Objective: To identify that the combined
G-CSF and treadmill exercise is more effective in functional recovery after
spinal cord injury (SCI).Design: Rats were divided into 4 groups: a SCI group treated with
G-CSF (
G-CSF group, n = 6), a SCI group treated with treadmill exercise plus
G-CSF (
G-CSF/exercise group, n = 6), a SCI group with treadmill exercise (exercise group, n = 6), and a SCI group without treatments (control group, n = 6). We performed
laminectomy at the T8-10 spinal levels with compression injury of the spinal cord in all rats.
G-CSF (20 μg/ml) was administered intraperitoneally for 5 consecutive days after SCI in
G-CSF and
G-CSF/exercise groups. From one week after surgery, animals in
G-CSF/exercise and exercise groups received 30 min of exercise 5 days per week for 4 weeks. Functional recoveries were assessed using the Basso, Beattie, and Bresnahan (BBB) scale and the inclined plane test. Five weeks after SCI,
hematoxylin and
eosin staining for cavity size and immunohistochemistry for
glial scar formation and neuro-regeneration factor expression were conducted.Setting: Inha University School of medicine, Incheon, KoreaResults: Rats in
G-CSF/exercise group showed the most effective functional recovery in the BBB scale and the inclined plane test, and spinal cord cavity size by injury were the smallest, and immunohistochemistry revealed expression of higher
BDNF (
brain-derived neurotrophic factor) and
VEGF (
vascular endothelial growth factor) and lower GFAP (
glial fibrillary acidic protein) than others.Conclusion: Combined treatment provided more effective neuroplasty and functional recovery than individual treatments.