PMID- 34073791 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210626 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 9 IP - 6 DP - 2021 May 24 TI - Involvement of mTOR Pathways in Recovery from Spinal Cord Injury by Modulation of Autophagy and Immune Response. LID - 10.3390/biomedicines9060593 [doi] LID - 593 AB - Traumatic spinal cord injury (SCI) is untreatable and remains the leading cause of disability. Neuroprotection and recovery after SCI can be partially achieved by rapamycin (RAPA) treatment, an inhibitor of mTORC1, complex 1 of the mammalian target of rapamycin (mTOR) pathway. However, mechanisms regulated by the mTOR pathway are not only controlled by mTORC1, but also by a second mTOR complex (mTORC2). Second-generation inhibitor, pp242, inhibits both mTORC1 and mtORC2, which led us to explore its therapeutic potential after SCI and compare it to RAPA treatment. In a rat balloon-compression model of SCI, the effect of daily RAPA (5 mg/kg; IP) and pp242 (5 mg/kg; IP) treatment on inflammatory responses and autophagy was observed. We demonstrated inhibition of the mTOR pathway after SCI through analysis of p-S6, p-Akt, and p-4E-BP1 levels. Several proinflammatory cytokines were elevated in pp242-treated rats, while RAPA treatment led to a decrease in proinflammatory cytokines. Both RAPA and pp242 treatments caused an upregulation of LC3B and led to improved functional and structural recovery in acute SCI compared to the controls, however, a greater axonal sprouting was seen following RAPA treatment. These results suggest that dual mTOR inhibition by pp242 after SCI induces distinct mechanisms and leads to recovery somewhat inferior to that following RAPA treatment. FAU - Vargova, Ingrid AU - Vargova I AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. AD - 2nd Faculty of Medicine, Charles University, V Uvalu 84, 150 06 Prague, Czech Republic. FAU - Machova Urdzikova, Lucia AU - Machova Urdzikova L AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. FAU - Karova, Kristyna AU - Karova K AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. FAU - Smejkalova, Barbora AU - Smejkalova B AUID- ORCID: 0000-0002-4812-9458 AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. AD - 2nd Faculty of Medicine, Charles University, V Uvalu 84, 150 06 Prague, Czech Republic. FAU - Sursal, Tolga AU - Sursal T AD - Department of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA. FAU - Cimermanova, Veronika AU - Cimermanova V AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. FAU - Turnovcova, Karolina AU - Turnovcova K AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. FAU - Gandhi, Chirag D AU - Gandhi CD AD - Department of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA. FAU - Jhanwar-Uniyal, Meena AU - Jhanwar-Uniyal M AD - Department of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA. FAU - Jendelova, Pavla AU - Jendelova P AUID- ORCID: 0000-0002-4644-9212 AD - Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska, 1083, 142 20 Prague, Czech Republic. AD - 2nd Faculty of Medicine, Charles University, V Uvalu 84, 150 06 Prague, Czech Republic. LA - eng GR - CZ.02.1.01/0.0./0.0/15_003/0000419/Ministerstvo Skolstvi, Mladeze a Telovychovy/ GR - LTAUSA17120/Ministerstvo Skolstvi, Mladeze a Telovychovy/ PT - Journal Article DEP - 20210524 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC8225190 OTO - NOTNLM OT - autophagy OT - dual inhibition OT - inflammation OT - mTOR OT - pp242 OT - rapamycin OT - spinal cord injury COIS- The authors declare no conflict of interest. EDAT- 2021/06/03 06:00 MHDA- 2021/06/03 06:01 PMCR- 2021/05/24 CRDT- 2021/06/02 01:39 PHST- 2021/02/28 00:00 [received] PHST- 2021/05/17 00:00 [revised] PHST- 2021/05/20 00:00 [accepted] PHST- 2021/06/02 01:39 [entrez] PHST- 2021/06/03 06:00 [pubmed] PHST- 2021/06/03 06:01 [medline] PHST- 2021/05/24 00:00 [pmc-release] AID - biomedicines9060593 [pii] AID - biomedicines-09-00593 [pii] AID - 10.3390/biomedicines9060593 [doi] PST - epublish SO - Biomedicines. 2021 May 24;9(6):593. doi: 10.3390/biomedicines9060593.