Tibolone Administration Is Associated with Enhanced Motor Recovery and Decreased Cell-Specific NOX2 and NOX4

Tzayaka Castillo-Mendieta1, Stephanie Sánchez-Torres1, Hermelinda Salgado-Ceballos2

  • 1Unidad de Investigación Médica en Farmacología, Hospital de Especialidades Dr. Bernardo Sepúlveda, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico.

Brain Sciences
|July 28, 2026
PubMed
Abstract

Insights

Tibolone (TIB) treatment reduced oxidative stress and altered NOX2/NOX4 expression in neurons and astrocytes after spinal cord injury (SCI). This intervention promoted partial motor function recovery in a rat model.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Pharmacology

Background:

  • Spinal cord injury (SCI) leads to significant neuronal damage and functional deficits.
  • NADPH oxidase (NOX) enzymes, particularly NOX2 and NOX4, are implicated in SCI-induced oxidative stress.
  • Tibolone (TIB), a synthetic steroid, has shown neuroprotective potential in other models.

Purpose of the Study:

  • To investigate the impact of TIB on NOX2 and NOX4 expression and co-localization in neurons and astrocytes following SCI.
  • To assess the effects of TIB on oxidative stress markers and motor function recovery in an animal model of SCI.

Main Methods:

  • Male Sprague Dawley rats underwent contusive SCI at T9 and received TIB treatment (1 or 2.5 mg/kg/day).
  • NOX2 and NOX4 expression and co-localization in neurons and astrocytes were analyzed at 3, 7, and 15 days post-SCI.
  • Oxidative stress markers and motor recovery were quantitatively assessed.

Main Results:

  • SCI increased NOX2 and NOX4 protein expression and altered their cellular localization over time.
  • TIB treatment dose-dependently attenuated SCI-induced oxidative stress and reduced NOX2/NOX4 co-localization.
  • TIB administration resulted in a modest but significant improvement in motor function by 15 days post-SCI.

Conclusions:

  • Tibolone administration modulates NOX2 and NOX4 expression and localization in the injured spinal cord.
  • TIB effectively reduces oxidative stress and promotes partial functional recovery after SCI.
  • These findings suggest TIB as a potential therapeutic agent for managing SCI.

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