Skip to main content
Log in

A Single Administration of Riluzole Applied Acutely After Spinal Cord Injury Attenuates Pro-inflammatory Activity and Improves Long-Term Functional Recovery in Rats

  • Published:
Journal of Molecular Neuroscience Aims and scope Submit manuscript

Abstract

After spinal cord injury (SCI), emergency treatment intervention can minimize tissue damage, which is closely related to the recovery of long-term function. Here, we examined whether the administration of a single dose of riluzole (6 mg/kg) immediately after SCI was a critical window for the drug to exert its regulatory effect and limit long-term neurological deficits. The animals were sacrificed 1 day after administration for investigation of neuronal survival and a potential neuroinflammatory response, and sacrificed in the 6th week for assessment of neurological function. Riluzole applied in a single dose immediately post-SCI decreased the mRNA level of interleukin-1β at 6 h, reduced the destruction of neurons, and reduced the activation of microglia/macrophage M1 expression at day 1 post-SCI. Additionally, riluzole-treated rats showed higher expressions of interleukin-33 and its receptor ST2 in microglia/macrophages of the spinal cord than vehicle-treated rats, suggesting that this signaling pathway might be involved in microglia/macrophage-mediated inflammation. At 6 weeks, riluzole-treated rats exhibited higher motor function scores than vehicle-treated controls. In addition, riluzole-treated rats exhibited higher expression of GAP43 protein and shorter N1 peak latency and larger N1-P1 amplitude in motor-evoked potentials, compared to vehicle-treated rats. Together, these data suggested that early application of riluzole after SCI could be crucial for long-term functional recovery, so it may represent a promising therapeutic candidate within the critical therapeutic window for acute SCI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Availability of Data and Material

The data that supported the findings of the present study are available from the corresponding authors upon reasonable request.

Abbreviations

SCI:

Spinal cord injury

CNS:

Central nervous system

M1:

M1 microglia/macrophage

M2:

M2 microglia/macrophage

HE:

Hematoxylin and eosin

BBB:

Basso, Beattie, Bresnahan

MEPs:

Motor-evoked potentials

IL:

Interleukin

TNF:

Tumor necrosis factor

TGF:

Transforming growth factor

References

  • Afshary K, Chamanara M, Talari B, Rezaei P, Nassireslami E (2020) Therapeutic effects of minocycline pretreatment in the locomotor and sensory complications of spinal cord injury in an animal model. J Mol Neurosci 70:1064–1072. https://doi.org/10.1007/s12031-020-01509-8

  • Allison DJ, Ditor DS (2015) Immune dysfunction and chronic inflammation following spinal cord injury. Spinal Cord 53:14–18. https://doi.org/10.1038/sc.2014.184

  • Bartholdi D, Schwab ME (1997) Expression of pro-inflammatory cytokine and chemokine mRNA upon experimental spinal cord injury in mouse: an in situ hybridization study. Eur J Neurosci. 9:1422–1438. https://doi.org/10.1111/j.1460-9568

  • Basso DM, Beattie MS, Bresnahan JC (1995). A sensitive and reliable locomotor rating scale for open field testing in rats. J Neurotrauma. 12, 1–21. https://doi.org/10.1089/neu.

  • Bimbova K, Bacova M, Kisucka A, Pavel J, Galik J, Zavacky P, Marsala M, Stropkovska A, Fedorova J, Papcunova S, Jachova J, Lukacova N (2018) A single dose of atorvastatin applied acutely after spinal cord injury suppresses inflammation, apoptosis, and promotes axon outgrowth, which might be essential for favorable functional outcome. Int J Mol Sci 19:1106. https://doi.org/10.3390/ijms19041106

  • Carulli D, Buffo A, Strata P (2004). Reparative mechanisms in the cerebellar cortex. Prog Neurobiol. 72:373–398. https://doi.org/10.1016/j.pneurobio.2004.03.007

  • Cherry JD, Olschowka JA, O'Banion MK (2014) Neuroinflammation and M2 microglia: the good, the bad, and the inflamed. J Neuroinflammation 11:98.  https://doi.org/10.1186/1742-2094-11-98.

  • Chevin M, Guiraut C, Sebire G (2018) Effect of hypothermia on interleukin-1 receptor antagonist pharmacodynamics in inflammatory-sensitized hypoxic-ischemic encephalopathy of term newborns. J Neuroinflammation 15:214.   https://doi.org/10.1186/s12974-018-1258-6.

  • Cordaro M, Casili G, Paterniti I, Cuzzocrea S, Esposito E (2017) Fumaric acid esters attenuate secondary degeneration after spinal cord injury. J Neurotraum 34:3027–3040. https://doi.org/10.1089/neu.2016.4678

  • Donia SA, Allison DJ, Gammage KL, Ditor DS (2019) The effects of acute aerobic exercise on mood and inflammation in individuals with multiple sclerosis and incomplete spinal cord injury. Neurorehabilitation. 45:117–124. https://doi.org/10.3233/NRE-192773.

