The present study aimed to determine the occurrence of autophagy following ischemia/reperfusion (I/R) injury in the rat spinal cord and whether autophagy inhibition contributes to neural tissue damage and locomotor impairment. A spinal cord I/R model was induced via descending thoracic aorta occlusion for 10 min using systemic hypotension (40 mmHg) in adult male Sprague-Dawley rats. Then, 600 nmol 3-methyladenine (3-MA) or vehicle was intrathecally administered. Ultrastructural spinal cord changes were observed via transmission electron microscopy (TEM) and immunofluorescent double-labeling. Western blots were used to determine the protein expression of microtubule-associated protein light chain 3 (LC3) and Beclin 1. Spinal cord ischemia/reperfusion (I/R) injury may induce paralysis, which represents the underlying pathological cause of patient mortality and morbidity.1) Spinal cord I/R injury triggers pathophysiological changes that involve excitotoxicity, free radical production, inflammation, and apoptosis.2-4) In recent years, evidence has indicated that autophagy may play an important role in various spinal disease models, including spinal cord contusion injury, spinal cord hemisection injury, and cervical spondylotic myelopathy.5-7) However, the occurrence and role of autophagy in neural tissues following spinal cord I/R injury have not been clearly illustrated.Autophagy comprises an evolutionarily conserved process wherein damaged or dysfunctional cytoplasmic components undergo autophagosomal-lysosomal pathway clearance/degradation to facilitate the maintenance of homeostasis. 8,9) Microtubule-associated protein light chain 3 (LC3) and Beclin 1 are two key proteins involved in the autophagic cascade. LC3 occurs in cytosolic (LC3-I) and membrane-bound (LC3-II) forms, and the extent of autophagosome formation is correlated with the ratio of LC3-I to LC3-II conversion.
10)Beclin 1 is a mammalian homolog of yeast Atg6 that was initially described as a Bcl-2-interacting protein and has been demonstrated to promote autophagy. 11) Autophagy is activated during different stress responses, including starvation, oxidative stress, and hypoxia.12,13) Abnormal autophagy has been linked to many pathophysiological events and is involved in disease development.14) The presence of autophagosomes in dying cells indicates that autophagy may play a role in cell death (i.e., "autophagic cell death").15) Autophagy is a critical regulator of cell death and survival and interacts with necrosis and apoptosis in determining the outcome of injured cells. In recent years, the role of autophagy in the pathogenesis of cerebral ischemia had been clearly demonstrated. [16][17][18] Investigations of autophagy-related cures to alleviate the hardships of spinal I/R injury include interventions that attenuate the secondary injury cascade, enhance endogenous repair mechanisms, and replace lost cells.3-Methyladenine (3-MA) is a pharmacological inhibitor of autophagy. It blocks class III phosphoinositide 3-kinase (PI3K) to inhibit autophagosom...