Delayed atorvastatin delivery promotes recovery after experimental spinal cord injury

被引:0
作者
Buchl, Samuel C. [1 ]
Kim, Ha Neui [2 ]
Hur, Benjamin [3 ,4 ]
Simon, Whitney L. [1 ,2 ,5 ]
Langley, Monica R. [2 ,5 ]
Sung, Jaeyun [3 ,4 ,6 ]
Scarisbrick, Isobel A. [1 ,2 ,5 ]
机构
[1] Mayo Clin, Grad Sch Biomed Sci, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Phys Med & Rehabil, Rochester, MN 55905 USA
[3] Mayo Clin, Ctr Individualized Med, Microbi Program, Rochester, MN USA
[4] Mayo Clin, Dept Quantitat Hlth Sci, Div Computat Biol, Rochester, MN USA
[5] Mayo Clin, Ctr Multiple Sclerosis & Autoimmune Neurol, Rochester, MN 55905 USA
[6] Mayo Clin, Dept Med, Div Rheumatol, Rochester, MN USA
基金
美国国家卫生研究院;
关键词
Chronic spinal cord injury; Locomotor recovery; RNA sequencing; Spinal cord transcriptomics; Pathway analysis; BLOOD-BRAIN-BARRIER; FUNCTIONAL RECOVERY; DOWN-REGULATION; EXPRESSION; MODEL; CHOLESTEROL; DISEASE; UNC5C; RISK; SIMVASTATIN;
D O I
10.1016/j.neurot.2024.e00517
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spinal cord injury (SCI) significantly alters gene expression, potentially impeding functional recovery. This study investigated the effects of atorvastatin, a widely prescribed cholesterol-lowering drug, on gene expression and functional recovery in a chronic murine SCI model. Female C57BL/6J mice underwent moderate 0.25 mm lateral compression SCI and received daily atorvastatin (10 mg/kg) or vehicle-only injections from two weeks post-injury for four weeks. Sensorimotor functions were assessed using the Basso Mouse Scale (BMS), its subscore, and the inclined plane test. RNA sequencing of spinal cord tissues identified robust transcriptomic changes from SCI and a smaller subset from atorvastatin treatment. Atorvastatin enhanced sensorimotor recovery within two weeks of treatment initiation, with effects persisting to the experimental endpoint. Pathway analysis showed atorvastatin enriched neural regeneration processes including Fatty Acid Transport, Axon Guidance, and the Endocannabinoid Developing Neuron Pathway; improved mitochondrial function via increased TCA Cycle II and reduced Mitochondrial Dysfunction; and decreased Inhibition of Matrix Metalloproteases. Key gene drivers included Fabp7, Unc5c, Rest, and Klf4. Together, these results indicate atorvastatin's potential in chronic SCI recovery, especially where already indicated for cardiovascular protection.
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页数:13
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  • [1] Gu Q., Prescription cholesterol-lowering medication use in adults aged 40 and over: United States, 2003-2012, (2014)
  • [2] Sillesen H., Amarenco P., Hennerici M.G., Callahan A., Goldstein L.B., Zivin J., Et al., Atorvastatin reduces the risk of cardiovascular events in patients with carotid atherosclerosis: a secondary analysis of the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial, Stroke, 39, pp. 3297-3302, (2008)
  • [3] Sever P.S., Dahlof B., Poulter N.R., Wedel H., Beevers G., Caulfield M., Et al., Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial—lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial, Lancet, 361, pp. 1149-1158, (2003)
  • [4] Collins R., Reith C., Emberson J., Armitage J., Baigent C., Blackwell L., Et al., Interpretation of the evidence for the efficacy and safety of statin therapy, Lancet, 388, pp. 2532-2561, (2016)
  • [5] Heidenreich P.A., Trogdon J.G., Khavjou O.A., Butler J., Dracup K., Ezekowitz M.D., Et al., Forecasting the future of cardiovascular disease in the United States, Circulation, 123, pp. 933-944, (2011)
  • [6] Hasan A., Ramphul K., Ahmed R., Farhan M., Hassan A., dachepally R., Et al., Abstract 14020: five-year trends in risk factors for cardiovascular disease among adolescents in the United States, Circulation, 148, (2023)
  • [7] Bauman W.A., Spungen A.M., Coronary heart disease in individuals with spinal cord injury: assessment of risk factors, Spinal Cord, 46, pp. 466-476, (2008)
  • [8] Saunders L.L., Clarke A., Tate D.G., Forchheimer M., Krause J.S., Lifetime prevalence of chronic health conditions among persons with spinal cord injury, Arch Phys Med Rehabil, 96, pp. 673-679, (2015)
  • [9] Aidinoff E., Bluvshtein V., Bierman U., Gelernter I., Front L., Catz A., Coronary artery disease and hypertension in a non-selected spinal cord injury patient population, Spinal Cord, 55, pp. 321-326, (2016)
  • [10] Stillman M.D., Aston C.E., Rabadi M.H., Mortality benefit of statin use in traumatic spinal cord injury: a retrospective analysis, Spinal Cord, 54, pp. 298-302, (2015)