Proceedings of the National Academy of Sciences,
Journal Year:
2025,
Volume and Issue:
122(15)
Published: April 8, 2025
Various
strategies
targeting
spinal
locomotor
circuitry
have
been
associated
with
functional
improvements
after
cord
injury
(SCI).
However,
the
neuronal
populations
mediating
beneficial
effects
remain
largely
unknown.
Using
a
combination
therapy
in
mouse
model
of
complete
SCI,
we
show
that
virally
delivered
brain-derived
neurotrophic
factor
(BDNF)
(AAV-BDNF)
activates
hindlimb
stepping
and
causes
hyperreflexia,
whereas
submotor
threshold
epidural
stimulation
(ES)
reduces
BDNF-induced
hyperreflexia.
Given
their
role
gating
proprioceptive
afferents
as
potential
convergence
point
BDNF
ES,
hypothesized
an
enhanced
excitability
inhibitory
RORβ
neurons
would
be
improvements.
Ex
vivo
slice
recordings
from
mice
range
hyperreflexia
scores
revealed
was
related
to
outcome
post-SCI.
Mice
poor
function
SCI
had
less
excitable
neurons,
but
similar
between
uninjured
“best
stepping”
groups.
Further,
chemogenetic
activation
reduced
improved
stepping,
ES.
Our
findings
identify
target
population
limit
enhance
SCI.
Nature Communications,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: Aug. 15, 2024
Adult
zebrafish
have
an
innate
ability
to
recover
from
severe
spinal
cord
injury.
Here,
we
report
a
comprehensive
single
nuclear
RNA
sequencing
atlas
that
spans
6
weeks
of
regeneration.
We
identify
cooperative
roles
for
adult
neurogenesis
and
neuronal
plasticity
during
repair.
Neurogenesis
glutamatergic
GABAergic
neurons
restores
the
excitatory/inhibitory
balance
after
In
addition,
transient
population
injury-responsive
(iNeurons)
show
elevated
1
week
post-injury.
found
iNeurons
are
injury-surviving
acquire
neuroblast-like
gene
expression
signature
CRISPR/Cas9
mutagenesis
showed
required
functional
recovery
employ
vesicular
trafficking
as
essential
mechanism
underlies
plasticity.
This
study
provides
resource
cells
mechanisms
direct
regeneration
establishes
model
plasticity-driven
neural
North American Spine Society Journal (NASSJ),
Journal Year:
2023,
Volume and Issue:
15, P. 100235 - 100235
Published: June 8, 2023
Spinal
cord
injury
(SCI)
is
a
debilitating
condition
with
significant
personal,
societal,
and
economic
burden.
The
highest
proportion
of
traumatic
injuries
occur
at
the
cervical
level,
which
results
in
severe
sensorimotor
autonomic
deficits.
Following
initial
physical
trauma
associated
injuries,
secondary
pro-inflammatory,
excitotoxic,
ischemic
cascades
are
initiated
further
contributing
to
neuronal
glial
cell
death.
Additionally,
emerging
evidence
has
begun
reveal
that
spinal
interneurons
undergo
subtype
specific
neuroplastic
circuit
rearrangements
weeks
months
following
SCI,
or
hindering
functional
recovery.
current
therapeutic
guidelines
standards
care
for
SCI
patients
include
early
surgery,
hemodynamic
regulation,
rehabilitation.
preclinical
work
ongoing
clinical
trials
have
exploring
neuroregenerative
strategies
utilizing
endogenous
neural
stem/progenitor
cells,
stem
transplantation,
combinatorial
approaches,
direct
reprogramming.
This
review
will
focus
on
cellular
non-cellular
regenerative
therapies
an
overview
available
strategies,
role
plasticity,
exciting
research
avenues
enhancing
tissue
repair
SCI.
Biological Research,
Journal Year:
2024,
Volume and Issue:
57(1)
Published: Aug. 12, 2024
Abstract
Background
As
a
common
disabling
disease,
irreversible
neuronal
death
due
to
spinal
cord
injury
(SCI)
is
the
root
cause
of
functional
impairment;
however,
capacity
for
regeneration
in
developing
tissue
limited.
Therefore,
there
an
urgent
need
investigate
how
defective
neurons
can
be
replenished
and
functionally
integrated
by
neural
regeneration;
reprogramming
intrinsic
cells
into
may
represent
ideal
solution.
Methods
A
mouse
model
transection
SCI
was
prepared
forceps
clamping,
adeno-associated
virus
(AAV)
carrying
transcription
factors
NeuroD1
Neurogenin-2(Ngn2)
injected
situ
specifically
overexpress
these
astrocytes
close
site.
