open access

Vol 78, No 4 (2019)
Original article
Submitted: 2019-02-20
Accepted: 2019-03-13
Published online: 2019-04-03
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Neuroprotective effects of allopurinol on spinal cord injury in rats: a biochemical and immunohistochemical study

M. Baloğlu1, E. Gökalp Özkorkmaz2
·
Pubmed: 30949995
·
Folia Morphol 2019;78(4):676-683.
Affiliations
  1. Department of Physiotherapy, Diyarbakir Gazi Yasargil Education and Research Hospital, Diyarbakir, Türkiye
  2. Department of Histology and Embryology, Dicle University, School of Medicine, Diyarbakır, Türkiye

open access

Vol 78, No 4 (2019)
ORIGINAL ARTICLES
Submitted: 2019-02-20
Accepted: 2019-03-13
Published online: 2019-04-03

Abstract

Background: Lesion in spinal cord causes a cascade of events such as the apoptosis of neurons and eventually, neurological dysfunction. Neurologic damage developing after acute spinal cord injury is also related with necrosis and free radical formation. Allopurinol, a xanthine oxidase inhibitor, was shown to have protective effects in several studies. B-cell lymphoma 2 (Bcl-2) family proteins regulate apoptosis. Apoptosis causes the death of neuronal cells, particularly neurons and oligodendrocytes in the spinal cord after lesion. Glial fibrillary acidic protein (GFAP) takes part in astrocyte and neuronal interconnection and synaptic transmission. Materials and methods: Male Sprague Dawley rats (n = 30) were divided as control, trauma, and trauma + allopurinol (i.p., 50 mg/kg of body weight) groups. Animals were applied a surgical procedure causing spinal cord injury and treated for 7 days then sacrificed under anaesthesia. The spinal cords were dissected, measurements of myeloperoxidase, malondialdehyde and glutathione were performed, remaining parts were fixed in 10% formaldehyde solution for histological and immunohistochemical evaluations. Results: Biochemical results exhibited an increase in myeloperoxidase levels in trauma group but a decrease in the allopurinol treatment group similar to malondialdehyde levels. Degenerative changes in multipolar and bipolar neurons together with apoptotic changes in some glial cells were observed in the trauma group whereas, mild degenerative changes were observed after allopurinol treatment. In the trauma group, negative GFAP expression in multipolar versus bipolar neuronal processes with a reduction in glial processes around blood vessels and positive GFAP expression were observed but, a regular and parallel positive GFAP expression of glial processes around blood vessels in the allopurinol treated group was apparent. Trauma group depicted a positive Bcl-2 expression in glial cells and in motor and bipolar neurons. On the contrary, negative Bcl-2 expression was noticed in the trauma + allopurinol group. Conclusions: This study is of importance to understand the effects of allopurinol in preventing degenerative changes in nerve and glial cells related to spinal cord injuries.

Abstract

Background: Lesion in spinal cord causes a cascade of events such as the apoptosis of neurons and eventually, neurological dysfunction. Neurologic damage developing after acute spinal cord injury is also related with necrosis and free radical formation. Allopurinol, a xanthine oxidase inhibitor, was shown to have protective effects in several studies. B-cell lymphoma 2 (Bcl-2) family proteins regulate apoptosis. Apoptosis causes the death of neuronal cells, particularly neurons and oligodendrocytes in the spinal cord after lesion. Glial fibrillary acidic protein (GFAP) takes part in astrocyte and neuronal interconnection and synaptic transmission. Materials and methods: Male Sprague Dawley rats (n = 30) were divided as control, trauma, and trauma + allopurinol (i.p., 50 mg/kg of body weight) groups. Animals were applied a surgical procedure causing spinal cord injury and treated for 7 days then sacrificed under anaesthesia. The spinal cords were dissected, measurements of myeloperoxidase, malondialdehyde and glutathione were performed, remaining parts were fixed in 10% formaldehyde solution for histological and immunohistochemical evaluations. Results: Biochemical results exhibited an increase in myeloperoxidase levels in trauma group but a decrease in the allopurinol treatment group similar to malondialdehyde levels. Degenerative changes in multipolar and bipolar neurons together with apoptotic changes in some glial cells were observed in the trauma group whereas, mild degenerative changes were observed after allopurinol treatment. In the trauma group, negative GFAP expression in multipolar versus bipolar neuronal processes with a reduction in glial processes around blood vessels and positive GFAP expression were observed but, a regular and parallel positive GFAP expression of glial processes around blood vessels in the allopurinol treated group was apparent. Trauma group depicted a positive Bcl-2 expression in glial cells and in motor and bipolar neurons. On the contrary, negative Bcl-2 expression was noticed in the trauma + allopurinol group. Conclusions: This study is of importance to understand the effects of allopurinol in preventing degenerative changes in nerve and glial cells related to spinal cord injuries.

