Tamoxifen Administration Immediately or 24 Hours after Spinal Cord Injury Improves Locomotor Recovery and Reduces Secondary Damage in Female Rats
Open accessAbstract
Spinal cord injury (SCI) is a condition with no available cure. The initial physical impact triggers a cascade of molecular and cellular events that generate a nonpermissive environment for cell survival and axonal regeneration. Spinal cord injured patients often arrive at the clinic hours after the initial insult. This indicates the need to study and develop treatments with a long therapeutic window of action and multiactive properties, which target the complex set of events that arise after the initial trauma. We provide evidence that tamoxifen (TAM), a drug approved by the Food and Drug Administration, exerts neuroprotective effects in an animal model when applied up-to 24 h after SCI. We hypothesized that continuous TAM administration will improve functional locomotor recovery by favoring myelin preservation and reducing secondary damage after SCI. Adult female Sprague-Dawley rats (∼230 g) received a moderate contusion to the thoracic (T9–T10) spinal cord, using the MASCIS impactor device. To determine the therapeutic window available for TAM treatment, rats were implanted with TAM pellets (15 mg) immediately or 24 h after SCI. Locomotor function (Basso, Beattie, Bresnahan open field test, grid walk, and beam crossing tests) was assessed weekly for 35 days post-injury. TAM-treated rats showed significant functional locomotor recovery and improved fine movements when treated immediately or 24 h after SCI. Further, TAM increased white matter preservation and reduced secondary damage caused by astrogliosis, axonal degeneration, and cell death after trauma. These results provide evidence for TAM as a potential therapeutic agent to treat SCI up to 24 h after the trauma.
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Tamoxifen administration immediately after SCI reduces this response in part by promoting cell survival.
“Studies have shown that tamoxifen administration immediately after SCI reduces this response in part by promoting cell survival [39, 41, 55].”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
The Abstract (page unavailable) reports that tamoxifen given immediately after SCI reduced secondary damage, including astrogliosis and cell death, in female rats. The Discussion (page unavailable) also reports reduced GFAP levels and cites evidence that tamoxifen attenuates neuronal apoptosis. It does not establish that promoting cell survival is the mechanism by which tamoxifen reduces the response. (LLM, conf=0.83)
Experimental — accuracy not yet measuredTamoxifen is a known repressor of astrocyte reactivity acutely after SCI.
“Tamoxifen is a known repressor of astrocyte reactivity acutely after SCI [42, 43, 55].”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
The Results section reports that tamoxifen given immediately or 24 hours after SCI reduced GFAP-mediated reactive gliosis in female rats. However, GFAP was assessed 35 days after injury, so the paper does not establish that astrocyte reactivity was suppressed acutely. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPrevious studies began tamoxifen treatment within 24 hours of injury, then gave low doses of tamoxifen chronically via intraperitoneal injection or intrathecal infusion.
“Previous studies began tamoxifen treatment within 24 hours of injury, then gave low doses of tamoxifen chronically via intraperitoneal injection [39, 41] or intrathecal infusion [40, 55].”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
The 'Laminectomy, SCI, and drug administration' section reports treatment immediately or 24 hours after injury, with continuous release of 0.71 mg/day for 21 days. But it says the tamoxifen was delivered by subcutaneous pellets, not intraperitoneal injection or intrathecal infusion. No page number is available in our copy. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIt is possible that giving tamoxifen at 300 mg/kg, compared to 1 mg/kg, was toxic and induced neuronal cell death.
“Tamoxifen is known to be toxic to humans and rodents at high doses [72–74]; therefore, it is possible that giving tamoxifen at 300 mg/kg, compared to 1 mg/kg [39, 55], was toxic and induced neuronal cell death.”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
The Conclusions (page unavailable) report neuroprotective effects at 0.71 mg/day and refer to other studies using 1 mg/day, not 1 mg/kg. The neuronal-survival figure reports more surviving neurons after tamoxifen treatment, but the paper does not test 300 mg/kg or suggest that this dose induced neuronal cell death. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThese results contradict other CNS trauma studies that show tamoxifen improves anatomical and motor recovery in female and male SCI rodents.
“These results contradict other CNS trauma studies that show tamoxifen improves anatomical and motor recovery in female and male SCI rodents [39–41, 55], but this is likely attributed to differences in the timing of dosing.”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
This is opposite of previous reports that suggest tamoxifen is neuroprotective and increases neuron survival.
“This is opposite of previous reports that suggest tamoxifen is neuroprotective and increases neuron survival [39, 41, 42, 55].”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
Studies that report a neuroprotective effect of tamoxifen have given it during the acute phase, capitalizing on tamoxifen's ability to reduce inflammation, decrease glial reactivity, and promote cell survival.
“Studies that report a neuroprotective effect of tamoxifen have given it during this acute phase, capitalizing on tamoxifen’s ability to reduce inflammation, decrease glial reactivity, and promote cell survival [39–42, 55].”
From Delayed short-term tamoxifen treatment does not promote remyelination or neuron sparing after spinal cord injury (2020) · cites this paper as [55]
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Current Developments in Antioxidant Therapies for Spinal Cord Injury
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The Effect of Cefazolin on the Gut Microbiome of Female Rats After Spinal Cord Injury
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Tamoxifen Modulates Spinal Cord Injury Repair Via CCL2/CCR2 Axis and its Mechanisms
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Self-citation
- Authors
- Colón, J. M., Torrado, A. I., Cajigas, Á., Santiago, J. M., Salgado, I. K., Arroyo, Y., & Miranda, J. D.
- Affiliations
- University of Puerto Rico Medical Sciences Campus
- University of Puerto Rico, Medical Sciences Campus (PR)
- University of Puerto Rico at Río Piedras (PR)
- University of Puerto Rico at Carolina (PR)
- University of Puerto Rico Carolina Campus
- Corresponding author
- Miranda, Jorge D.
- Venue
- Journal of Neurotrauma
- Publisher
- SAGE Publications
- Published
- 2016-09
- Volume
- 33
- Issue
- 18
- Pages
- 1696-1708
- ISSN
- 0897-7151 (ISSN-L)
- 1557-9042
- PMC
- PMC5035917
- OpenAlex
- W2341520224
- Cited by
- 35
- References
- 56
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 3 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 2
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Neurotrauma (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (GM103642)
- National Institute of General Medical Sciences (T34GM007821, P20GM103642, R25GM061838, R25GM061151)
- National Institute on Minority Health and Health Disparities (G12MD007600)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Health Sciences › Veterinary › Small Animals › Veterinary Orthopedics and Neurology
- Keywords
- spinal cord injury, tamoxifen, therapeutic window, locomotor recovery, neuroprotection, myelin preservation, white matter preservation, astrocyte activation, axonal degeneration, cell death, bruising, female rats
- MeSH terms
- Animals, Female, Locomotion, Spinal Cord Injuries, Tamoxifen, Rats, Sprague-Dawley, Neuroprotective Agents, Recovery of Function, Rats
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