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Combined Neuroprotective Effects of N,N‐Dimethyltryptamine and Ventral Root Reimplantation Following Spinal Root Avulsion in Rats

Paola Andrea Caro Aponte, Edison Huertas Montoya, Ítalo Odone Mazali, Alessandra Sussulini, Benedito Barraviera, Rui Seabra Ferreira, Luciana Politti Cartarozzi, Alexandre Leite Rodrigues de Oliveira

Journal of Neurochemistry January 29, 2026 DOI: 10.1111/jnc.70364 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical experimental study Peer reviewed
Population Adult female Lewis rats
Interventions DMT Ventral root reimplantation Fibrin sealant biopolymer
Dose 1, 2.5, or 5 mg/kg i.p. daily for 2 weeks; optimal dose identified as 1 mg/kg
Duration 2-week treatment, 2-week post-injury evaluation
Measures neuronal survival, glial reactivity, synaptic preservation, gene expression of GDNF, FGF-2, VGF-A, Bcl-2, Bcl-XL
Topics 5-MeO-DMT DMT
Keywords Neuroprotection Axotomy Neurotrophic factors Neurotrophin Avulsion Anesthesia Pharmacology Therapeutic effect Pathophysiology Downregulation and upregulation Brain-derived neurotrophic factor Axon Spinal cord Surgery
Key findings DMT at 1 mg/kg combined with surgical root reimplantation and fibrin sealant biopolymer significantly enhanced motor neuron survival, reduced glial reactivity, and upregulated GDNF expression after ventral root avulsion.

Abstract

Currently, no effective treatment exists for injuries at the interface between the CNS/PNS, largely due to their complex pathophysiology and the limited efficacy of single-target therapies. To address this challenge, we investigated a novel combinatorial therapeutic strategy integrating surgical VRR with fibrin sealant biopolymer (FSB) and DMT in a rat model of ventral root avulsion VRA. DMT was extracted from Mimosa tenuiflora roots and structurally characterized using standard analytical methods. Adult female Lewis rats underwent unilateral L4-L6 VRA and received daily DMT treatment (1, 2.5, or 5 mg/kg; i.p) for 2 weeks to determine the optimal therapeutic dose. Subsequently, the identified optimal DMT dose was combined with VRR, and animals were evaluated 2 weeks post-injury. Outcome measures encompassed quantitative assessments of neuronal survival, glial reactivity, synaptic preservation, and differential gene expression of neurotrophic factors (GDNF, FGF-2, VGF-A) and anti-apoptotic genes (Bcl-2, Bcl-XL). Extracted DMT met all structural and analytical criteria for experimental use. Proximal axotomy led to substantial MN loss (78%), accompanied by pronounced glial reactivity and synaptic detachment. DMT at 1 mg/kg yielded the strongest neuroprotective profile, significantly enhancing MN survival, reducing glial reactivity, and preserving pre-synaptic boutons. Notably, these effects were further potentiated when DMT treatment was combined with VRR. Moreover, the combined VRR + DMT therapy significantly upregulated GDNF expression, indicating a synergistic effect on neurotrophic support. Overall, our findings suggest that DMT is a promising neuroprotective agent for treating MN degeneration following CNS/PNS interface injuries, particularly when integrated into a combinatorial therapeutic strategy.

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