  • Fan H, Tang H, Shan L, Liu S, Huang D, Chen X, Chen Z, Yang M, Yin X, Yang H, Hao D (2019) Quercetin prevents necroptosis of oligodendrocytes by inhibiting macrophages/microglia polarization to M1 phenotype after spinal cord injury in rats. J Neuroinflamm 16:1–15. https://doi.org/10.1186/s12974-019-1613-2

  • Fehlings MG, Nakashima H, Nagoshi N, Chow DSL, Grossman RG, Kopjar B (2016) Rationale, design and critical end points for the Riluzole in Acute Spinal Cord Injury Study (RISCIS): a randomized, double-blinded, placebo-controlled parallel multi-center trial. Spinal Cord 54:8–15. https://doi.org/10.1038/sc.2015.95

  • Garlanda C, Dinarello C A, Mantovani A (2013) The interleukin-1 family: back to the future. Immun. 39:1003–1018. https://doi.org/10.1016/j.immuni.2013.11.010

  • Gensel JC, Zhang B (2015) Macrophage activation and its role in repair and pathology after spinal cord injury. Brain Res 1619:1–11.   https://doi.org/10.1016/j.brainres.2014.12.045

  • Hall OT, McGrath RP, Peterson MD, Chadd EH, DeVivo MJ, Heinemann AW, Kalpakjian CZ (2019) The burden of traumatic spinal cord injury in the United States: disability-adjusted life years. Arch Phys Med Rehab 100:95–100  https://doi.org/10.1016/j.apmr.2018.08.179

  • Imai Y, Kohsaka S (2002) Intracellular signaling in M-CSF-induced microglia activation: role of Iba1. Glia 40:164–174. https://doi.org/10.1002/glia.10149

  • James SLTA (2019) Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016.  Lancet Neurol 18:459–480. https://doi.org/10.1016/S1474-4422(18)30499-X

  • Jiang K, Zhuang Y, Yan M, Chen H, Ge A, Sun L, Miao B (2016) Effects of riluzole on P2X7R expression in the spinal cord in rat model of neuropathic pain. Neurosci Lett 618:127–133. https://doi.org/10.1016/j.neulet.2016.02.065

  • Karadimas SK, Laliberte AM, Tetreault L, Chung YS, Arnold P, Foltz WD, Fehlings MG (2015) Riluzole blocks perioperative ischemia-reperfusion injury and enhances postdecompression outcomes in cervical spondylotic myelopathy. Sci Transl Med 7:194r-316r. https://doi.org/10.1126/scitranslmed.aac6524

  • Kigerl KA, Gensel JC, Ankeny DP, Alexander JK, Donnelly DJ, Popovich PG (2009) Identification of two distinct macrophage subsets with divergent effects causing either neurotoxicity or regeneration in the injured mouse spinal cord. J Neurosci 29:13435–13444. https://doi.org/10.1523/JNEUROSCI.3257-09.2009

  • Kobashi S, Terashima T, Katagi M, Nakae Y, Okano J, Suzuki Y, Urushitani M, Kojima H (2020) Transplantation of M2-deviated microglia promotes recovery of motor function after spinal cord injury in mice. Mol Ther 28:254–265. https://doi.org/10.1016/j.ymthe.2019.09.004

  • Lai H, Lu C, Wong C, Lin B, Chan S, Kuo C, Wu Z (2018) Baicalein attenuates neuropathic pain and improves sciatic nerve function recovery in rats with partial sciatic nerve transection. J Chin Med Assoc 81:955–963. https://doi.org/10.1016/j.jcma.2018.03.014

  • Lee Y, Cho D, Kim CH, Han I, Gil EY, Kim K (2019) Effect of curcumin on the inflammatory reaction and functional recovery after spinal cord injury in a hyperglycemic rat model. Spine J 19:2025–2039. https://doi.org/10.1016/j.spinee.2019.07.013

  • Lin S, Xu C, Lin J, Hu H, Zhang C, Mei X (2021) Regulation of inflammatory cytokines for spinal cord injury recovery. Histol Histopathol 36:137–142. https://doi.org/10.14670/HH-18-262

  • Liu J, Wang L (2018) The efficacy and safety of riluzole for neurodegenerative movement disorders: a systematic review with meta-analysis. Drug Deliv 25:43–48. https://doi.org/10.1080/10717544.2017.1413446

  • Liu Z, Ran Y, Huang S, Wen S, Zhang W, Liu X, Ji Z, Geng X, Ji X, Du H, Leak RK, Hu X (2017) Curcumin protects against ischemic stroke by titrating microglia/macrophage polarization. Front Aging Neurosci 9:233. https://doi.org/10.3389/fnagi.2017.00233

  • Mortazavi MM, Verma K, Harmon OA, Griessenauer CJ, Adeeb N, Theodore N, Tubbs RS (2015) The microanatomy of spinal cord injury: a review. Clin Anat 28:27–36. https://doi.org/10.1002/ca.22432

