Targeting L-Selectin to Improve Neurologic and Urologic Function After Spinal Cord Injury

Abstract

Purpose: We are evaluating the efficacy of diclofenac (DFA), an anti-inflammatory agent with L-Selectin sheddase activity, in a murine model of spinal cord injury.Scope: These studies have focused on the efficacy of DFA in the context of dose, optimal therapeutic window, and dependency on injury severity, using clinically relevant outcome measures that include neurologic assessments and assays of bladder function.Major findings: -We demonstrated that 40 mg/kg DFA is the minimally effective dose to induce L-selectin shedding in a mouse model of spinal cord injury -We demonstrated locomotor recovery in mice receiving 40mg/kg DFA up to 3 hours following spinal cord injury -We demonstrated improved locomotor recovery using this paradigm for two injury severities, mild and severe, suggesting a robust therapeutic effect -We identified no adverse effects to animal health, as evaluated by body weight -We identified no added locomotor recovery due to multiple, successive doses of DFA. Moreover, additional doses proved to be toxic and increase animal mortality -We have demonstrated improved white matter sparing in mice receiving 40 mg/kg DFA for up to 3 hours following spinalcord injury -We have demonstrated reduced lesion volume in mice receiving 40 mg/kg DFA up to 3 hours following spinal cord injury. -We have demonstrated no adverse effects of DFA on bladder function following spinal cord injury. However, the drug resulted in no improvement in bladder function Significance: We have identified robust locomotor recovery in both mild and severe spinal cord injured mice that received DFA up to 3 hours following injury. Furthermore, we identified no adverse effects utilizing this dose. Therefore, these promising data suggest that 40mg/kg DFA, administered within 3 hours of spinal cord injury, as a single dose could be an effective therapeutic intervention for spinal cord injury.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2015
Accession Number
AD1005949

Entities

People

  • Aida F. Martinez
  • Alpa Mahuvakar
  • Christopher J. Sontag
  • Dylan A. Mccreedy
  • Linda J. Noble
  • Thomas Fandel

Organizations

  • University of California, San Francisco

Tags

DTIC Thesaurus Topics

  • Anatomy
  • Anti-Inflammatory Agents
  • Biological Sciences
  • Biomedical Research
  • Body Weight
  • California
  • Department Of Defense
  • Electronic Mail
  • Information Operations
  • Intervention
  • Memory Devices
  • Recovery
  • Side Effects
  • Spinal Cord
  • Spinal Injuries
  • Symptoms And General Pathology
  • Targeting

Fields of Study

  • Medicine

Readers

  • Neurotrauma and Rehabilitation Medicine.
  • Toxicology/Environmental Toxicology