PMID- 23884672 OWN - NLM STAT- MEDLINE DCOM- 20150526 LR - 20181023 IS - 1306-696X (Print) IS - 1306-696X (Linking) VI - 19 IP - 4 DP - 2013 Jul TI - Effects of combined and individual use of N-methyl-D aspartate receptor antagonist magnesium sulphate and caspase-9 inhibitor z-LEDH-fmk in experimental spinal cord injury. PG - 313-9 LID - 10.5505/tjtes.2013.45804 [doi] AB - BACKGROUND: We investigated the individual and combined effects of magnesium sulphate, which is an N-Methyl-D aspartate receptor antagonist (NMDA), and z-LEHD-FMK, which is a caspase 9 inhibitor, on the genesis of secondary injury in a rat spinal cord injury model. We aimed to minimize the effects of secondary injury in spinal cord trauma by choosing these two agents which served to block the two major mechanisms of cell loss, apoptosis and necrosis. METHODS: The drugs were given to the subjects according to their groups, either in singular or combined fashion. For motor examination, the subjects were kept under close clinical evaluation for five days. Histopathological examination and the emerging spinal cord samples were prepared with haematoxylene-eosin and Tunel techniques. RESULTS: A statistically significant difference in favor of the treatment groups has been found between the treatment and control groups in terms of histological data. However, there was no difference in the evaluation of motor examination between trauma and treatment groups. CONCLUSION: We have found no difference between the individual and combined uses of MgSO4 and z-LEHD-FMK in the prevention of secondary injury; however, there were better histological results in the treatment groups compared to trauma and control groups which gives us hope for future investigations. FAU - Sencer, Altay AU - Sencer A AD - Department of Neurosurgery, IU Istanbul Faculty of Medicine, Istanbul, Turkey. FAU - Aydoseli, Aydin AU - Aydoseli A FAU - Aras, Yavuz AU - Aras Y FAU - Akcakaya, Mehmet Osman AU - Akcakaya MO FAU - Gomleksiz, Cengiz AU - Gomleksiz C FAU - Can, Halil AU - Can H FAU - Canbolat, Ali AU - Canbolat A LA - eng PT - Journal Article PL - Turkey TA - Ulus Travma Acil Cerrahi Derg JT - Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES JID - 101274231 RN - 0 (Caspase Inhibitors) RN - 0 (Neuroprotective Agents) RN - 0 (Oligopeptides) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 0 (benzyloxycarbonyl-leucyl-glutamyl-histidyl-aspartic acid fluoromethyl ketone) RN - 7487-88-9 (Magnesium Sulfate) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Caspase Inhibitors/*pharmacology MH - Disease Models, Animal MH - Magnesium Sulfate/*pharmacology MH - Male MH - Necrosis/pathology MH - Neuroprotective Agents/*pharmacology MH - Oligopeptides/*pharmacology MH - Random Allocation MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, N-Methyl-D-Aspartate/*antagonists & inhibitors MH - Spinal Cord Injuries/*drug therapy/*pathology EDAT- 2013/07/26 06:00 MHDA- 2015/05/27 06:00 CRDT- 2013/07/26 06:00 PHST- 2013/07/26 06:00 [entrez] PHST- 2013/07/26 06:00 [pubmed] PHST- 2015/05/27 06:00 [medline] AID - 10.5505/tjtes.2013.45804 [doi] PST - ppublish SO - Ulus Travma Acil Cerrahi Derg. 2013 Jul;19(4):313-9. doi: 10.5505/tjtes.2013.45804.