1. Rehabilitation enhances epothilone-induced locomotor recovery after spinal cord injury
- Author
-
Griffin, Jarred M., Prakash, Sonia Hingorani Jai, Bockemuehl, Till, Benner, Jessica M., Schaffran, Barbara, Moreno-Manzano, Victoria, Bueschges, Ansgar, Bradke, Frank, Griffin, Jarred M., Prakash, Sonia Hingorani Jai, Bockemuehl, Till, Benner, Jessica M., Schaffran, Barbara, Moreno-Manzano, Victoria, Bueschges, Ansgar, and Bradke, Frank
- Abstract
Using a moderate spinal cord injury paradigm combined with histological analyses and multiplexed behavioural analyses of gait, Griffin et al. show that pharmacological microtubule stabilization and rehabilitation act on complementary aspects of locomotion to enhance functional recovery. Microtubule stabilization through epothilones is a promising preclinical therapy for functional recovery following spinal cord injury that stimulates axon regeneration, reduces growth-inhibitory molecule deposition and promotes functional improvements. Rehabilitation therapy is the only clinically validated approach to promote functional improvements following spinal cord injury. However, whether microtubule stabilization can augment the beneficial effects of rehabilitation therapy or act in concert with it to further promote repair remains unknown. Here, we investigated the pharmacokinetic, histological and functional efficacies of epothilone D, epothilone B and ixabepilone alone or in combination with rehabilitation following a moderate contusive spinal cord injury. Pharmacokinetic analysis revealed that ixabepilone only weakly crossed the blood-brain barrier and was subsequently excluded from further investigations. In contrast, epothilones B and D rapidly distributed to CNS compartments displaying similar profiles after either subcutaneous or intraperitoneal injections. Following injury and subcutaneous administration of epothilone B or D, rats were subjected to 7 weeks of sequential bipedal and quadrupedal training. For all outcome measures, epothilone B was efficacious compared with epothilone D. Specifically, epothilone B decreased fibrotic scaring which was associated with a retention of fibronectin localized to perivascular cells in sections distal to the lesion. This corresponded to a decreased number of cells present within the intralesional space, resulting in less axons within the lesion. Instead, epothilone B increased serotonergic fibre regeneration and vesicular gluta
- Published
- 2022