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  4. The Impact of Hyperbaric Oxygen Therapy on Functional and Structural Plasticity in Rats With Spinal Cord Injury

The Impact of Hyperbaric Oxygen Therapy on Functional and Structural Plasticity in Rats With Spinal Cord Injury

Brain and Behavior, 2024 · DOI: https://doi.org/10.1002/brb3.70196 · Published: November 23, 2024

Spinal Cord InjuryPharmacologyNeurology

Simple Explanation

Spinal cord injury (SCI) can result in sensory and locomotor function loss below the injured segment. Hyperbaric oxygen therapy (HBOT) has been proven to alleviate SCI. This study aims to establish a reproducible rat model of SCI and investigate the impact of HBOT on alterations in brain neuronal activity and neuromotor function in this experimental rat SCI model using resting-state functional magnetic resonance imaging (rs-fMRI). Following SCI, reduced ReHo values were observed in the left primary somatosensory cortex, left striatum, right agranular insular cortex, and partial cortex in the limbic system, which was reversed after HBOT. By histopathological analysis, our study found that HBOT could reduce apoptotic proteins, increase the number of neurons, and protect neuronal function in brain regions with significant ReHo and FC alteration in SCI rats.

Study Duration
Not specified
Participants
27 female SD rats
Evidence Level
Level 1, Prospective randomized controlled animal trial

Key Findings

  • 1
    Following SCI, reduced ReHo values were observed in the left primary somatosensory cortex, left striatum, right agranular insular cortex, and partial cortex in the limbic system, which was reversed after HBOT.
  • 2
    HBOT could increase FC strength between the motor cortex and other brain regions, including the left secondary motor cortex, right basal forebrain region, bilateral primary somatosensory cortex, bilateral thalamus, and another partial cortex in the limbic system.
  • 3
    By histopathological analysis, our study found that HBOT could reduce apoptotic proteins, increase the number of neurons, and protect neuronal function in brain regions with significant ReHo and FC alteration in SCI rats.

Research Summary

This study reveals that HBOT facilitates functional and structural plasticity in the brain, contributing to the recovery of motor function in rats with SCI. Following SCI, reduced ReHo values were observed in the left primary somatosensory cortex, left striatum, right agranular insular cortex, and partial cortex in the limbic system, which was reversed after HBOT. BBB scale scores showed that HBOT promoted motor function recovery in SCI rats. The ReHo and FC values in all positive clusters were positively correlated with BBB scores.

Practical Implications

Clinical Translation Potential

The study provides evidence for the potential of HBOT as an adjunctive therapy for SCI, which could improve motor function recovery.

Understanding Neuroplasticity

The findings shed light on the mechanisms by which HBOT induces functional and structural plasticity in the brain following SCI, potentially informing future therapeutic strategies.

Biomarker Identification

The correlation between ReHo/FC values and BBB scores suggests that these neuroimaging measures could serve as biomarkers for assessing the effectiveness of HBOT and monitoring recovery in SCI patients.

Study Limitations

  • 1
    Relatively small sample size
  • 2
    Limited investigation into different HBO treatment protocols
  • 3
    Scope for integrating advanced neuroimaging techniques and molecular assays

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