Neurol Res. 2025 Jul 11:1-8. doi: 10.1080/01616412.2025.2527159. Online ahead of print.
ABSTRACT
OBJECTIVES: This study explored whether dexmedetomidine (DEX) can promote functional restoration following spinal cord injury (SCI) through the PKR-like endoplasmic reticulum kinase (PERK)/activating transcription factor 4 (ATF4) pathway.
METHODS: A rat T10 SCI model was established with 5 groups including sham, SCI, PERK agonist, DEX, and DEX + PERK agonist. The protective role of the PERK/ATF4 pathway in DEX was investigated by comparing autophagy, inflammatory cytokines, and neurological function recovery in each group.
RESULTS: Seven days after the surgical procedure, DEX administration facilitated neurological recovery by activating autophagy and restraining inflammatory cytokines through the PERK/ATF4 pathway.
CONCLUSION: The PERK signaling may be associated with DEX-mediated neuroprotection, potentially involving the induction of autophagy and suppression of inflammation.
PMID:40642804 | DOI:10.1080/01616412.2025.2527159