Hindawi Publishing Corporation
BioMed Research International
Volume 2013, Article ID 985093, 14 pages
http://dx.doi.org/10.1155/2013/985093
Research Article
Neuroprotective Activity of Thioctic Acid in Central Nervous
System Lesions Consequent to Peripheral Nerve Injury
Daniele Tomassoni,
1
Francesco Amenta,
2
Lorenzo Di Cesare Mannelli,
3
Carla Ghelardini,
3
Innocent E. Nwankwo,
2
Alessandra Pacini,
4
and Seyed Khosrow Tayebati
2
1
School of Bioscience and Biotechnology, University of Camerino, Via Gentile III da Varano, 62032 Camerino, Italy
2
School of Medicinal and Health Products Sciences, University of Camerino, Via Madonna delle Carceri, 9, 62032 Camerino, Italy
3
Department of Clinical and Preclinical Pharmacology, University of Florence, Viale Pieraccini, 6, 50134 Florence, Italy
4
Department of Anatomy, Histology and Forensic Medicine, University of Florence, Largo Brambilla, 1, 50134 Florence, Italy
Correspondence should be addressed to Daniele Tomassoni; daniele.tomassoni@unicam.it
Received 7 August 2013; Revised 25 November 2013; Accepted 25 November 2013
Academic Editor: Swaran J. S. Flora
Copyright © 2013 Daniele Tomassoni et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Peripheral neuropathies are heterogeneous disorders presenting ofen with hyperalgesia and allodynia. Tis study has assessed if
chronic constriction injury (CCI) of sciatic nerve is accompanied by increased oxidative stress and central nervous system (CNS)
changes and if these changes are sensitive to treatment with thioctic acid. Tioctic acid is a naturally occurring antioxidant existing
in two optical isomers (+)- and (−)-thioctic acid and in the racemic form. It has been proposed for treating disorders associated
with increased oxidative stress. Sciatic nerve CCI was made in spontaneously hypertensive rats (SHRs) and in normotensive
reference cohorts. Rats were untreated or treated intraperitoneally for 14 days with (+/−)-, (+)-, or (−)-thioctic acid. Oxidative
stress, astrogliosis, myelin sheets status, and neuronal injury in motor and sensory cerebrocortical areas were assessed. Increase of
oxidative stress markers, astrogliosis, and neuronal damage accompanied by a decreased expression of neuroflament were observed
in SHR. Tis phenomenon was more pronounced afer CCI. Tioctic acid countered astrogliosis and neuronal damage, (+)-thioctic
acid being more active than (+/−)- or (−)-enantiomers. Tese fndings suggest a neuroprotective activity of thioctic acid on CNS
lesions consequent to CCI and that the compound may represent a therapeutic option for entrapment neuropathies.
1. Introduction
Lesions of the nervous system can induce dysfunctional
pain signalling and altered sensory mechanisms identifying
a heterogeneous category of diseases defned neuropathies.
Tese pathologies are difcult to treat. In general, drugs avail-
able counter hyperalgesic symptomatology of neuropathy, but
do not afect the course of these diseases. Neuroprotective
and/or neurorestorative efects elicited by pharmacological
treatments were reported only rarely [1].
Chronic constriction injury (CCI) is an animal model
of peripheral neuropathy induced by the loose ligation of
the sciatic nerve [2]. CCI mimics an entrapment mononeu-
ropathy and is characterized by a painful syndrome with
hyperalgesia. Painful symptomatology starts approximately
from the 3rd day afer nerve injury, reaches a plateau between
7 and 15 days, and then decreases [3]. In CCI, hyperalgesia is
accompanied by the occurrence of apoptosis phenomena in
the nerve starting from the second week afer ligation [4].
Treatment of neuropathic pain, initiated or caused by
central nervous system (CNS) primary lesions/dysfunctions
or by peripheral nervous system (nerves outside the brain
and spinal cord) damage is problematic because of sever-
ity, chronicity, and resistance to common analgesics [5].
Reactive oxygen species (ROS) have been implicated in the
development of persistent pain states resulting from nerve
injury or infammatory phenomena [6–10]. Several studies
have shown that antioxidants are efective in alleviating
hyperalgesia in spinal nerve-ligated neuropathic rats [11, 12]
and capsaicin-induced secondary mechanical hyperalgesia