Chitosan/PEG-mediated spinal cord fusion after complete dorsal transection in rabbits – functional results at 30 days

Author:

Lebenstein-Gumovski Michael1,Rasueva Tanzila2,Zharchenko Alexander3,Bashahanov Robert3,Kovalev Dmitry A.4,Zhirov Andrey4,Shatokhin Anton1,Grin Andrey2

Affiliation:

1. Department of Neurology and Neurosurgery, Stavropol State Medical University, Stavropol, Russian Federation

2. Clinic of Neurosurgery, N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department, Moscow, Russian Federation

3. Department of General Medicine, Stavropol State Medical University, Stavropol, Russian Federation

4. Laboratory of Biochemistry, Stavropol Research Institute for Plague Control, Stavropol, Russian Federation.

Abstract

Background: The aim was to study functional recovery in experimental animals (rabbits) with transected spinal cords treated with a combination of photo-cross-linked chitosan in a homogeneous mixture with polyethylene glycol (PEG-chitosan). Methods: 20 rabbits (n = 10 experimental and n = 10 controls) were submitted to complete spinal cord transection at T9. The experimental group received an intraoperative injection of PEG-chitosan. Neurological recovery was assessed using the modified Basso, Beattie, and Bresnahan scale. Results: In the experimental group, partial recovery of movements, sensory function, and sphincter control were all observed by postoperative day 30. Paraplegia and anesthesia persisted in the control group; 4 controls died versus none in the test group. Conclusion: PEG-chitosan is a candidate for neurological restoration after spinal paralysis.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference7 articles.

1. The technology of head transplantation;Canavero,2020

2. Spinal cord fusion in rodents and dogs;Kim,2020

3. Method for restoring the functions of the spinal cord after transection thereof, using PEG-chitosan conjugate, Russian Federation patent RU 2782119 C1, registration № 2021120198;Lebenstein-Gumovski,2021

4. Method of treatment of spinal cord injury with restoration of its functions with PEG-chitosan conjugate «NEURO-PEG», Russian Federation patent RU 2801469 C1, registration No 2022128384;Lebenstein-Gumovski,2022

5. Recovery of spinal cord functions after experimental complete crossection under the effect of chitosan polymeric compounds;Lebenstein-Gumovski;Zh Vopr Neirokhir Im N N Burdenko,2023

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