Figure 4. Surgical decompression triggers acute release of cytokines within the spinal cord, which persist after delayed decompression.
(A) ELISA results from homogenized spinal cord tissue indicated increased levels of inflammatory factors (G-CSF, IL-6, CXCL10, LIF, CCL-3, CCL-2) in the DCM-E + Dec group compared with the DCM-E group acutely after decompression (at 24 hours). *P < 0.05; **P < 0.01, two-way ANOVA, Bonferroni post-hoc. A group of naive animals with the same age as the animals at 5 weeks after decompression was also included. Naive (n = 3–4), DCM-E (n = 5), and DCM-E + DC groups (n = 5–6). (B) At 24 hours after delayed decompression, the DCM-D + Dec group presented a significant increase levels of G-CSF, IL-6, CXCL10, LIF, CCL-3, and CCL-2 compared with the DCM-D group. Moreover, levels of CXCL10, LIF, CCL-3, and CCL-2 were elevated at 2 and 5 weeks in the DCM-D + Dec group compared with the DCM-D group. Naive animals matching the age of animals at 5 weeks after decompression were included for reference. *P < 0.05; **P < 0.01; ***P ≤ 0.001, two-way ANOVA, Bonferroni post-hoc. Naive (n = 3), DCM-D (n = 5), DCM-D + Dec (n = 5–7). Data are presented as mean ± SEM. DCM, degenerative cervical myelopathy; Dec, decompression; DCM-E, age-matched early sham decompressed group; DCM-D, age-matched delayed sham decompressed group; h, hours; w, weeks.