Turkish Neurosurgery 2023 , Vol 33 , Num 6
Cerebrolysin Amelioration of Spinal Cord Ischemia/ Reperfusion Injury in Rabbit Model
1University of Health Sciences, Diskapi Education and Research Hospital, Department of Neurosurgery, Ankara, Turkey
2Sivas Numune Hospital, Department of Neurosurgery, Sivas, Turkey
3University of Health Sciences, Diskapi Education and Research Hospital, Department of Pathology, Ankara, Turkey
4Ankara University School of Medicine, Department of Biochemistry, Ankara, Turkey
5Istinye University Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.42362-22.6 AIM: To investigate the effects of cerebrolysin on inflammation, oxidative stress, apoptosis, and neurologic recovery in the setting of an experimental rabbit model of spinal cord ischemia/reperfusion injury (SCIRI).

MATERIAL and METHODS: Rabbits were randomly divided into five groups: control, ischemia, vehicle, methylprednisolone (30 mg/kg), and cerebrolysin (5 ml/kg) group. The rabbits in the control group underwent only laparotomy; the other groups underwent spinal cord ischemia and reperfusion injury for 20 minutes. Neurologic examination after 24 hours was based on the Modified Tarlov scale. Myeloperoxidase activities, catalase and malondialdehyde levels, and caspase-3 concentrations were determined in serum and tissue samples. Serum xanthine oxidase levels were studied and histopathological and ultrastructural changes were examined.

RESULTS: After SCIRI, serum and tissue myeloperoxidase activities, malondialdehyde levels, caspase-3 concentrations, and serum xanthine oxidase activities were increased (p<0.01?0.001). Catalase levels were significantly diminished (p<0.001). Cerebrolysin treatment correlated with reduced myeloperoxidase and xanthine oxidase activities, malondialdehyde levels and caspase-3 concentrations; and with increased catalase levels (p<0.001, for all). The cerebrolysin group showed improved histopathological, ultrastructural, and neurological outcomes.

CONCLUSION: For the first time in the literature, the current study reports anti-inflammatory, antioxidant, antiapoptotic, and neuroprotective effects of cerebrolysin in a SCIRI rabbit model. Keywords : Anti-inflammatory, Antiapoptotic, Antioxidant, Cerebrolysin, Ischemia/reperfusion, Neuroprotection, Rabbits

Corresponding author : Pinar KURU BEKTASOGLU, drpinarkuru@gmail.com