2015
DOI: 10.1159/000430107
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Dexmedetomidine Attenuates Blood-Spinal Cord Barrier Disruption Induced by Spinal Cord Ischemia Reperfusion Injury in Rats

Abstract: Background/Aims: Dexmedetomidine has beneficial effects on ischemia reperfusion (I/R) injury to the spinal cord, but the underlying mechanisms are not fully understood. This study investigated the effects and possible mechanisms of dexmedetomidine on blood-spinal cord barrier (BSCB) disruption induced by spinal cord I/R injury. Methods: Rats were intrathecally pretreated with dexmedetomidine or PBS control 30 minutes before undergoing 14-minute occlusion of aortic arch. Hind-limb motor function was assessed us… Show more

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Cited by 47 publications
(37 citation statements)
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“…The secretion of TNF-α as well as other cytokines had increased in response to stress and injury, indicating that these pathological situations may also have an effect on synaptic transmission [10]. Additionally, TNF-α induces over-expression of matrix metalloprotease 9 (MMP9) in localized cancer, and MMP9 can be reduced via dexmedetomidine preconditioning in rats with ischemia reperfusion injury [25, 26]. The involvement of TNF-α in inflammatory pain is particularly relevant in SCI-induced pain [27].…”
Section: Discussionmentioning
confidence: 99%
“…The secretion of TNF-α as well as other cytokines had increased in response to stress and injury, indicating that these pathological situations may also have an effect on synaptic transmission [10]. Additionally, TNF-α induces over-expression of matrix metalloprotease 9 (MMP9) in localized cancer, and MMP9 can be reduced via dexmedetomidine preconditioning in rats with ischemia reperfusion injury [25, 26]. The involvement of TNF-α in inflammatory pain is particularly relevant in SCI-induced pain [27].…”
Section: Discussionmentioning
confidence: 99%
“…[153] L-N G -Nitroarginine (L-NNA) nNOS inhibitor Long-term treatment with L-NNA attenuated SCI-induced NOS upregulation, BSCB breakdown, edema formation, and cell injury.…”
Section: Section 3 Therapeutic Approachesmentioning
confidence: 99%
“…A major pathological change in spinal cord I/R injury is BSCB disruption, which further leads to neurological deficit. As shown in our previous studies, strategies protecting BSCB integrity can improve neurological function [2-6]. …”
Section: Introductionmentioning
confidence: 86%