Methylprednisolone protects oligodendrocytes but not neurons after spinal cord injury

Jin Moo Lee, Ping Yan, Qingli Xiao, Shawei Chen, Kuang Yung Lee, Chung Y. Hsu, Jan Xu

Research output: Contribution to journalArticlepeer-review

64 Citations (Scopus)


Methylprednisolone (MP) is used to treat a variety of neurological disorders involving white matter injury, including multiple sclerosis, acute disseminated encephalomyelitis, and spinal cord injury (SCI). Although its mechanism of action has been attributed to antiinflammatory or antioxidant properties, we examined the possibility that MP may have direct neuroprotective activities. Neurons and oligodendrocytes treated with AMPA or staurosporine died within 24 h after treatment. MP attenuated oligodendrocyte death in a dose-dependent manner; however, neurons were not rescued by the same doses of MP. This protective effect was reversed by the glucocorticoid receptor (GR) antagonist (11, 17)-11-[4-(dimethylamino)phenyl]-17-hydroxy-17-(1-propynyl) estra-4,9-dien-3-one (RU486) and small interfering RNA directed against GR, suggesting a receptor-dependent mechanism. MP reversed AMPA-induced decreases in the expression of anti-apoptotic Bcl-xL, caspase-3 activation, and DNA laddering, suggesting anti-apoptotic activity in oligodendrocytes. To examine whether MP demonstrated this selective protection in vivo, neuronal and oligodendrocyte survival was assessed in rats subjected to spinal cord injury (SCI); groups of rats were treated with or without MP in the presence or absence of RU486. Eight days after SCI, MP significantly increased oligodendrocytes (CC-1-immunoreactive cells) after SCI, but neuronal (neuronal-specific nuclear protein-immunoreactive cells) number remained unchanged; RU486 reversed this protective effect. MP also inhibited SCI induced decreases in Bcl-xL and caspase-3 activation. Consistent with these findings, the volume of demyelination, assessed by Luxol fast blue staining, was attenuated by MP and reversed by RU486. These results suggest that MP selectively inhibits oligodendrocyte but not neuronal cell death via a receptor-mediated action and may be a mechanism for its limited protective effect after SCI.

Original languageEnglish
Pages (from-to)3141-3149
Number of pages9
JournalJournal of Neuroscience
Issue number12
Publication statusPublished - Mar 19 2008


  • Apoptosis
  • Glucocorticoids
  • Methylprednisolone
  • Neurons
  • Oligodendrocytes
  • Spinal cord injury

ASJC Scopus subject areas

  • General Neuroscience


Dive into the research topics of 'Methylprednisolone protects oligodendrocytes but not neurons after spinal cord injury'. Together they form a unique fingerprint.

Cite this