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Keywords

allopurinol, glial fibrillary acidic protein, B-cell lymphoma 2, spinal cord injury, rat

About this article
Title

Neuroprotective effects of allopurinol on spinal cord injury in rats: a biochemical and immunohistochemical study

Journal

Folia Morphologica

Issue

Vol 78, No 4 (2019)

Article type

Original article

Pages

676-683

Published online

2019-04-03

Page views

1624

Article views/downloads

1071

DOI

10.5603/FM.a2019.0036

Pubmed

30949995

Bibliographic record

Folia Morphol 2019;78(4):676-683.

Keywords

allopurinol
glial fibrillary acidic protein
B-cell lymphoma 2
spinal cord injury
rat

Authors

M. Baloğlu
E. Gökalp Özkorkmaz

References (44)
  1. Abrams GM, Ganguly K. Management of chronic spinal cord dysfunction. Continuum (Minneap Minn). 2015; 21(1 Spinal Cord Disorders): 188–200.
  2. Abrams MB, Nilsson I, Lewandowski SA, et al. Imatinib enhances functional outcome after spinal cord injury. PLoS One. 2012; 7(6): e38760.
  3. Ahuja CS, Wilson JR, Nori S, et al. Traumatic spinal cord injury. Nat Rev Dis Primers. 2017; 3: 17018.
  4. Akdemir H, Aşik Z, Paşaoğlu H, et al. The effect of allopurinol on focal cerebral ischaemia: an experimental study in rabbits. Neurosurg Rev. 2001; 24(2-3): 131–135.
  5. Anderson DK, Means ED, Waters TR, et al. Microvascular perfusion and metabolism in injured spinal cord after methylprednisolone treatment. J Neurosurg. 1982; 56(1): 106–113.
  6. Baloğlu M, Çetin A, Tuncer MC. Neuroprotective effects of Potentilla fulgens on spinal cord injury in rats: an immunohistochemical analysis. Folia Morphol. 2018 [Epub ahead of print]; 78(1): 1–7.
  7. Berry CE, Hare JM. Xanthine oxidoreductase and cardiovascular disease: molecular mechanisms and pathophysiological implications. J Physiol. 2004; 555(Pt 3): 589–606.
  8. Canbaz S, Duran E, Ege T, et al. The effects of intracoronary administration of vitamin E on myocardial ischemia-reperfusion injury during coronary artery surgery. Thorac Cardiovasc Surg. 2003; 51(2): 57–61.
  9. Chen MH, Ren QX, Yang WF, et al. Influences of HIF-lα on Bax/Bcl-2 and VEGF expressions in rats with spinal cord injury. Int J Clin Exp Pathol. 2013; 6(11): 2312–2322.
  10. Christie SD, Comeau B, Myers T, et al. Duration of lipid peroxidation after acute spinal cord injury in rats and the effect of methylprednisolone. Neurosurg Focus. 2008; 25(5): E5.
  11. del Rayo Garrido M, Silva-García R, García E, et al. Therapeutic window for combination therapy of A91 peptide and glutathione allows delayed treatment after spinal cord injury. Basic Clin Pharmacol Toxicol. 2013; 112(5): 314–318.
  12. DeRuisseau LR, Recca DM, Mogle JA, et al. Metallothionein deficiency leads to soleus muscle contractile dysfunction following acute spinal cord injury in mice. Am J Physiol Regul Integr Comp Physiol. 2009; 297(6): R1795–R1802.
  13. Erkut B, Özyazıcıoğlu A, Karapolat BS, et al. Effects of ascorbic Acid, alpha-tocopherol and allopurinol on ischemia-reperfusion injury in rabbit skeletal muscle: an experimental study. Drug Target Insights. 2007; 2: 249–258.
  14. Farquharson CAJ, Butler R, Hill A, et al. Allopurinol improves endothelial dysfunction in chronic heart failure. Circulation. 2002; 106(2): 221–226.
  15. Fouad K, Tetzlaff W. Rehabilitative training and plasticity following spinal cord injury. Exp Neurol. 2012; 235(1): 91–99.
  16. Genovese T, Esposito E, Mazzon E, et al. Absence of endogenous interleukin-10 enhances secondary inflammatory process after spinal cord compression injury in mice. J Neurochem. 2009; 108(6): 1360–1372.
  17. Hausmann R, Riess R, Fieguth A, et al. Immunohistochemical investigations on the course of astroglial GFAP expression following human brain injury. Int J Legal Med. 2000; 113(2): 70–75.
  18. Hillegass LM, Griswold DE, Brickson B, et al. Assessment of myeloperoxidase activity in whole rat kidney. J Pharmacol Methods. 1990; 24(4): 285–295.
  19. Hirose K, Okajima K, Taoka Y, et al. Activated protein C reduces the ischemia/reperfusion-induced spinal cord injury in rats by inhibiting neutrophil activation. Ann Surg. 2000; 232(2): 272–280.
