Adenosine triphosphate release inhibitors targeting pannexin1 improve recovery after spinal cord injury

Kazuaki Morishita1, Hiroaki Nakashima1, Masaaki Machino1

  • 1Department of Orthopedics, Nagoya University Graduate School of Medicine, Nagoya, Japan.

PubMed

Insights

Brilliant Blue FCF, a food dye, shows neuroprotective effects against spinal cord injury by inhibiting the P2X7/pannexin1 complex. It reduces damage and improves motor function, similar to other tested compounds.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Regenerative Medicine

Background:

  • Traumatic spinal cord injury (SCI) causes immediate tissue loss and secondary damage, with no current effective treatments for acute SCI.
  • The P2X purinoceptor 7 (P2X7)/pannexin1 complex, activated by adenosine triphosphate released from traumatized tissues, contributes significantly to secondary SCI.
  • Identifying novel therapeutic targets for SCI is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the neuroprotective potential of Brilliant Blue FCF, a P2X7/pannexin1 inhibitor and food dye, in a rat SCI model.
  • To compare the efficacy of Brilliant Blue FCF with Brilliant Blue G (a P2X7 antagonist) and carbenoxolone (a P2X7/pannexin1 inhibitor).
  • To evaluate the effects of these compounds on anatomical damage, motor recovery, and inflammatory responses post-SCI.

Main Methods:

  • A rat model of traumatic spinal cord injury was utilized.
  • Rats were treated with Brilliant Blue FCF, Brilliant Blue G, or carbenoxolone shortly after SCI.
  • Outcomes assessed included spinal cord anatomical integrity, motor function recovery, and histological analysis of inflammatory markers (astrocytic activation, microglial activation, neutrophil infiltration).

Main Results:

  • Brilliant Blue FCF administration reduced anatomical damage and improved motor recovery in SCI rats, with no observed toxicity.
  • Brilliant Blue G demonstrated the most significant effect on neurological recovery, while Brilliant Blue FCF and carbenoxolone showed comparable improvements.
  • All tested compounds effectively reduced astrocytic and microglial activation and neutrophil infiltration at the injury site.

Conclusions:

  • Brilliant Blue FCF demonstrates significant neuroprotective effects in acute spinal cord injury, comparable to established P2X7/pannexin1 inhibitors.
  • The food-approved dye Brilliant Blue FCF represents a potential therapeutic agent for mitigating secondary damage and promoting recovery after SCI.
  • Inhibition of the P2X7/pannexin1 complex is a viable strategy for reducing inflammation and improving neurological outcomes in spinal cord injury.