Journals / Turkish Neurosurgery / 2016 / Cilt: 26 - Sayı: 4

The Biochemical, Histopathological and Clinical Comparison of the Neuroprotective Effects of Subcutaneous Adalimumab and Intravenous Methylprednisolone in an Experimental Compressive Spinal Cord Trauma Model

Pages
622–631
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: This study revealed that adalimumab is as effective as methylprednisolone in compressive spinal cord injury in rats.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:AIM: To evaluate the neuroprotective effects of adalimumab in an experimental spinal cord injury model and compare them with those of the widely-used methylprednisolone.
📊
Key Findings & Data:Laminectomy and trauma was performed to the trauma group but no treatment was given. single dose of 40 mg/kg subcutaneous adalimumab was administered after the Iaminectomy and trauma to group 3. single dose of intravenous 30 mg/kg methylprednisolone was administered right after Iaminectomy and trauma to group 4.
💡
Conclusion & Impact:CONCLUSION: This study revealed that adalimumab is as effective as methylprednisolone in compressive spinal cord injury in rats.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

AIM: To evaluate the neuroprotective effects of adalimumab in an experimental spinal cord injury model and compare them with those of the widely-used methylprednisolone. MATERIAL and METHODS: Forty male Wistar rats were divided into as the sham, trauma, adalimumab, methylprednisolone, and adalimumab+methylprednisolone groups. Only Iaminectomy was performed in the sham group. Laminectomy and trauma was performed to the trauma group but no treatment was given. single dose of 40 mg/kg subcutaneous adalimumab was administered after the Iaminectomy and trauma to group 3. single dose of intravenous 30 mg/kg methylprednisolone was administered right after Iaminectomy and trauma to group 4. Single doses of 40 mg/kg adalimumab and 30 mg/kg methylprednisolone were administered together after Iaminectomy and trauma to group 5. Serum malondialdehyde (MDA), TNF-cı, IL-1B and IL—6 levels were measured and sections were obtained for histopathological study at the end of the 7‘h day. RESULTS: MDA, TNF-o, IL—1B and IL—6 levels in serum were significantly decreased in the adalimumab group with clinical and histopathological improvement not less than the methylprednisolone group. The serum MDA levels were similar when the two drugs were given together or separately but there was statistically quite significant decrease in TNF-a, IL-1B and IL—6 levels with concurrent use. Statistically significantly better results were obtained on histopathological evaluation with the use of both drugs together. CONCLUSION: This study revealed that adalimumab is as effective as methylprednisolone in compressive spinal cord injury in rats.

🔖

Cite This Article

ÇELİK, H., KARATAY, M., ERDEM, Y., YILDIRIM, A. E., SERTBAŞ, İ., KARATAY, E., KUL, H., GÜVENÇ, Y., KÖKSAL, İ., MENEKŞE, G., ALAGÖZ, F., KERTMEN, H. H., ÇAYDERE, M. (2016). The Biochemical, Histopathological and Clinical Comparison of the Neuroprotective Effects of Subcutaneous Adalimumab and Intravenous Methylprednisolone in an Experimental Compressive Spinal Cord Trauma Model. Turkish Neurosurgery, Cilt: 26 - Sayı: 4, 622–631. https://ajindex.com/articles/405392

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Agrawal SK, Nashmi R, Fehlings MG: Role of L-and N-type calcium channels in the pathophysiology of traumatic spinal cord white matter injury. Neuroscience 99:179-188, 2000
  2. Alexopoulou A, Koskinas J, Soultati A, Katsaounis P, Kilidireas K, Papageorgiou C, Antoniou C, Katsambas A, Archimandritis A: Acute bilateral phrenic neuropathy following treatment with adalimumab. Clin Rheumatol 28(11):1337-1340, 2009
  3. Anderson DK, Means ED, Waters TR, Green ES Microvascular perfusion and metabolism in injured spinal cord after methylprednisolone treatment. Neurosurg 56:106-113, 1982
  4. Aslan A, Cemek M, Eser O, Altunbaş K, Buyukokuroglu ME, Cosar M, Baş 0, Ela Y, Fidan H: Does dexmedetomidine reduce secondary damage after spinal cord injury? An experimental study. Eur Spine 8:336—344, 2009
  5. Bartholdi D, Schwab ME: Expression of pro—inflammatory cytokine and chemokine mRNA upon experimental spinal cord injury in mouse: An in situ hybridization study. Eur Neurosci 9(7):1422-1438,1997 Bracken MB: Steroids for acute spinal cord injury. Cochrane Database Syst Rev (3):CD001046,2002
  6. Bracken MB, Holford TR: Effects of timing of methylprednisolone or naloxone administration on recovery of segmental and long—tract neurological function in NASCIS 2. Neurosurg 79(4):500—507, 1993
  7. Bracken MB, Shepard MJ, Holford TR, Leo-Summers L, Aldrich EF, Fazl M, Fehlings MG, Herr DL, Hitchon PW, Marshall LF, Nockels RP, Pascale V, Perot PL Jr, Piepmeier JM, Sonntag VKH, Wagner F, Wilberger JE, Winn HR, Young W: Methylprednisolone or tirilazad mesylate administration after acute cord injury: 1—year follow—up—results of the third national acute cord injury study randomized controlled trial. Neurosurg 89: 699—706, 1998
  8. Can M, Gul S, Bektas S, Hancı V, Acıkgoz S: Effects of dexmedetomidine or methylprednisolone on inflammatory responses in spinal cord injury. Acta Anaesthesiol Scand 53(8):1068—1072, 2009
  9. Cheng H, Cao Y, Olson L: Spinal cord repair in adult paraplegic rats: Partial restoration of hind limb function. Science 273(5274):510—513, 1996
  10. Christie SD, Comeau B, Myers T, Sadi D, Purdy M, Mendez l: Duration of lipid peroxidation after acute spinal cord injury in rats and the effect of methylprednisolone. Neurosurg Focus 25(5):E5, 2008
  11. Chvatal SA, Kim YT, Bratt-Leal AM, Lee H, Bellamkonda RV: Spatial distribution and acute anti-inflammatory effects of methylprednisolone after sustained local delivery to the contused spinal cord. Biomaterials 29(12):1967-1975, 2008 Celik H. et al: Neuroprotective E