

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

Spinal cord injury (SCI) is a serious neurological problem that affects society physically, psychosocially, and economically. After SCI, increased ROS formation and also this imbalance between free radicals and antioxidants leads to the formation of oxidative stress, especially in lipids, proteins, and nucleic acids. Boric acid (BA) shows Lewis acid properties, forms complexes with glycoproteins and glycolipids containing hydroxyl groups, and has Ca+ chelator properties. It also has antioxidant, antiapoptotic, and anticancer properties as well as oxidative stress-reducing properties

Study Duration
Not specified
Participants
56 male mature Sprague Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    After SCI, oxidative stress markers, such as MDA, TOS, and OSI, and apoptosis markers Cytc and Casp3 showed an increase in levels compared to Group C.
  • 2
    The oxidative stress markers that increased after SCI decreased with BA+SCI application, while Cytc level, one of the apoptosis markers that increased after SCI, decreased in both groups with BA application.
  • 3
    Cell, myelin, ependymal damage, and hemorrhage levels increased after SCI compared to Group C. These histological markers increased after SCI and decreased after BA+SCI.

Research Summary

The study investigates the neuroprotective efficacy of pre- and post-traumatic applications of boric acid (BA) in rats with experimentally induced spinal cord injury (SCI). The results showed that BA administered before SCI (BA+SCI) was more effective in reducing oxidative stress and oxidative stress-induced apoptosis compared to the SCI group. The study concludes that boric acid might be effective as an antioxidative agent in SCI, especially with boric acid pre-treatment, although its antiapoptotic role is limited.

Practical Implications

Therapeutic Potential

Boric acid may have therapeutic potential as an antioxidative agent in spinal cord injury.

Timing of Treatment

Pre-treatment with boric acid before spinal cord injury appears to be more effective than post-treatment.

Mechanism Understanding

The study contributes to a better understanding of the mechanisms of oxidative stress and apoptosis in spinal cord injury and the potential role of boric acid in mitigating these processes.

Study Limitations

  • 1
    The antiapoptotic role of boric acid is limited.
  • 2
    Due to limited access to spinal cord tissue in experimental SCI, the number of groups was formed as n=14.
  • 3
    The exact mechanism of antioxidant and neuroprotective effects of BA has not yet been established.

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