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  4. Xenon post-conditioning protects against spinal cord ischemia-reperfusion injury in rats by downregulating mTOR pathway and inhibiting endoplasmic reticulum stress-induced neuronal apoptosis

Xenon post-conditioning protects against spinal cord ischemia-reperfusion injury in rats by downregulating mTOR pathway and inhibiting endoplasmic reticulum stress-induced neuronal apoptosis

J South Med Univ, 2022 · DOI: 10.12122/j.issn.1673-4254.2022.08.20 · Published: August 1, 2022

Spinal Cord InjuryAnesthesiologyNeurology

Simple Explanation

This study investigates how xenon post-conditioning, a treatment given after a spinal cord injury, can protect the spinal cord in rats. The researchers focused on two pathways: the mTOR pathway and the endoplasmic reticulum stress (ERS)-apoptosis pathway. Rats were subjected to spinal cord ischemia-reperfusion injury (SCIRI), and then treated with either xenon, a drug called rapamycin (which inhibits the mTOR pathway), or both. The researchers then observed the rats' motor function and examined their spinal cord tissue. The study found that xenon post-conditioning improved motor function after SCIRI and reduced markers of ERS and apoptosis (cell death) in the spinal cord. The benefits of xenon were partially mediated by the mTOR pathway, suggesting it plays a role in spinal cord protection.

Study Duration
Not specified
Participants
50 male SD rats
Evidence Level
Level 2: Animal study

Key Findings

  • 1
    Xenon post-conditioning significantly improved hind limb motor function following SCIRI, as indicated by increased BBB and Tarlov scores.
  • 2
    Xenon post-conditioning decreased the mRNA and protein levels of ERS-related factors (GRP78, ATF6, IRE1α, PERK) and caspase-3 in rats with SCIRI.
  • 3
    Xenon post-conditioning reduced p-mTOR/mTOR and Bax/Bcl-2 ratios in rats with SCIRI, indicating downregulation of the mTOR pathway and inhibition of apoptosis.

Research Summary

This study aimed to determine the mechanism of xenon post-conditioning in treating spinal cord ischemia-reperfusion injury (SCIRI) in rats, focusing on the mTOR pathway and endoplasmic reticulum stress (ERS)-apoptosis pathway. The results showed that xenon post-conditioning improved motor function, reduced ERS markers and apoptosis, and downregulated the mTOR pathway, indicating a protective effect against SCIRI. The study concluded that xenon post-conditioning protects against SCIRI by inhibiting ERS and neuronal apoptosis, with the mTOR signaling pathway partially involved in this process.

Practical Implications

Therapeutic potential of Xenon

Xenon post-conditioning may be a potential therapeutic strategy for spinal cord protection after major vascular surgeries.

mTOR as a target

The mTOR pathway is identified as a potential therapeutic target for mitigating SCIRI.

Combination therapy

Combining xenon with mTOR inhibitors like rapamycin may provide synergistic protection against SCIRI.

Study Limitations

  • 1
    The study only assessed outcomes at a single time point (4 hours post-reperfusion), limiting the assessment of long-term effects of xenon.
  • 2
    The study focused on a limited number of UPR-related signaling pathways and did not explore other potential mechanisms of xenon's neuroprotective effects.
  • 3
    The study was conducted in vivo (animal model) and lacked in vitro cellular experiments to further elucidate the underlying mechanisms.

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