Abstract

BackgroundIschemia-reperfusion injury of the spinal cord (SCII) often leads to unalterable neurological deficits, which may be associated with apoptosis induced by oxidative stress and inflammation. Astaxanthin (AST) is a strong antioxidant and anti-inflammatory agent with multitarget neuroprotective effects. This study aimed to investigate the potential therapeutic effects of AST for SCII and the molecular mechanism.MethodsRat models of SCII with abdominal aortic occlusion for 40 min were carried out to investigate the effects of AST on the recovery of SCII. Tarlov’s scores were used to assess the neuronal function; HE and TUNEL staining were used to observe the pathological morphology of lesions. Neuron oxidative stress and inflammation were measured using commercial detection kits. Flow cytometry was conducted to assess the mitochondrial swelling degree. Besides, Western blot assay was used to detect the expression of PI3K/Akt/GSK-3β pathway-related proteins, as well as NOX2 and NLRP3 proteins.ResultsThe results demonstrated that AST pretreatment promoted the hind limb motor function recovery and alleviated the pathological damage induced by SCII. Moreover, AST significantly enhanced the antioxidative stress response and attenuated mitochondrial swelling. However, AST pretreatment hardly inhibited the levels of proinflammatory cytokines after SCII. Most importantly, AST activated p-Akt and p-GSK-3β expression levels. Meanwhile, cotreatment with LY294002 (a PI3K inhibitor) was found to abolish the above protective effects observed with the AST pretreatment.ConclusionOverall, these results suggest that AST pretreatment not only mitigates pathological tissue damage but also effectively improves neural functional recovery following SCII, primarily by alleviating oxidative stress but not inhibiting inflammation. A possible underlying molecular mechanism of AST may be mainly attributed to the activation of PI3K/Akt/GSK-3β pathway.

Highlights

  • Delayed postoperative paraplegia induced by spinal cord ischemia-reperfusion injury (SCII) is still one of the critical severe and catastrophic complications of Numerous studies have demonstrated that, following the primary mechanical injury to the spinal cord, Fu et al Journal of Orthopaedic Surgery and Research (2020) 15:275 oxidative stress occurs that destroys the normal balance of redox states and contributes to the production of reactive oxygen species (ROS) [3, 4]

  • The current study indicated that AST pretreatment attenuates SCII injury via activation of the oxidative stress-mediated phosphoinositide 3-kinases (PI3K)/Protein kinase B (Akt)/GSK-3β pathway

  • AST improved SCII-induced hind limb motor function deficit To evaluate the effect of AST on functional recovery in SCII rats, hind limb motor function was recorded using the Tarlov scoring system (Fig. 1)

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Summary

Introduction

Delayed postoperative paraplegia induced by spinal cord ischemia-reperfusion injury (SCII) is still one of the critical severe and catastrophic complications of Numerous studies have demonstrated that, following the primary mechanical injury to the spinal cord, Fu et al Journal of Orthopaedic Surgery and Research (2020) 15:275 oxidative stress occurs that destroys the normal balance of redox states and contributes to the production of reactive oxygen species (ROS) [3, 4]. The maturation and secretion of proinflammatory cytokines require the activation of caspase-1, which together with the activation of the NLRP3 inflammasome, induces the inflammatory cascade and subsequently recruits apoptosis-associated proteins [9]. Ischemia-reperfusion injury of the spinal cord (SCII) often leads to unalterable neurological deficits, which may be associated with apoptosis induced by oxidative stress and inflammation. This study aimed to investigate the potential therapeutic effects of AST for SCII and the molecular mechanism

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