Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy

Lithium promotes autophagy and has a neuroprotective effect on spinal cord injury (SCI); however, the underlying mechanisms remain unclear. Therefore, in this study, we investigated the effects of lithium and the autophagy inhibitor 3-methyladenine (3-MA) in a rat model of SCI. The rats were randoml...

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Main Authors: Duo Zhang, Fang Wang, Xu Zhai, Xiao-Hui Li, Xi-Jing He
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2018;volume=13;issue=12;spage=2191;epage=2199;aulast=Zhang
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author Duo Zhang
Fang Wang
Xu Zhai
Xiao-Hui Li
Xi-Jing He
author_facet Duo Zhang
Fang Wang
Xu Zhai
Xiao-Hui Li
Xi-Jing He
author_sort Duo Zhang
collection DOAJ
description Lithium promotes autophagy and has a neuroprotective effect on spinal cord injury (SCI); however, the underlying mechanisms remain unclear. Therefore, in this study, we investigated the effects of lithium and the autophagy inhibitor 3-methyladenine (3-MA) in a rat model of SCI. The rats were randomly assigned to the SCI, lithium, 3-MA and sham groups. In the 3-MA group, rats were intraperitoneally injected with 3-MA (3 mg/kg) 2 hours before SCI. In the lithium and 3-MA groups, rats were intraperitoneally injected with lithium (LiCl; 30 mg/kg) 6 hours after SCI and thereafter once daily until sacrifice. At 2, 3 and 4 weeks after SCI, neurological function and diffusion tensor imaging indicators were remarkably improved in the lithium group compared with the SCI and 3-MA groups. The Basso, Beattie and Bresnahan locomotor rating scale score and fractional anisotropy values were increased, and the apparent diffusion coefficient value was decreased. Immunohistochemical staining showed that immunoreactivities for Beclin-1 and light-chain 3B peaked 1 day after SCI in the lithium and SCI groups. Immunoreactivities for Beclin-1 and light-chain 3B were weaker in the 3-MA group than in the SCI group, indicating that 3-MA inhibits lithium-induced autophagy. Furthermore, NeuN+ neurons were more numerous in the lithium group than in the SCI and 3-MA groups, with the fewest in the latter. Our findings show that lithium reduces neuronal damage after acute SCI and promotes neurological recovery by inducing autophagy. The neuroprotective mechanism of action may not be entirely dependent on the enhancement of autophagy, and furthermore, 3-MA might not completely inhibit all autophagy pathways.
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spelling doaj.art-976f9b0a6bee4d058bcb67dd035147252022-12-21T21:17:05ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742018-01-0113122191219910.4103/1673-5374.241473Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagyDuo ZhangFang WangXu ZhaiXiao-Hui LiXi-Jing HeLithium promotes autophagy and has a neuroprotective effect on spinal cord injury (SCI); however, the underlying mechanisms remain unclear. Therefore, in this study, we investigated the effects of lithium and the autophagy inhibitor 3-methyladenine (3-MA) in a rat model of SCI. The rats were randomly assigned to the SCI, lithium, 3-MA and sham groups. In the 3-MA group, rats were intraperitoneally injected with 3-MA (3 mg/kg) 2 hours before SCI. In the lithium and 3-MA groups, rats were intraperitoneally injected with lithium (LiCl; 30 mg/kg) 6 hours after SCI and thereafter once daily until sacrifice. At 2, 3 and 4 weeks after SCI, neurological function and diffusion tensor imaging indicators were remarkably improved in the lithium group compared with the SCI and 3-MA groups. The Basso, Beattie and Bresnahan locomotor rating scale score and fractional anisotropy values were increased, and the apparent diffusion coefficient value was decreased. Immunohistochemical staining showed that immunoreactivities for Beclin-1 and light-chain 3B peaked 1 day after SCI in the lithium and SCI groups. Immunoreactivities for Beclin-1 and light-chain 3B were weaker in the 3-MA group than in the SCI group, indicating that 3-MA inhibits lithium-induced autophagy. Furthermore, NeuN+ neurons were more numerous in the lithium group than in the SCI and 3-MA groups, with the fewest in the latter. Our findings show that lithium reduces neuronal damage after acute SCI and promotes neurological recovery by inducing autophagy. The neuroprotective mechanism of action may not be entirely dependent on the enhancement of autophagy, and furthermore, 3-MA might not completely inhibit all autophagy pathways.http://www.nrronline.org/article.asp?issn=1673-5374;year=2018;volume=13;issue=12;spage=2191;epage=2199;aulast=Zhangnerve regeneration; spinal cord injury; lithium; secondary injury; autophagydiffusion tensor imaging; neuroprotection; functional recovery; immunohistochemistry; Beclin-1; light-chain 3B; neural regeneration
spellingShingle Duo Zhang
Fang Wang
Xu Zhai
Xiao-Hui Li
Xi-Jing He
Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
Neural Regeneration Research
nerve regeneration; spinal cord injury; lithium; secondary injury; autophagy
diffusion tensor imaging; neuroprotection; functional recovery; immunohistochemistry; Beclin-1; light-chain 3B; neural regeneration
title Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
title_full Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
title_fullStr Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
title_full_unstemmed Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
title_short Lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
title_sort lithium promotes recovery of neurological function after spinal cord injury by inducing autophagy
topic nerve regeneration; spinal cord injury; lithium; secondary injury; autophagy
diffusion tensor imaging; neuroprotection; functional recovery; immunohistochemistry; Beclin-1; light-chain 3B; neural regeneration
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2018;volume=13;issue=12;spage=2191;epage=2199;aulast=Zhang
work_keys_str_mv AT duozhang lithiumpromotesrecoveryofneurologicalfunctionafterspinalcordinjurybyinducingautophagy
AT fangwang lithiumpromotesrecoveryofneurologicalfunctionafterspinalcordinjurybyinducingautophagy
AT xuzhai lithiumpromotesrecoveryofneurologicalfunctionafterspinalcordinjurybyinducingautophagy
AT xiaohuili lithiumpromotesrecoveryofneurologicalfunctionafterspinalcordinjurybyinducingautophagy
AT xijinghe lithiumpromotesrecoveryofneurologicalfunctionafterspinalcordinjurybyinducingautophagy