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Neuroprotective Effects of Coenzyme Q10 and Ozone Therapy on Experimental Traumatic Spinal Cord Injuries in Rats
Gulce Gel1, Caner Unluer1, Erdal Resit Yılmaz1
1Department of Neurosurgery, Diskapi Education and Research Hospital, University of Health Sciences, Ankara, Turkey.
World Neurosurgery
|April 30, 2024
Summary
Combined Coenzyme Q10 (CoQ10) and ozone therapy shows significant neuroprotective effects and improves functional recovery in spinal cord injury (SCI) models. This antioxidant and antiapoptotic treatment offers promising results for SCI management.
Area of Science:
- Neuroscience
- Biochemistry
- Regenerative Medicine
Background:
- Spinal cord injury (SCI) leads to significant secondary damage, including oxidative stress and apoptosis.
- Current treatments for SCI have limited efficacy in promoting functional recovery.
- Identifying novel therapeutic strategies is crucial for improving outcomes after SCI.
Purpose of the Study:
- To investigate the neuroprotective effects of Coenzyme Q10 (CoQ10) and ozone therapy in a rat model of spinal cord injury (SCI).
- To evaluate the potential of CoQ10 and ozone therapy, individually and in combination, to promote functional recovery after SCI.
- To elucidate the underlying antioxidant and antiapoptotic mechanisms of these combined therapies.
Main Methods:
- Forty female Sprague-Dawley rats underwent surgical induction of spinal cord trauma, divided into control, ozone, CoQ10, and combined treatment groups.
- Treatments included daily rectal ozone (0.7 mg/kg) or oral CoQ10 (120 mg/kg) for 7 days, with the combined group receiving both.
- Functional recovery was assessed using the Tarlov scale and inclined plane test; biochemical markers (MDA, caspase-3, Bcl-2, Bax) and histopathological changes were analyzed.
Main Results:
- Spinal cord injury significantly increased serum MDA and tissue caspase-3 and Bax levels, indicating oxidative stress and apoptosis.
- The combined CoQ10 + ozone therapy group showed significantly reduced MDA, caspase-3, and Bax levels compared to the trauma group.
- The combined treatment also led to significantly higher Bcl-2 levels and demonstrated improved histopathological, ultrastructural, and neurological outcomes.
Conclusions:
- Combined CoQ10 and ozone therapy exhibits significant neuroprotective effects in traumatic SCI.
- The therapeutic benefits are attributed to potent antioxidant and antiapoptotic mechanisms.
- This combination therapy shows promise for enhancing functional recovery following spinal cord injury.
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