  • Nagoshi N, Nakashima H, Fehlings MG (2015) Riluzole as a neuroprotective drug for spinal cord injury: from bench to bedside. Molecules 20:7775–7789. https://doi.org/10.3390/molecules20057775

  • Oyinbo CA (2011) Secondary injury mechanisms in traumatic spinal cord injury: a nugget of this multiply cascade. Acta Neurobiol Exp (wars) 71:281–299

    Google Scholar 

  • Qin H, Holdbrooks AT, Liu Y, Reynolds SL, Yanagisawa LL, Benveniste EN (2012) SOCS3 deficiency promotes M1 macrophage polarization and inflammation. J Immunol 189:3439–3448. https://doi.org/10.4049/jimmunol.1201168

  • Rivlin AS, Tator CH (1977) Objective clinical assessment of motor function after experimental spinal cord injury in the rat. J Neurosurg 47:577–581. https://doi.org/10.3171/jns.1977.47.4.0577

  • Saijo K, Glass CK (2011) Microglial cell origin and phenotypes in health and disease. Nat Rev Immunol 11:775–787. https://doi.org/10.1038/nri3086

  • Siddiqui AM, Khazaei M, Fehlings MG (2015) Translating mechanisms of neuroprotection, regeneration, and repair to treatment of spinal cord injury. Prog Brain Res 218:15–54. https://doi.org/10.1016/bs.pbr.2014.12.007

  • Wu Q, Zhang Y, Zhang Y, Zhang W, Zhang W, Liu Y, Xu S, Guan Y, Chen X (2020) Riluzole improves functional recovery after acute spinal cord injury in rats and may be associated with changes in spinal microglia/macrophages polarization. Neurosci Lett 134829. https://doi.org/10.1016/j.neulet.2020.134829

  • Xu J, He J, He H, Peng R, Xi J (2017) Comparison of RNAi NgR and NEP1–40 in acting on axonal regeneration after spinal cord injury in rat models. Mol Neurobiol 54:8321–8331. https://doi.org/10.1007/s12035-016-0315-3

  • Yang Y, Liu H, Zhang H, Ye Q, Wang J, Yang B, Mao L, Zhu W, Leak R K, Xiao B, Lu B, Chen J, Hu X (2017) ST2/IL-33-dependent microglial response limits acute ischemic brain injury. J Neurosci 37:4692–704. https://doi.org/10.1523/JNEUROSCI.3233-16.2017

  • Zeng H, Liu N, Yang YY, Xing HY, Liu XX, Li F, La GY, Huang MJ, Zhou MW (2019) Lentivirus-mediated downregulation of alpha-synuclein reduces neuroinflammation and promotes functional recovery in rats with spinal cord injury. J Neuroinflamm 16:283. https://doi.org/10.1186/s12974-019-1658-2

  • Zhang Y, Liu Z, Zhang W, Wu Q, Zhang Y, Liu Y, Guan Y, Chen X (2019) Melatonin improves functional recovery in female rats after acute spinal cord injury by modulating polarization of spinal microglial/macrophages. J Neurosci Res 97:733–743. https://doi.org/10.1002/jnr.24409

Download references

Funding

This work was supported by the National Natural Science Foundation of China (81901241).

Author information

Authors and Affiliations

Authors

Contributions

L.Z., X.C., and Q.W. designed the research. Q.W., Y.Z., W.Z., and S.Y. performed the research. Q.W. and W.Z. analyzed the data. Q.W., X.C., and Y.Z wrote the manuscript.

Corresponding authors

Correspondence to Xueming Chen or Lei Zang.

Ethics declarations

Ethics Approval

All animal experiments were approved by the Institutional Animal Care and Use Committee of Capital Medical University. The animals were handled according to the guidelines set forth by the Chinese National Institutes of Health.

Consent to Participate

Not applicable, because this study did not involve human participants.

Consent for Publication

Not applicable, because this study did not involve human participants.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Highlights

• Riluzole immediately applied in a single dose post-spinal cord injury (SCI), decreased the mRNA level of interleukin (IL)-1β at 6 h, and reduced the destruction of neurons at day 1 post-SCI.

• At 6 weeks, riluzole-treated rats exhibited better neurological function compared to vehicle-treated rats. This advantage may have been due to riluzole intervention during the acute phase of spinal cord injury.

• Anti-inflammatory effects may be another important mechanism of riluzole, in addition to its well-described function of reducing excitotoxicity by blocking glutamatergic neurotransmission.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wu, Q., Zhang, W., Yuan, S. et al. A Single Administration of Riluzole Applied Acutely After Spinal Cord Injury Attenuates Pro-inflammatory Activity and Improves Long-Term Functional Recovery in Rats. J Mol Neurosci 72, 730–740 (2022). https://doi.org/10.1007/s12031-021-01947-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12031-021-01947-y

Keywords

Navigation