Human recombinant erythropoietin improves motor function in rats with spinal cord compression-induced cervical myelopathy.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 10 03 2019
accepted: 12 11 2019
entrez: 11 12 2019
pubmed: 11 12 2019
medline: 25 3 2020
Statut: epublish

Résumé

Erythropoietin (EPO) is a clinically available hematopoietic cytokine. EPO has shown beneficial effects in the context of spinal cord injury and other neurological conditions. The aim of this study was to evaluate the effect of EPO on a rat model of spinal cord compression-induced cervical myelopathy and to explore the possibility of its use as a pharmacological treatment. To develop the compression-induced cervical myelopathy model, an expandable polymer was implanted under the C5-C6 laminae of rats. EPO administration was started 8 weeks after implantation of a polymer. Motor function of rotarod performance and grip strength was measured after surgery, and motor neurons were evaluated with H-E, NeuN and choline acetyltransferase staining. Apoptotic cell death was assessed with TUNEL and Caspase-3 staining. The 5HT, GAP-43 and synaptophysin were evaluated to investigate the protection and plasticity of axons. Amyloid beta precursor protein (APP) was assessed to evaluate axonal injury. To assess transfer of EPO into spinal cord tissue, the EPO levels in spinal cord tissue were measured with an ELISA for each group after subcutaneous injection of EPO. High-dose EPO maintained motor function in the compression groups. EPO significantly prevented the loss of motor neurons and significantly decreased neuronal apoptotic cells. Expression of 5HT and synaptophysin was significantly preserved in the EPO group. APP expression was partly reduced in the EPO group. The EPO levels in spinal cord tissue were significantly higher in the high-dose EPO group than other groups. EPO improved motor function in rats with compression-induced cervical myelopathy. EPO suppressed neuronal cell apoptosis, protected motor neurons, and induced axonal protection and plasticity. The neuroprotective effects were produced following transfer of EPO into the spinal cord tissue. These findings suggest that EPO has high potential as a treatment for degenerative cervical myelopathy.

Identifiants

pubmed: 31821342
doi: 10.1371/journal.pone.0214351
pii: PONE-D-19-06960
pmc: PMC6903714
doi:

Substances chimiques

EPO protein, human 0
Recombinant Proteins 0
Erythropoietin 11096-26-7

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0214351

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Takahiro Tanaka (T)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Hidetoshi Murata (H)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Ryohei Miyazaki (R)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Tetsuya Yoshizumi (T)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Mitsuru Sato (M)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Makoto Ohtake (M)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Kensuke Tateishi (K)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Phyo Kim (P)

Department of Neurosurgery, Dokkyo Medical University, Tochigi, Japan.

Tetsuya Yamamoto (T)

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

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