Abstract:Objective To observe the change law of Ca2+/calmodulin-dependent protein kinase IV (CaMKIV ) gene and protein in spinal cord ischemia-reperfusion injury (SCII) rats. Methods Using random number table, 84 male Sprague-Dawleys rats were randomly and equally divided into sham group, SCII 0 day group, SCII 1 day group, SCII 3 days group, SCII 7 days group, SCII 14 days group, and SCII 28 days group. The rats of the sham group were only subjected to exposure of the abdominal aorta below renal artery but without occlusion; in the SCII groups, the SCII model was established by blocking abdominal aorta using Naslund method. Immunohistochemistry, Western blot and qRT-PCR technique were used to detect CaMKIV protein and gene expressions respectively. BBB score was utilized to evaluate movement function of rat hindlimbs. Results According to the results of immunohistochemistry, CaMKIV protein was expressed less in the sham group, while was highly expressed in neuronal cytoplasm and nuclei in the SCII groups, and the number of CaMKIV-positive cells was maximal on the 3rd day after injury and obviously larger than that of the sham group, the difference was statistically significant (P < 0.05). Western blot results suggested that CaMKIV protein expression in the SCII 0 day group was significantly higher than that in the sham group (P < 0.05), reached the peak value in the SCII 3 day group and then reduced, on the 28th day after reperfusion the expression of CaMKIV protein had no significant difference from that in the sham group (P > 0.05). qRT-PCR showed CaMKIV gene expression began to increase from the day of reperfusion, and compared with the sham group the difference was statistically significant (P < 0.05), and then reduced from 3 days after reperfusion, but was still higher than that of the sham group till the 28th day after reperfusion (P < 0.05). BBB score showed that the hindlimb function of the rats in each SCII group was improved with the prolongation of reperfusion time, but was still worse than that of the sham group till the 28th day. Conclusions Early-stage ischemia-reperfusion injury of spinal cord can rapidly induce CaMKIV gene expression up-regulation and protein synthesis. CaMKIV may play an important role in spinal cord ischemia-reperfusion injury.