PMID- 22735048 OWN - NLM STAT- MEDLINE DCOM- 20121025 LR - 20211021 IS - 1547-5646 (Electronic) IS - 1547-5654 (Print) IS - 1547-5646 (Linking) VI - 17 IP - 2 DP - 2012 Aug TI - Dietary therapy to promote neuroprotection in chronic spinal cord injury. PG - 134-40 LID - 10.3171/2012.5.SPINE1216 [doi] AB - OBJECT: The pathogenesis of cervical spondylotic myelopathy (CSM) is related to both primary mechanical and secondary biological injury. The authors of this study explored a novel, noninvasive method of promoting neuroprotection in myelopathy by using curcumin to minimize oxidative cellular injury and the capacity of omega-3 fatty acids to support membrane structure and improve neurotransmission. METHODS: An animal model of CSM was created using a nonresorbable expandable polymer placed in the thoracic epidural space, which induced delayed myelopathy. Animals that underwent placement of the expandable polymer were exposed to either a diet rich in docosahexaenoic acid and curcumin (DHA-Cur) or a standard Western diet (WD). Twenty-seven animals underwent serial gait testing, and spinal cord molecular assessments were performed after the 6-week study period. RESULTS: At the conclusion of the study period, gait analysis revealed significantly worse function in the WD group than in the DHA-Cur group. Levels of brain-derived neurotrophic factor (BDNF), syntaxin-3, and 4-hydroxynonenal (4-HNE) were measured in the thoracic region affected by compression and lumbar enlargement. Results showed that BDNF levels in the DHA-Cur group were not significantly different from those in the intact animals but were significantly greater than in the WD group. Significantly higher lumbar enlargement syntaxin-3 in the DHA-Cur animals combined with a reduction in lipid peroxidation (4-HNE) indicated a possible healing effect on the plasma membrane. CONCLUSIONS: Data in this study demonstrated that DHA-Cur can promote spinal cord neuroprotection and neutralize the clinical and biochemical effects of myelopathy. FAU - Holly, Langston T AU - Holly LT AD - Department of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-6901, USA. lholly@mednet.ucla.edu FAU - Blaskiewicz, Donald AU - Blaskiewicz D FAU - Wu, Aiguo AU - Wu A FAU - Feng, Cameron AU - Feng C FAU - Ying, Zhe AU - Ying Z FAU - Gomez-Pinilla, Fernando AU - Gomez-Pinilla F LA - eng GR - R01 NS050465/NS/NINDS NIH HHS/United States GR - R01 NS056413/NS/NINDS NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120626 PL - United States TA - J Neurosurg Spine JT - Journal of neurosurgery. Spine JID - 101223545 RN - 0 (Aldehydes) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Neuroprotective Agents) RN - 0 (Qa-SNARE Proteins) RN - 25167-62-8 (Docosahexaenoic Acids) RN - K1CVM13F96 (4-hydroxy-2-nonenal) SB - IM MH - Aldehydes/blood MH - Animals MH - Brain-Derived Neurotrophic Factor/blood MH - Chronic Disease MH - Curcuma/drug effects/*metabolism MH - Diet/methods MH - *Disease Models, Animal MH - Docosahexaenoic Acids/*administration & dosage/pharmacology MH - Male MH - Neuroprotective Agents/*administration & dosage/pharmacology MH - Qa-SNARE Proteins/blood MH - Rats MH - Rats, Sprague-Dawley MH - Spinal Cord Injuries/*drug therapy/etiology/*metabolism PMC - PMC3951955 MID - NIHMS468264 EDAT- 2012/06/28 06:00 MHDA- 2012/10/26 06:00 PMCR- 2014/03/13 CRDT- 2012/06/28 06:00 PHST- 2012/06/28 06:00 [entrez] PHST- 2012/06/28 06:00 [pubmed] PHST- 2012/10/26 06:00 [medline] PHST- 2014/03/13 00:00 [pmc-release] AID - 10.3171/2012.5.SPINE1216 [doi] PST - ppublish SO - J Neurosurg Spine. 2012 Aug;17(2):134-40. doi: 10.3171/2012.5.SPINE1216. Epub 2012 Jun 26.