PMID- 32725456 OWN - NLM STAT- MEDLINE DCOM- 20220113 LR - 20220113 IS - 1573-6830 (Electronic) IS - 0272-4340 (Linking) VI - 41 IP - 7 DP - 2021 Oct TI - Valproic Acid: A Potential Therapeutic for Spinal Cord Injury. PG - 1441-1452 LID - 10.1007/s10571-020-00929-9 [doi] AB - The lack of an effective pharmaceutical agent for spinal cord injury (SCI) is a current problematic situation for clinicians, as the rate of motor vehicle accidents among young adults is on the rise. SCI contributes to the high disability rate. Presently, evidences detailing the precise pathological mechanisms in SCI are limited, compounding to the unavailability of an effective treatment method. Surgery, though not a complete curative method, is useful in managing some of the associated symptoms of secondary SCI. Autophagy and inflammation are contributive factors to both exacerbation and improvement of SCI. The mammalian target of rapamycin (mTOR) signaling pathway is a key player in the regulation of inflammatory response and autophagy. Valproic acid (VPA), a clinically used antiepileptic drug, has been suggested to improve neurological conditions, including SCI. This report reviewed the correlation between mTOR and autophagy, as well as autophagy's role and the therapeutic effects of VPA in SCI. VPA regulates autophagy by potentially inhibiting mTORC1, a complex of mTOR, while also hindering inflammatory response. Conclusively, an effective treatment for SCI could lie in the timely regulation of mTOR signaling pathway, and VPA could be the potential drug that improves SCI owing to its propensity to regulate the mTOR signaling pathway. CI - (c) 2020. Springer Science+Business Media, LLC, part of Springer Nature. FAU - Zhou, Conghui AU - Zhou C AUID- ORCID: 0000-0001-8286-810X AD - Department of Histology and Embryology, Medical College, Shaoxing University, Shaoxing, 312000, Zhejiang Province, China. FAU - Hu, Songfeng AU - Hu S AUID- ORCID: 0000-0002-4575-731X AD - Department of Orthopedics, Shaoxing Hospital of Traditional Chinese Medicine, Shaoxing, 312000, Zhejiang Province, China. FAU - Botchway, Benson O A AU - Botchway BOA AUID- ORCID: 0000-0001-9732-7904 AD - Institute of Neuroscience, Zhejiang University School of Medicine, Hangzhou, China. FAU - Zhang, Yong AU - Zhang Y AUID- ORCID: 0000-0002-2502-2703 AD - Department of Histology and Embryology, Medical College, Shaoxing University, Shaoxing, 312000, Zhejiang Province, China. FAU - Liu, Xuehong AU - Liu X AUID- ORCID: 0000-0003-4325-6762 AD - Department of Histology and Embryology, Medical College, Shaoxing University, Shaoxing, 312000, Zhejiang Province, China. liuxueh6588@126.com. LA - eng GR - LY19H170001/Natural Science Foundation of Zhejiang Province/ PT - Journal Article PT - Review DEP - 20200728 PL - United States TA - Cell Mol Neurobiol JT - Cellular and molecular neurobiology JID - 8200709 RN - 614OI1Z5WI (Valproic Acid) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Autophagy/drug effects MH - Recovery of Function/*drug effects MH - Spinal Cord/drug effects/metabolism MH - Spinal Cord Injuries/*drug therapy/pathology MH - TOR Serine-Threonine Kinases/*drug effects/metabolism MH - Valproic Acid/metabolism/*pharmacology OTO - NOTNLM OT - Autophagy OT - Inflammation OT - Spinal cord injury OT - Valproic acid OT - mTOR signaling pathway EDAT- 2020/07/30 06:00 MHDA- 2022/01/14 06:00 CRDT- 2020/07/30 06:00 PHST- 2020/04/29 00:00 [received] PHST- 2020/07/20 00:00 [accepted] PHST- 2020/07/30 06:00 [pubmed] PHST- 2022/01/14 06:00 [medline] PHST- 2020/07/30 06:00 [entrez] AID - 10.1007/s10571-020-00929-9 [pii] AID - 10.1007/s10571-020-00929-9 [doi] PST - ppublish SO - Cell Mol Neurobiol. 2021 Oct;41(7):1441-1452. doi: 10.1007/s10571-020-00929-9. Epub 2020 Jul 28.