TY  - JOUR
TI  - The Biochemical, Histopathological and Clinical Comparison of the Neuroprotective Effects of Subcutaneous Adalimumab and Intravenous Methylprednisolone in an Experimental Compressive Spinal Cord Trauma Model
AB  - AIM: To evaluate the neuroprotective effects of adalimumab in an experimental spinal cord injury model and compare them withthose of the widely-used methylprednisolone.MATERIAL and METHODS: Forty male Wistar rats were divided into as the sham, trauma, adalimumab, methylprednisolone,and adalimumab+methylprednisolone groups. Only Iaminectomy was performed in the sham group. Laminectomy and trauma wasperformed to the trauma group but no treatment was given. single dose of 40 mg/kg subcutaneous adalimumab was administeredafter the Iaminectomy and trauma to group 3. single dose of intravenous 30 mg/kg methylprednisolone was administered right afterIaminectomy and trauma to group 4. Single doses of 40 mg/kg adalimumab and 30 mg/kg methylprednisolone were administeredtogether after Iaminectomy and trauma to group 5. Serum malondialdehyde (MDA), TNF-cı, IL-1B and IL—6 levels were measuredand sections were obtained for histopathological study at the end of the 7‘h day.RESULTS: MDA, TNF-o, IL—1B and IL—6 levels in serum were significantly decreased in the adalimumab group with clinical andhistopathological improvement not less than the methylprednisolone group. The serum MDA levels were similar when the twodrugs were given together or separately but there was statistically quite significant decrease in TNF-a, IL-1B and IL—6 levels withconcurrent use. Statistically significantly better results were obtained on histopathological evaluation with the use of both drugstogether.CONCLUSION: This study revealed that adalimumab is as effective as methylprednisolone in compressive spinal cord injury in rats.
AU  - Karatay, Mete
AU  - KERTMEN, Hüseyin Hayri
AU  - MENEKŞE, Güner
AU  - sertbaş, idris
AU  - CAYDERE, MUZAFFER
AU  - YILDIRIM, Ali Erdem
AU  - karatay, eylem
AU  - KÖKSAL, İsmet
AU  - Kul, Halil
AU  - erdem, yavuz
AU  - Alagöz, Fatih
AU  - ÇELİK, Haydar
AU  - Guvenc, Yahya
PY  - 2016
JO  - Turkish Neurosurgery
VL  - 26
IS  - 4
SN  - 1019-5149
SP  - 622
EP  - 631
DB  - TRDizin
UR  - http://search/yayin/detay/262673
ER  -