Delayed administration of dapsone protects from tissue damage and improves recovery after spinal cord injury

Araceli Diaz-Ruiz1, Hermelinda Salgado-Ceballos, Sergio Montes

  • 1Departamento de Neuroquímica, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez S.S.A., México D.F., México.

Insights

Dapsone, an inhibitor of myeloperoxidase (MPO), significantly reduced spinal cord damage and improved motor function recovery in rats after spinal cord injury (SCI). This neuroprotective effect highlights dapsone

Area of Science:

  • Neuroscience
  • Pharmacology
  • Inflammation Research

Background:

  • Spinal cord injury (SCI) triggers complex pathophysiological processes, including inflammation, that exacerbate primary damage.
  • Myeloperoxidase (MPO), an enzyme released by neutrophils, plays a critical role in secondary tissue damage following SCI.
  • Dapsone is an established MPO inhibitor with demonstrated antioxidant, anti-inflammatory, and antiapoptotic effects in other models.

Purpose of the Study:

  • To evaluate the efficacy of dapsone in mitigating MPO activity, lipid peroxidation, and tissue damage after SCI in a rat model.
  • To assess the impact of dapsone treatment on motor function recovery and the amount of spared spinal cord tissue post-SCI.

Main Methods:

  • Rats with SCI were treated with dapsone at 3 and 5 hours post-injury.
  • Measurements included MPO activity, lipid peroxidation (LP) levels, motor function (Basso-Beattie-Bresnahan score), and histological assessment of spared tissue.
  • Mortality rates were also monitored.

Main Results:

  • Dapsone treatment significantly reduced elevated MPO activity (by 38% and 19% at 3 and 5 hr post-SCI, respectively) and blocked SCI-induced lipid peroxidation.
  • Dapsone administration led to significant motor function recovery (BBS scores improved from 9.2 to 13.6/12.9) and increased spared spinal cord tissue (by 42% and 33%).
  • Dapsone treatment also significantly reduced mortality following SCI.

Conclusions:

  • Inhibition of MPO by dapsone provides significant neuroprotection against secondary damage after SCI.
  • Dapsone treatment enhances motor function recovery and preserves spinal cord tissue, suggesting therapeutic potential for SCI management.
  • Early intervention with dapsone may be crucial for maximizing functional recovery and reducing mortality after spinal cord injury.

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