Facilitation of neurological recovery in a complete spinal cord injury with NeuroAiD: case report

IF 0.7 Q4 CLINICAL NEUROLOGY Spinal Cord Series and Cases Pub Date : 2024-04-03 DOI:10.1038/s41394-024-00632-7
Muhamad Faizal Zainudin, Salmah Anim Abu Hassan, Nyein Yin Khin
{"title":"Facilitation of neurological recovery in a complete spinal cord injury with NeuroAiD: case report","authors":"Muhamad Faizal Zainudin, Salmah Anim Abu Hassan, Nyein Yin Khin","doi":"10.1038/s41394-024-00632-7","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Introduction</h3><p>NeuroAiD (MLC601 &amp; MLC901)’s neuroprotective capabilities include limiting exaggerated calcium influx, decreasing excitotoxicity, reducing oxidative stress, and preventing glutamate-induced cell death. It has also been shown to facilitate synaptogenesis, neurogenesis, and neuroplasticity. However, its clinical efficacy has primarily been studied in the context of brain injuries, particularly stroke. NeuroAiD’s potential application in SCI remains largely untapped.</p><h3 data-test=\"abstract-sub-heading\">Case presentation</h3><p>A 34-year-old male presented with C4 complete tetraplegia. Following surgical decompression and initial inpatient rehabilitation, he started consuming MLC901 two capsules three times daily at month 4 post injury for 6 months. He regained considerable neurological recovery following the supplementation. Apart from the improvement in the neurological level of injury, the patient exhibited motor recovery beyond the initial zone of partial preservation up to 24 months post injury.</p><h3 data-test=\"abstract-sub-heading\">Discussion</h3><p>Our findings align with a recent animal study demonstrating MLC901’s potential to downregulate Vascular Endothelial Growth Factor (VEGF), a molecule known to increase vascular permeability and exacerbate tissue edema and infarction. In another animal study involving stroke-affected mice, MLC901 demonstrates the ability to promote neurological recovery by regulating the expression of proteins mediating angiogenesis, such as hypoxic inducible factor 1α, erythropoietin, angiopoietins 1 and 2, as well as VEGF. The anecdotal findings from this case report offer preliminary insights into NeuroAiD’s potential in facilitating recovery during post-acute and chronic phases of severe SCI, necessitating further exploration.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spinal Cord Series and Cases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1038/s41394-024-00632-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

NeuroAiD (MLC601 & MLC901)’s neuroprotective capabilities include limiting exaggerated calcium influx, decreasing excitotoxicity, reducing oxidative stress, and preventing glutamate-induced cell death. It has also been shown to facilitate synaptogenesis, neurogenesis, and neuroplasticity. However, its clinical efficacy has primarily been studied in the context of brain injuries, particularly stroke. NeuroAiD’s potential application in SCI remains largely untapped.

Case presentation

A 34-year-old male presented with C4 complete tetraplegia. Following surgical decompression and initial inpatient rehabilitation, he started consuming MLC901 two capsules three times daily at month 4 post injury for 6 months. He regained considerable neurological recovery following the supplementation. Apart from the improvement in the neurological level of injury, the patient exhibited motor recovery beyond the initial zone of partial preservation up to 24 months post injury.

Discussion

Our findings align with a recent animal study demonstrating MLC901’s potential to downregulate Vascular Endothelial Growth Factor (VEGF), a molecule known to increase vascular permeability and exacerbate tissue edema and infarction. In another animal study involving stroke-affected mice, MLC901 demonstrates the ability to promote neurological recovery by regulating the expression of proteins mediating angiogenesis, such as hypoxic inducible factor 1α, erythropoietin, angiopoietins 1 and 2, as well as VEGF. The anecdotal findings from this case report offer preliminary insights into NeuroAiD’s potential in facilitating recovery during post-acute and chronic phases of severe SCI, necessitating further exploration.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
用 NeuroAiD 促进完全性脊髓损伤患者的神经功能恢复:病例报告
导言NeuroAiD(MLC601 & MLC901)的神经保护功能包括限制过多的钙离子流入、降低兴奋毒性、减少氧化应激和防止谷氨酸诱导的细胞死亡。此外,它还能促进突触生成、神经发生和神经可塑性。不过,其临床疗效主要是在脑损伤,尤其是中风的情况下进行研究的。NeuroAiD 在 SCI 中的潜在应用在很大程度上仍未得到开发。经过手术减压和最初的住院康复治疗后,他在伤后第 4 个月开始服用 MLC901,每次两粒,每天三次,共服用 6 个月。补充营养后,他的神经系统得到了相当程度的恢复。我们的研究结果与最近的一项动物研究结果一致,该研究表明 MLC901 有可能下调血管内皮生长因子 (VEGF),VEGF 是一种已知会增加血管通透性并加剧组织水肿和梗死的分子。在另一项涉及受中风影响的小鼠的动物研究中,MLC901 通过调节介导血管生成的蛋白质(如缺氧诱导因子 1α、促红细胞生成素、血管生成素 1 和 2 以及血管内皮生长因子)的表达,显示出促进神经系统恢复的能力。本病例报告中的轶事发现初步揭示了 NeuroAiD 在促进严重 SCI 急性期后和慢性期恢复方面的潜力,因此有必要进一步探讨。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
期刊最新文献
Non-surgical spinal cord infarction: case series & long-term follow-up of functional outcome. The frequency of osteomyelitis after pressure injury in spinal cord injury: a systematic review and meta-analysis. The clinical evolution of patients with idiopathic spinal cord herniation: a case series. Resting energy expenditure during spinal cord injury rehabilitation and utility of fat-free mass-based energy prediction equations: a pilot study. Epidemiology of traumatic spinal cord injury in Ireland, 2017-2022.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1