5-bromo-2´-deoxyuridine
(BrdU)
subsequently
intraperitoneally
continuously
track
cell
regeneration,
neuroblasts
immature
marker
expression,
glial
scar
regeneration.
In
addition,
immunoprotein
blotting
used
measure
levels
transforming
growth
factor-β
(TGF-β)
pathway-related
protein
expression.
We
also
evaluated
motor
function,
sensory
integrity
blood-spinal
barrier(BSCB).
Results
The
overexpression
Ngn2
achieved
specific
AAV
vectors.
This
intervention
led
significant
increase
proportion
with
properties
at
site(p
<
0.0001).
Immunofluorescence
staining
identified
site
while
marker-specific
revealed
increased
number
mature
Behavioral
assessments
showed
that
did
not
improve
BMS
(Basso
scale)
score
(p
=
0.0726)
gait
>
0.05),
although
treated
mice
had
more
sensitivity
greater
voluntary
ability
open
field
than
non-intervention
mice.
observed
repair
BSCB
center
0.0001)
improvement
proliferation.
Electrophysiological
nerve
conduction
immunostaining
TGF-β
group
were
lower
control
0.0034);
P70
s6
PP2A
related
pathway
ascending
trend
0.0036,
p
0.0152
respectively).
Conclusions
after
reprogram
significantly
enhance
lead
repair,
thus
improving
reduced
threshold
increasing
movements.
strategy
barrier
function.
However,
simple
cannot
improvements
striding
function
limbs.
Materials Today Bio,
Journal Year:
2025,
Volume and Issue:
31, P. 101464 - 101464
Published: Jan. 7, 2025
Traumatic
spinal
cord
injury
typically
occurs
at
significant
depths
and
triggers
rapid
severe
physiological
responses.
It
is
commonly
accompanied
by
oxidative
stress
disorders,
lipid
peroxidation,
accumulation
of
toxic
aldehydes,
edema
among
other
symptoms.
The
management
this
condition
requires
intricate
surgical
procedures
vigilance
against
postoperative
complications.
Slow
wound
healing
a
major
clinical
challenge.
In
study,
we
developed
an
injectable
hydrogel-based
smart
drug
delivery
platform
(OPDL
gel)
for
the
treatment
injuries
integrated
care.
hydrogel
encapsulates
glucocorticoid
dexamethasone
(Dex)
through
borate
ester
bond
can
respond
to
degradation
caused
reactive
oxygen
species
(ROS)
pH
changes
in
microenvironment
injuries.
OPDL
gel
was
injected
into
lesion
with
period
60
h,
enabling
controlled
intelligent
release
Dex.
Additionally,
poly-ε-lysine
macromolecules
within
absorb
aldehydes
present
via
Schiff
base
reactions,
thereby
mitigating
secondary
progression
injury.
When
locally
applied
injuries,
demonstrated
good
biocompatibility
had
protective
effect
on
damaged
neural
structures.
addition,
also
exhibited
excellent
bactericidal
properties,
achieving
100
%
kill
rate
microorganisms
80
min
providing
care
comparable
commercial
product,
Tegaderm™.
Therefore,
multifunctional
drug-loading
represents
novel
approach
strategies
setting
address
Neurobiology of Disease,
Journal Year:
2025,
Volume and Issue:
unknown, P. 106854 - 106854
Published: Feb. 1, 2025
Spinal
cord
injury
(SCI)
disrupts
the
communication
between
brain
and
spinal
cord,
resulting
in
loss
of
motor
function
below
site.
However,
spontaneous
structural
functional
plasticity
occurs
neural
circuits
after
SCI,
with
unaffected
synaptic
inputs
forming
new
connections
detour
pathways
to
support
recovery.
The
review
discusses
various
mechanisms
circuit
reorganization
post-SCI,
including
supraspinal
pathways,
interneurons,
central
pattern
generators.
Functional
recovery
may
rely
on
maintaining
a
balance
excitatory
inhibitory
activity,
as
well
enhancing
proprioceptive
input,
which
plays
key
role
limb
stability.
emphasizes
importance
endogenous
neuronal
regeneration,
neuromodulation
therapies
(such
electrical
stimulation)
proprioception
SCI
treatment.
Future
research
should
integrate
advanced
technologies
such
gene
targeting,
imaging,
single-cell
mapping
better
understand
underpinning
recovery,
aiming
identify
subpopulations
for
targeted
reconstruction
enhanced
By
harnessing
reorganization,
these
efforts
hold
potential
pave
way
more
precise
effective
strategies
SCI.