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Early-phase rotator training impairs tissue repair and functional recovery after spinal cord injury

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机构: [1]Department of Orthopedics, The Chinese PLA General Hospital, Beijing, 100853, China. [2]School of Life Sciences, Tsinghua University, Beijing, 100084, China. [3]Department of Anesthesiology, Xuanwu Hospital Capital Medical University, Beijing, 100050, China. [4]Department of Pediatric Surgery, The Chinese PLA General Hospital, Beijing, 100853, China. [5]Beijing Key Lab of Regenerative Medicine in Orthopaedics, Key Laboratory of Musculoskeletal Trauma and War Injuries PLA, Institue of Orthopaedics, The Chinese PLA General Hospital, Beijing, 100853, China.
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关键词: Spinal cord injury Rotarod training Rehabilitative training Inflammation Early-phase training

摘要:
Spinal cord injury (SCI) is a devastating disorder that often results in severe sensorimotor function impairment with limited recovery of function. In recent years, rehabilitation training for spinal cord injury has gradually emerged, and some of them play an important role in the repair of spinal cord injury However, the optimal training regimen for SCI remains to be determined. In this study, we explore the effects of rotarod training (began at 7 days post-injury) on the recovery of motor function after SCI, as well as its possible repair mechanism from the aspects of function and histopathological changes, the behaviors of specific trophic factors and cytokines, and the expression profile of specific genes. Multiple functional assessments showed that rotarod training initiated at 7 days post-injury is unsuitable for promoting neuro-electrophysiological improvement and trunk stability, but impaired functional coordination and motor recovery. In addition, rotarod training has negative effects on spinal cord repair after SCI, which is manifested as an increase of lesion area, a decrease in neuronal viability, a deterioration in immuno-microenvironment and remyelination, a significant reduction in the expression of trophic factors and an increase in the expression of pro-inflammatory factors. RNA sequencing suggested that the genes associated with angiogenesis and synaptogenesis were significantly downregulated and the PI3K-AKT pathway was inhibited, which was detrimental to spinal cord repair and impeded nerve regeneration. These results indicate that immediate rotarod training after SCI is currently unsuitable for rehabilitation in mice.© 2023 Published by Elsevier Ltd.

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大类 | 4 区 综合性期刊
小类 | 4 区 综合性期刊
最新[2023]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2021]版:
Q2 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Department of Orthopedics, The Chinese PLA General Hospital, Beijing, 100853, China. [2]School of Life Sciences, Tsinghua University, Beijing, 100084, China.
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通讯机构: [1]Department of Orthopedics, The Chinese PLA General Hospital, Beijing, 100853, China. [2]School of Life Sciences, Tsinghua University, Beijing, 100084, China.
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