  20. Işik N, Berkman MZ, Pamir MN, et al. Effect of allopurinol in focal cerebral ischemia in rats: an experimental study. Surg Neurol. 2005; 64 Suppl 2: S5–10.
  21. Jia YF, Gao HL, Ma LJ, et al. Effect of nimodipine on rat spinal cord injury. Genet Mol Res. 2015; 14(1): 1269–1276.
  22. McCall MA, Gregg RG, Behringer RR, et al. Targeted deletion in astrocyte intermediate filament (Gfap) alters neuronal physiology. Proc Natl Acad Sci U S A. 1996; 93(13): 6361–6366.
  23. Missler U, Wiesmann M, Wittmann G, et al. Measurement of glial fibrillary acidic protein in human blood: analytical method and preliminary clinical results. Clin Chem. 1999; 45(1): 138–141.
  24. Moonen G, Satkunendrarajah K, Wilcox JT, et al. A New Acute Impact-Compression Lumbar Spinal Cord Injury Model in the Rodent. J Neurotrauma. 2016; 33(3): 278–289.
  25. Moorhouse PC, Grootveld M, Halliwell B, et al. Allopurinol and oxypurinol are hydroxyl radical scavengers. FEBS Lett. 1987; 213(1): 23–28.
  26. Pacher P, Nivorozhkin A, Szabó C. Therapeutic effects of xanthine oxidase inhibitors: renaissance half a century after the discovery of allopurinol. Pharmacol Rev. 2006; 58(1): 87–114.
  27. Palmer C, Towfighi J, Roberts RL, et al. Allopurinol administered after inducing hypoxia-ischemia reduces brain injury in 7-day-old rats. Pediatr Res. 1993; 33(4 Pt 1): 405–411.
  28. Pea F. Pharmacology of drugs for hyperuricemia. Mechanisms, kinetics and interactions. Contrib Nephrol. 2005; 147: 35–46.
  29. Reed JC. Bcl-2 and the regulation of programmed cell death. J Cell Biol. 1994; 124(1-2): 1–6.
  30. Ren Yi, Young W. Managing inflammation after spinal cord injury through manipulation of macrophage function. Neural Plast. 2013; 2013: 945034.
  31. Rodríguez-Fanjul J, Durán Fernández-Feijóo C, Lopez-Abad M, et al. Neuroprotection with hypothermia and allopurinol in an animal model of hypoxic-ischemic injury: Is it a gender question? PLoS One. 2017; 12(9): e0184643.
  32. Roseborough G, Gao D, Chen L, et al. The mitochondrial K-ATP channel opener, diazoxide, prevents ischemia-reperfusion injury in the rabbit spinal cord. Am J Pathol. 2006; 168(5): 1443–1451.
  33. Savas M, Verit A, Ciftci H, et al. Oxidative stress in BPH. JNMA J Nepal Med Assoc. 2009; 48(173): 41–45.
  34. Shen LF, Cheng H, Tsai MC, et al. PAL31 may play an important role as inflammatory modulator in the repair process of the spinal cord injury rat. J Neurochem. 2009; 108(5): 1187–1197.
  35. Silva NA, Sousa N, Reis RL, et al. From basics to clinical: a comprehensive review on spinal cord injury. Prog Neurobiol. 2014; 114: 25–57.
  36. Sofroniew MV, Vinters HV. Astrocytes: biology and pathology. Acta Neuropathol. 2010; 119(1): 7–35.
  37. Soloniuk DS, Perkins E, Wilson JR. Use of allopurinol and deferoxamine in cellular protection during ischemia. Surg Neurol. 1992; 38(2): 110–113.
  38. Stone PH. Allopurinol a new anti-ischemic role for an old drug. J Am Coll Cardiol. 2011; 58(8): 829–830.
  39. Talwar S, Sandeep JA, Choudhary SK, et al. Effect of preoperative administration of allopurinol in patients undergoing surgery for valvular heart diseases. Eur J Cardiothorac Surg. 2010; 38(1): 86–90.
  40. Terada LS, Willingham IR, Rosandich ME, et al. Generation of superoxide anion by brain endothelial cell xanthine oxidase. J Cell Physiol. 1991; 148(2): 191–196.
  41. Terkeltaub R. Gout. Novel therapies for treatment of gout and hyperuricemia. Arthritis Res Ther. 2009; 11(4): 236.
  42. Toklu HZ, Hakan T, Celik H, et al. Neuroprotective effects of alpha-lipoic acid in experimental spinal cord injury in rats. J Spinal Cord Med. 2010; 33(4): 401–409.
  43. Wu Y, Yang L, Mei X, et al. Selective inhibition of STAT1 reduces spinal cord injury in mice. Neurosci Lett. 2014; 580: 7–11.
  44. Yu HM, Yuan TM, Gu WZ, et al. Expression of glial fibrillary acidic protein in developing rat brain after intrauterine infection. Neuropathology. 2004; 24(2): 136–143.

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