PMID- 34790416 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231108 IS - 2090-0422 (Print) IS - 2090-0430 (Electronic) IS - 2090-0430 (Linking) VI - 2021 DP - 2021 TI - Protective Effect of Hyperbaric Oxygen Treatment on Axon Degeneration after Acute Motor Axonal Neuropathy. PG - 6627779 LID - 10.1155/2021/6627779 [doi] LID - 6627779 AB - OBJECTIVES: Acute motor axonal neuropathy (AMAN) is a disease that leads to acute flaccid paralysis and may result from the binding of antibody and antigen to the spinal cord. The objective of this study is to evaluate the protective effect of hyperbaric oxygen treatment (HBOT) on axon degeneration of the spinal cord and sciatic nerve of the AMAN model rabbit. Axonal degeneration was assessed by evaluating glutathione (GSH) activity, interleukin-1beta (IL-1beta) expression, and clinical and histopathological features. METHODS: Twenty-one New Zealand rabbits were divided into three groups. The treatment group was exposed to 100% oxygen at 2.4 ATA 90 minutes for 10 days at a decompression rate of 2.9 pounds per square inch/minute. GSH level was evaluated using an enzyme-linked immune-sorbent assay. An expression of IL-1beta in the spinal cord was determined by immunohistochemistry. Clinical appearances were done by motor scale and body weight. Histological features observed neuronal swelling and inflammatory infiltration in the sagittal lumbar region and the undulation of the longitudinal sciatic nerve. RESULTS: Rabbits exposed to HBO had high GSH activity levels (p < 0.05) but unexpectedly had high IL1beta expression (p > 0.05). In addition, the HBO-exposed rabbits had a better degree of undulation, the size of neuronal swelling was smaller, the number of macrophages was higher, and motor function was better than the AMAN model rabbits (p < 0.05). CONCLUSIONS: These findings indicate that HBO therapy can decrease axon degeneration by triggering GSH activity, increasing IL-1beta level, and restoring tissues and motor status. In conclusion, HBO has a protective effect on axon degeneration of the spinal cord and sciatic nerve of the AMAN model rabbit. CI - Copyright (c) 2021 Ni Komang Sri Dewi Untari et al. FAU - Sri Dewi Untari, Ni Komang AU - Sri Dewi Untari NK AUID- ORCID: 0000-0003-4179-5498 AD - Department of Hyperbaric, Drs. Med. Rijadi S. Phys. Naval Health Institute, Surabaya, Indonesia. AD - Department of Neurology, Faculty of Medicine, Hang Tuah University, Surabaya, Indonesia. AD - Department of Neurology, Dr. Ramelan Navy Hospital, Surabaya, Indonesia. AD - Hyperbaric Medicine, Basic Medical Science, Airlangga University, Surabaya, Indonesia. FAU - Kusumastuti, Kurnia AU - Kusumastuti K AUID- ORCID: 0000-0001-9904-6866 AD - Department of Neurology, Faculty of Medicine, Airlangga University, Surabaya, Indonesia. FAU - Suryokusumo, Guritno AU - Suryokusumo G AUID- ORCID: 0000-0002-8546-7341 AD - Department of Hyperbaric, Faculty of Medicine, Pembangunan Nasional University, Jakarta, Indonesia. FAU - Sudiana, I Ketut AU - Sudiana IK AUID- ORCID: 0000-0003-0652-9362 AD - Department of Pathology Anatomy, Faculty of Medicine, Airlangga University, Surabaya, Indonesia. LA - eng PT - Journal Article DEP - 20211108 PL - United States TA - Autoimmune Dis JT - Autoimmune diseases JID - 101546750 PMC - PMC8592739 COIS- The authors declare that they have no conflicts of interest. EDAT- 2021/11/19 06:00 MHDA- 2021/11/19 06:01 PMCR- 2021/11/08 CRDT- 2021/11/18 06:59 PHST- 2021/01/03 00:00 [received] PHST- 2021/09/22 00:00 [revised] PHST- 2021/10/04 00:00 [accepted] PHST- 2021/11/18 06:59 [entrez] PHST- 2021/11/19 06:00 [pubmed] PHST- 2021/11/19 06:01 [medline] PHST- 2021/11/08 00:00 [pmc-release] AID - 10.1155/2021/6627779 [doi] PST - epublish SO - Autoimmune Dis. 2021 Nov 8;2021:6627779. doi: 10.1155/2021/6627779. eCollection 2021.