1. The Evaluation of Magnesium Chloride within a Polyethylene Glycol Formulation in a Porcine Model of Acute Spinal Cord Injury
- Author
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Lisa M. Anderson, Jennifer Iaci, Neda Manouchehri, Patrick Sarmiere, Femke Streijger, Greg A. Dekaban, Jae H.T. Lee, David A. Rudko, Seth Tigchelaar, Ravi S. Menon, Elena B. Okon, Andrey Konovalov, Donald Button, Andrea Vecchione, Chi Ung, Anthony O. Caggiano, and Brian K. Kwon
- Subjects
0301 basic medicine ,Swine ,medicine.medical_treatment ,Drug Compounding ,Drug Evaluation, Preclinical ,Magnesium Chloride ,Polyethylene glycol ,Neuroprotection ,Thoracic Vertebrae ,Polyethylene Glycols ,03 medical and health sciences ,chemistry.chemical_compound ,Random Allocation ,0302 clinical medicine ,Injury Site ,medicine ,Psychology ,Animals ,Spinal cord injury ,Saline ,Miniature ,Spinal Cord Injuries ,medicine.diagnostic_test ,Animal ,business.industry ,Neurosciences ,Magnetic resonance imaging ,Recovery of Function ,medicine.disease ,Preclinical ,Disease Models, Animal ,030104 developmental biology ,medicine.anatomical_structure ,chemistry ,Anesthesia ,Disease Models ,Thoracic vertebrae ,Acute Disease ,Drug Evaluation ,Swine, Miniature ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Ex vivo ,Locomotion - Abstract
A porcine model of spinal cord injury (SCI) was used to evaluate the neuroprotective effects of magnesium chloride (MgCl2) within a polyethylene glycol (PEG) formulation, called "AC105" (Acorda Therapeutics Inc., Ardsley, NY). Specifically, we tested the hypothesis that AC105 would lead to greater tissue sparing at the injury site and improved behavioral outcome when delivered in a clinically realistic time window post-injury. Four hours after contusion/compression injury, Yucatan minipigs were randomized to receive a 30-min intravenous infusion of AC105, magnesium sulfate (MgSO4), or saline. Animals received 4 additional infusions of the same dose at 6-h intervals. Behavioral recovery was tested for 12 weeks using two-dimensional (2D) kinematics during weight-supported treadmill walking and the Porcine Injury Behavior Scale (PTIBS), a 10-point locomotion scale. Spinal cords were evaluated ex vivo by diffusion-weighted magnetic resonance imaging (MRI) and subjected to histological analysis. Treatment with AC105 or MgSO4 did not result in improvements in locomotor recovery on the PTIBS or in 2D kinematics on weight-supported treadmill walking. Diffusion weighted imaging (DWI) showed severe loss of tissue integrity at the impact site, with decreased fractional anisotropy and increased mean diffusivity; this was not improved with AC105 or MgSO4 treatment. Histological analysis revealed no significant increase in gray or white matter sparing with AC105 or MgSO4 treatment. Finally, AC105 did not result in higher Mg2+ levels in CSF than with the use of standard MgSO4. In summary, when testing AC105 in a porcine model of SCI, we were unable to reproduce the promising therapeutic benefits observed previously in less-severe rodent models of SCI.
- Published
- 2016