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NEUROPHARMACOLOGY

Effects of Palmitoylethanolamide on Signaling Pathways Implicated in the Development of Spinal Cord Injury

IRCCS Centro Neurolesi "Bonino-Pulejo," Messina, Italy (T.G., E.E., E.M., R.D.P., P.B., S.C.); Department of Experimental Pharmacology, University of Naples "Federico II," Naples, Italy (E.E., R.M., A.C.); Department of Pharmacology, University of California, Irvine and Department of Drug Discovery and Development, Italian Institute of Technology, Genoa, Italy (D.P.); and Department of Clinical and Experimental Medicine and Pharmacology, School of Medicine, University of Messina, Italy (S.C.)

Activation of peroxisome proliferator-activated receptor (PPAR)-, a member of the nuclear receptor superfamily, modulates inflammation and tissue injury events associated with spinal cord trauma in mice. Palmitoylethanolamide (PEA), the naturally occurring amide of palmitic acid and ethanolamine, reduces pain and inflammation through a mechanism dependent on PPAR- activation. The aim of the present study was to evaluate the effect of the PEA on secondary damage induced by experimental spinal cord injury (SCI) in mice. SCI was induced by application of vascular clips to the dura mater via a four-level T₅-T₈ laminectomy. This resulted in severe trauma characterized by edema, neutrophil infiltration, and production of inflammatory mediators, tissue damage, and apoptosis. Repeated PEA administration (10 mg/kg i.p.; 30 min before and 1 and 6 h after SCI) significantly reduced: 1) the degree of spinal cord inflammation and tissue injury, 2) neutrophil infiltration, 3) nitrotyrosine formation, 4) proinflammatory cytokine expression, 5) nuclear transcription factor activation-B activation, 6) inducible nitric-oxide synthase expression, and 6) apoptosis. Moreover, PEA treatment significantly ameliorated the recovery of motor limb function. Together, the results indicate that PEA reduces inflammation and tissue injury associated with SCI and suggest a regulatory role for endogenous PPAR- signaling in the inflammatory response associated with spinal cord trauma.

Address correspondence to: Salvatore Cuzzocrea, Department of Clinical and Experimental Medicine and Pharmacology, School of Medicine, University of Messina, Torre Biologica, Policlinico Universitario Via C. Valeria, Gazzi 98100, Messina, Italy. E-mail: salvator{at}unime.it