Abstract

Currently, the suppression of oxidative stress and inflammation is considered as the treatment targets of spinal cord injury due to their roles on the hindrance of recovery process. Since laser acupuncture decreased oxidative stress and enhanced the survival of neurons from oxidative stress damage and GV2 stimulation was selected as one stimulated acupoint in order to enhance the recovery of spinal cord injury, we hypothesized that laser acupuncture at GV2 should enhance the recovery of spinal cord injury. To test this hypothesis, male Wistar rats were induced spinal cord injury at T10 level and they were exposed to a 10 minute-stimulation at GV2 by yellow laser. Laser acupuncture was performed at 0.25 and 1, 2, 6, and 12 hours after spinal cord injury. Then, the stimulation was performed once daily for 7 days. Locomotor assessment was carried out on days 3 and 7 after injury. At the end of study period, the densities of polymorphonuclear of leukocyte, Bax, Caspase-3, Bcl-2, and BDNF positive stained cells in ventral horn of spinal cord were determined. Cyclooxygenase-2 (COX-2), interleukin-6 (IL-6), and oxidative stress status was also assessed. The results showed that laser acupuncture at GV2 increased BBB score, gross motor score, and densities of Bcl-2 and BDNF positive stained cells but decreased density with polymorphonuclear leukocyte, the densities of Bax and Caspase-3 positive stained cells, COX-2 level, and oxidative stress status in ventral horn of the lesion spinal cord. The reduction of serum COX-2 was also decreased. Therefore, GV2 stimulation by yellow laser might enhance the recovery of spinal cord via the increase in BDNF and the decrease in inflammation, apoptosis, and oxidative stress status in the lesion spinal cord.

Highlights

  • Traumatic spinal cord injury, one of the most devastating neurological disorders, produces the profound negative impacts on a patient’s life and socioeconomic burdens

  • It has been estimated that the global prevalence of spinal cord injury (SCI) each year is between 250 000 and 500 000 cases [2]

  • The current study has demonstrated that the stimulation of GV2 acupoint by yellow laser can enhance the structural lesion and functional recovery in spinal cord following traumatic cord injury

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Summary

Introduction

One of the most devastating neurological disorders, produces the profound negative impacts on a patient’s life and socioeconomic burdens. It has been reported that the annual Asian incidence is around 12.06 to 61.6 per million [1]. This rate is varied between developing and developed countries. SCI consists of 2 phases of injury including the primary and secondary injuries. Primary injury occurs as the result of the compression, contusion, stretching, or kinking of the spinal cord induced by mechanical insult [3]. Following this phase, secondary injury including inflammation, oxidative stress damage, and apoptosis occurs [4].

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