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Related Concept Videos

Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
Secondary Spinal Cord Injury llI: Pathophysiology01:25

Secondary Spinal Cord Injury llI: Pathophysiology

Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...

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Related Experiment Video

Updated: Jun 20, 2026

Contrast Enhanced Ultrasound Imaging for Assessment of Spinal Cord Blood Flow in Experimental Spinal Cord Injury
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Different Circulating Endothelial Microvesicle Subtype Signature in Subacute and Chronic Spinal Cord Injury.

Andrew J Park1,2, Hannah K Fandl3, Vinicius P Garcia3

  • 1Rocky Mountain Regional Spinal Injury System, Craig Hospital, Englewood, Colorado.

Topics in Spinal Cord Injury Rehabilitation
|June 30, 2025
PubMed
Summary

Endothelial cell-derived microvesicles (EMVs) differ in spinal cord injury (SCI). Activation-derived EMVs are higher in chronic SCI, while apoptosis-derived EMVs are higher in subacute SCI, indicating distinct vascular changes.

Keywords:
cardiovascular diseaseendothelial microvesiclesspinal cord injury

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Area of Science:

  • Vascular Biology
  • Neurotrauma
  • Biomarkers

Background:

  • Spinal cord injury (SCI) affects vascular health.
  • Endothelial cell-derived microvesicles (EMVs) reflect endothelial activation and apoptosis.
  • Understanding vascular changes in SCI is crucial for treatment.

Purpose of the Study:

  • To investigate differences in circulating EMVs between subacute and chronic SCI.
  • To determine if EMV profiles can serve as biomarkers for SCI stages.

Main Methods:

  • Collected peripheral blood from 43 adults (12 controls, 16 subacute SCI, 15 chronic SCI).
  • Quantified activation-derived (CD62e+) and apoptosis-derived (CD31+/CD42b-) EMVs using flow cytometry.
  • Compared EMV concentrations across study groups.

Main Results:

  • Activation-derived EMVs were significantly higher in chronic SCI compared to subacute SCI and controls.
  • Apoptosis-derived EMVs were significantly higher in subacute SCI compared to chronic SCI and controls.
  • Findings suggest distinct vascular phenotypes in subacute versus chronic SCI.

Conclusions:

  • Circulating EMV profiles differ significantly between subacute and chronic SCI.
  • These EMVs may serve as biomarkers for the vascular environment post-SCI.
  • The vascular phenotype changes markedly from the subacute to the chronic phase of SCI.