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The Overexpression of Insulin-Like Growth Factor-1 and Neurotrophin-3 Promote Functional Recovery and Alleviate Spasticity After Spinal Cord Injury

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单位: [1]Capital Med Univ, Sch Rehabil, Beijing, Peoples R China [2]China Rehabil Res Ctr, Dept Spinal & Neural Funct Reconstruct, Beijing, Peoples R China [3]Chinese Inst Rehabil Sci, Beijing, Peoples R China [4]Beijing Inst Brain Disorders, Ctr Neural Injury & Repair, Beijing, Peoples R China [5]Beijing Key Lab Neural Injury & Rehabil, Beijing, Peoples R China [6]Univ Hlth & Rehabil Sci, Sch Rehabil Sci & Engn, Qingdao, Peoples R China [7]Capital Med Univ, Beijing Friendship Hosp, Dept Urol, Beijing, Peoples R China [8]Beijing Sport Univ, Sch Sports Med & Rehabil, Beijing, Peoples R China [9]Cent South Univ, Xiangya Hosp, Dept Rehabil Med, Changsha, Peoples R China
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关键词: spinal cord injury nerve repair nerve growth factor NT-3 IGF-1 motor function recovery spasticity mechanical pain

摘要:
ObjectiveThis study was conducted to investigate the effects of the exogenous overexpression of nerve growth factors NT-3 and IGF-1 on the recovery of nerve function after spinal cord injury (SCI) and identify the potential mechanism involved. MethodsSixty-four female SD rats were randomly divided into four groups: an SCI group, an adeno-associated viral (AAV)-RFP and AAV-GFP injection group, an AAV-IGF-1 and AAV-NT-3 injection group, and a Sham group. After grouping, the rats were subjected to a 10-week electrophysiological and behavioral evaluation to comprehensively evaluate the effects of the intervention on motor function, spasticity, mechanical pain, and thermal pain. Ten weeks later, samples were taken for immunofluorescence (IF) staining and Western blot (WB) detection, focusing on the expression of KCC2, 5-HT2A, and 5-HT2C receptors in motor neurons and the spinal cord. ResultsElectrophysiological and behavioral data indicated that the AAV-IGF-1 and AAV-NT-3 groups showed better recovery of motor function (P < 0.05 from D14 compared with the AAV-RFP + AAV-GFP group; P < 0.05 from D42 compared with SCI group) and less spasticity (4-10 weeks, at 5 Hz all P < 0.05 compared with SCI group and AAV- RFP + AAV-GFP group) but with a trend for more pain sensitivity. Compared with the SCI group, the von Frey value result of the AAV-IGF-1 and AAV-NT-3 groups showed a lower pain threshold (P < 0.05 at 4-8 weeks), and shorter thermal pain threshold (P < 0.05 at 8-10 weeks). IF staining further suggested that compared with the SCI group, the overexpression of NT-3 and IGF-1 in the SCI-R + G group led to increased levels of KCC2 (p < 0.05), 5-HT2A (p < 0.05), and 5-HT2C (p < 0.001) in motor neurons. WB results showed that compared with the SCI group, the SCI-R + G group exhibited higher expression levels of CHAT (p < 0.01), 5-HT2A (p < 0.05), and 5-HT2C (p < 0.05) proteins in the L2-L6 lumbar enlargement. ConclusionData analysis showed that the overexpression of NT-3 and IGF-1 may improve motor function after SCI and alleviate spasms in a rat model; however, these animals were more sensitive to mechanical pain and thermal pain. These behavioral changes may be related to increased numbers of KCC2, 5-HT2A, and 5-HT2C receptors in the spinal cord tissue. The results of this study may provide a new theoretical basis for the clinical treatment of SCI.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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Q2 NEUROSCIENCES
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Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

第一作者:
第一作者单位: [1]Capital Med Univ, Sch Rehabil, Beijing, Peoples R China [2]China Rehabil Res Ctr, Dept Spinal & Neural Funct Reconstruct, Beijing, Peoples R China [3]Chinese Inst Rehabil Sci, Beijing, Peoples R China [4]Beijing Inst Brain Disorders, Ctr Neural Injury & Repair, Beijing, Peoples R China [5]Beijing Key Lab Neural Injury & Rehabil, Beijing, Peoples R China [6]Univ Hlth & Rehabil Sci, Sch Rehabil Sci & Engn, Qingdao, Peoples R China
通讯作者:
通讯机构: [1]Capital Med Univ, Sch Rehabil, Beijing, Peoples R China [2]China Rehabil Res Ctr, Dept Spinal & Neural Funct Reconstruct, Beijing, Peoples R China [3]Chinese Inst Rehabil Sci, Beijing, Peoples R China [4]Beijing Inst Brain Disorders, Ctr Neural Injury & Repair, Beijing, Peoples R China [5]Beijing Key Lab Neural Injury & Rehabil, Beijing, Peoples R China
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