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Inhibition of Calpain in Rat Spinal Cord Ischemia-reperfusion Injury: Evaluation of Postinjury Intravenous E-64-D and Methylprednisolone
Views: | Article Submitted On: 09-01-2010 | Share This: |
Spinal cord injury (SCI) occurs in various countries throughout the world with an annual incidence of 15 to 40 cases per million. Most of them were uncompletely injury that had a continuous spinal cord axis-cylinder. The only pharmacologic treatment to dateknown to ameliorate neurologic dysfunction that occurs has been intravenous methylprednisolone. But the therapeutic efficacy was not been satisfactory. The expected resuit was not coinciden with the damaged condition. Most of them had a worse prognosis when considered with the primary injury. The reason was that acute SCI was a two-step process involving primary and secondary mechanisms. The primary mechanism involved the initial mechanical injury due to local deformation and energy transformation, whereas the secondary mechanism encompassed a cascade of biochemical and cellular processes that are initiated by the primary process and may cause ongoing cellular damage and even cell death. These kinds of progesses after primary was called second spinal cord injury (SSCI). It had been proved that hypoxia and ischemia in the epicenter and the adjacent tisue after acute spinal cord injury was a very important factor to SSCI. It was called vascular mechanism, including excitatory amino acids, inner opiate receptors, Free radical production, calcium, lipid peroxidation, Nitrogen monoxide, endothelins, vascular endothelial cell growth factor(VEGF)/ vascular permeability factor(VPF), platelet active factor(PAF),and so on. Excessive Ca2+ entry was thought as the common pathway in cell death of the nervous system. Calcium influx after ischemia and trauma may activate some proteinases, including calpain, a calcium-dependent neutral proteinase, which decompose the constructural proteins.To understand the most important of calpain in SSCI, we developed a spinal cord ischemia-reperfusion model in SD rat. The expression of calpain in the spinal cord was observed by immunohistochemistry stain. Western blot analysis was used to illustrated the calpain-special substrate 68-KD NFP. Apoptosis and other common pathological change were also studied. The functional score of hind-limp was measure to index the spinal function after ischemia-reperfusion. Intravenous administration of calpain-special inhibitor E-64-D or methylprednisolone postinjury were used as the experiment method to