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  4. Research progress on the inhibition of oxidative stress by teriparatide in spinal cord injury

Research progress on the inhibition of oxidative stress by teriparatide in spinal cord injury

Frontiers in Neurology, 2024 · DOI: 10.3389/fneur.2024.1358414 · Published: April 22, 2024

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

Spinal cord injury (SCI) leads to further damage through a cascade of reactions, including oxidative stress. This involves an imbalance of free radicals, causing nerve cell death and tissue damage. Teriparatide, a drug used for osteoporosis, has shown potential in counteracting oxidative stress. Research is exploring its therapeutic role in SCI by targeting oxidative stress-related mechanisms. The review discusses how teriparatide may protect nerve cells by activating the Nrf2 pathway, which reduces oxidative stress and promotes neuronal repair after SCI.

Study Duration
Not specified
Participants
40 SCI patients in one study, animal models in others
Evidence Level
Review

Key Findings

  • 1
    Oxidative stress is a key factor in the secondary pathological process of SCI, leading to nerve cell death and tissue damage due to excessive free radicals.
  • 2
    The Nrf2/ARE signaling pathway plays a neuroprotective role in the early stages of SCI by reducing or eliminating ROS and reducing cell oxidative stress.
  • 3
    Teriparatide can activate the Nrf2 pathway, increasing the expression of antioxidant proteins like HO-1 and SOD2, thus inhibiting oxidative stress and improving nerve function.

Research Summary

This review summarizes the pathological mechanisms of oxidative stress in SCI and the connection with teriparatide, exploring teriparatide's therapeutic potential. Oxidative stress in SCI involves an imbalance between oxidation and antioxidant systems, leading to overproduction of ROS and damage to nerve cells. Teriparatide, known for bone metabolism regulation, shows promise in counteracting oxidative stress by activating the Nrf2 pathway.

Practical Implications

Potential Therapeutic Target

Teriparatide, through its effects on the Nrf2 pathway, may represent a novel therapeutic approach for mitigating oxidative stress in SCI.

Neuroprotection

Activating the Nrf2/ARE signaling pathway can protect neurons from oxidative damage, potentially improving neurological functions after SCI.

Further Research

Further studies are needed to validate the specific mechanisms by which teriparatide impacts the pathological processes of SCI via the Nrf2 pathway.

Study Limitations

  • 1
    The exact role of PTH in the SCI process remains unclear.
  • 2
    Current research on teriparatide in SCI mainly focuses on bone metabolism.
  • 3
    There are no reports on its effects on neurological function.

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