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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2013, Vol. 18 ›› Issue (2): 147-155.

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Study on the morphology of spinal cord contusion injury rats by early treatment with erythropoietin

GU Bing1, WANG Shuo-yu2, LI Hua-nan2, WANG Jun1, ZHANG Shui-yin2   

  1. 1Jiangxi Science & Technology Normal University,Nanchang 330013,Jiangxi,China;
    2Jiangxi University of Traditional Chinese Medicine, Nanchang 330006,Jiangxi,China
  • Received:2012-09-18 Revised:2012-09-18 Published:2013-02-28

Abstract: AIM: To study the morphological and behavior changes of spinal cord contusion rats by early treatment with erythropoietin(EPO). METHODS: Spinal cord contusion injury model in rats was duplicated with a BenchmarkTM stereotaxic cortical impactor. Posttraumatic 30 min, animals were administrated by 5000UI·kg-1·BW recombinant human erythropoietin or equal volume of saline through intraperitoneal injection. The inclined plane test and BBB scale were used to assess the hindlimb motor function. Morphological changes were inspected by using the Harris HE staining method combining with Luxol fast blue staining and Nissl staining. Blood routine test and hemorheology were to monitor the effect of erythrocytic hyperplasia.RESULTS: With the increase in training days the angle sustaining on the inclined plane and BBB scores of EPO group were significantly higher than that of model group(P<0.05). Posttraumatic 7,14,28 days the cavity size of injured center and adjacent parts in EPO group were significantly reduced. The numbers of survival neuron in the bilateral anterior horn of gray matter at 3 mm, 5 mm rostral and candual to the injury site in EPO group were statistically more than those in model group (P<0.05). Posttraumatic 14 and 28 days the LFB-positive area at injured site and 3mm, 5mm rostral and candual to epicentre in EPO group were significantly higher than those in model group (P<0.05). After injury the red blood cell count, hemoglobin and hematocrit showed a clear gradual upward trend. From posttraumatic 14 days the whole blood low-shear viscosity, middle-shear viscosity significantly increased compared with the model group (P<0.05).CONCLUSION: Early treatment with EPO may promote neuronal survival and reduce the loss of myelin sheath to mitigate secondary damage, and ultimately improve the hindlimb motor function, but increased the risk of hematogenic adverse reactions.

Key words: Traumatic spinal cord injury, Erythropoietin, Motor function score, Neurons, Myelin

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