Fabes Jez, Anderson Patrick, Brennan Caroline, Bolsover Stephen
Department of Physiology, University College London, Gower Street, London WC1E 6BT, UK.
Eur J Neurosci. 2007 Nov;26(9):2496-505. doi: 10.1111/j.1460-9568.2007.05859.x. Epub 2007 Oct 26.
Spinal cord injury often leads to permanent incapacity because long axons cannot regenerate in the CNS. Eph receptors inhibit axon extension through an effect on the actin cytoskeleton. We have previously reported that after injury EphA4 appears at high levels in stumps of corticospinal axons, while a cognate ligand, ephrinB2, is upregulated at the lesion site so as to confine the injured axons. In this study we have infused lesioned spinal cords with a peptide antagonist of EphA4. In treated animals the retrograde degeneration that normally follows corticospinal tract injury is absent. Rather, corticospinal tract axons sprout up to and into the lesion centre. In a behavioural test of corticospinal tract function, peptide treatment substantially improved recovery relative to controls. These results suggest that blocking EphA4 is likely to contribute to a future successful clinical treatment for spinal cord injury.
脊髓损伤常导致永久性残疾,因为中枢神经系统中的长轴突无法再生。Eph受体通过对肌动蛋白细胞骨架的作用抑制轴突延伸。我们之前报道过,损伤后EphA4在皮质脊髓轴突残端中大量出现,而同源配体ephrinB2在损伤部位上调,从而限制受损轴突。在本研究中,我们向损伤的脊髓注入了EphA4的肽拮抗剂。在接受治疗的动物中,通常在皮质脊髓束损伤后发生的逆行性变性消失。相反,皮质脊髓束轴突向上生长并延伸至损伤中心。在一项皮质脊髓束功能的行为测试中,与对照组相比,肽治疗显著改善了恢复情况。这些结果表明,阻断EphA4可能有助于未来成功治疗脊髓损伤的临床治疗。