Preclinical (rat) · PMID 41179234

Effect of ACTH4-10Pro8-Gly9-Pro10 on anti-inflammatory cytokine (IL-4, IL-10, IL-13) expression in acute spinal cord injury models (male Sprague Dawley rats)

Rat study: intranasal Semax raised anti-inflammatory cytokines (IL-4, IL-10, IL-13) within hours of spinal cord injury; no functional outcomes measured.

Last updated · 2023 · Asadullah A, Bajamal AH, Parenrengi MA, Turchan A, Utomo B, Sudiana IK, Subagio EA · F1000Research
Key findings
  • Intranasal Semax (ACTH 4-10) increased anti-inflammatory cytokine expression after acute spinal cord injury in male Sprague Dawley rats
  • Mild injury: greater anti-inflammatory levels at 3 hours; only IL-10 and IL-13 were significantly elevated at 6 hours
  • Severe injury: higher IL-10 and IL-13 at 3 hours and higher IL-4 and IL-10 at 6 hours vs placebo
  • Effects were greater with mild compression and at 3 hours; optimal dose and clinical outcomes remain unknown
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Study Design

  • Preclinical study in male Sprague Dawley rats; no human participants
  • Laminectomy at the second thoracic vertebra, then mild (20-g) or severe (35-g) spinal cord compression with aneurysm clips
  • Semax (ACTH 4-10Pro8-Gly9-Pro10) given intranasally to the treatment group; controls received 0.9% saline (placebo)
  • Animals were terminated at 3 and 6 hours; IL-4, IL-10, and IL-13 were measured by immunohistochemistry in the posterior horn area

Key Results

  • Mild injury: Semax-treated rats showed greater anti-inflammatory cytokine levels at 3 hours; at 6 hours only IL-10 and IL-13 were significantly elevated
  • Severe injury: Semax-treated rats showed higher IL-10 and IL-13 at 3 hours, and higher IL-4 and IL-10 at 6 hours, than placebo
  • Anti-inflammatory cytokine expression was greater with mild compression and at the 3-hour time point
  • The abstract reports anti-inflammatory cytokines only: no pro-inflammatory markers, functional recovery, or dose comparison

Relevance

Early animal evidence that Semax may shift the acute response to spinal cord injury toward anti-inflammatory signaling. The authors note Semax’s prior use in brain ischemia without serious complications reported. This study measured cytokines within hours of injury and does not show functional benefit; the authors say the optimal dose and clinical outcome still need to be determined.

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