Review Article

The Potential of Curcumin in Treatment of Spinal Cord Injury

Table 4

Publications examining effects of curcumin on functional neurological recovery after spinal cord injury. Groups equally divided unless otherwise indicated. SCI, spinal cord injury; DMSO, dimethyl sulfoxide; SOD, superoxide dismutase (antioxidant); MDA, malondialdehyde (oxidant); iNOS, inducible nitric oxide synthase; NMDA, N-methyl-D-aspartate; CGRP, calcitonin gene-related peptide; KMS4034, curcumin analog; DHA, docosahexaenoic acid; NSCs, neural stem cells.

ReferenceSample sizeAnimal typeMethod of SCITreatment groupsRoute & timing of curcumin administrationPathological findingsOutcomes/results

Ormond et al. [36]14Sprague-Dawley ratsWeight dropAfter SCI: curcumin versus DMSOEpidural injection within 30 minutes of SCI & weekly thereafter, until sixth weekCurcumin group with greater spinal cord tissue sparing & neuronal tissue sparingIn curcumin group, improved functional scores after 3 weeks and greater soleus weight

Kim et al. [37]36Sprague-Dawley ratsClipping for 120 secondsSham, SCI/vehicle, and SCI/curcumin Seven consecutive days of intraperitoneal injections after SCICurcumin group with decreased cavity size two weeks after SCIIn curcumin group, higher neuromotor scores after 7 days; increased SOD and decreased MDA and macrophage markers

Zhang et al. [38]30Sprague-Dawley ratsPermanent ligation of lumbar arterySham, SCI/saline, and SCI/curcuminIntraperitoneal injection daily for 7 days starting 24 hours after SCICurcumin group with decreased iNOS and NMDA expression as compared with saline groupHigher hind limb motor function in curcumin group at 7 days

Sun and Xu [39]200Rats, unknown typeNot specifiedSham, SCI/saline, SCI/low-dose curcumin, and SCI/high-dose curcuminIntraperitoneal injection immediately after SCICurcumin group with increase in CGRP+ cells, starting at 3 days, with dose responseEnhanced motor scores of curcumin-treated groups starting at 3 days; dose response between high- and low-dose curcumin groups starting at 7 days

Lee et al. [40]40ICR miceMonofilament-based chronic constriction injuryVehicle, gabapentin (positive control), and KMS4034 (0.1, 1, and 10 mg/kg)Not specified10 mg/kg KMS4034 group with decrease in CGRP+ cellsKMS4034 and gabapentin groups with decreased postnoxious stimulus paw licking, flinching, and withdrawal latency

Zhao et al. [41]Not specifiedC57BL/6J miceChronic constrictive injury of sciatic nerveVehicle, curcumin at various dose levels (5, 15, and 45 mg/kg)Orally, twice daily for three weeks starting 10 days after SCIDecreased mechanical allodynia and thermal hyperalgesia in curcumin groups with dose response; effects abrogated with impedance of monoamine signaling

Joseph et al. [42]52C57BL/6J miceSpinal cord transectionControl diet/sedentary, control diet/exercise, DHA/curcumin/sedentary, and DHA/curcumin/exercise21 days prior to intervention; diet ad libitumEnhanced spinal cord motor learning in both curcumin/DHA groups and highest in group with exercise; effects mediated by several signaling factors including neurotrophic factors

Holly et al. [43]27Sprague-Dawley ratsPlacement of paraspinal nonresorbable polymerControl (no SCI), SCI/Western diet, and SCI/DHA/curcuminDiet ad libitum and for 6 weeks after procedureImproved gait at 3 & 6 weeks in the DHA/curcumin groups; potential mediation via neurotrophic factors

Di et al. [44]72Sprague-Dawley ratsChronic constrictive injury of sciatic nerveSham, SCI only, SCI/vehicle, and SCI/curcuminIntraperitoneal injection daily for 14 days, starting 1 day after SCIDecreased corticosteroid synthesis/expression in curcumin groupCurcumin group with improved withdrawal to thermal stimulation, starting at 7 days

Ormond et al. [45]63Sprague-Dawley ratsWeight drop from close (moderate SCI) or afar (severe SCI)SCI only ( = 18), SCI/curcumin ( = 10), SCI/NSCs ( = 16), and SCI/curcumin/NSCs ( = 19)Intramuscular injection near site of injury, within 20 minutesNumerically greatest spinal cord parenchymal sparing with curcumin/NSCsSynergistic effect of curcumin and NSCs in neuromotor recovery, along with body weight after SCI and soleus muscle weight (after severe SCI)