Department of Obstetrics and Gynaecology, British Columbia Research Institute for Children's and Women's Health, University of British Columbia, Vancouver, British Columbia.
Int J Neurosci. 2010 Jan;120(1):1-10. doi: 10.3109/00207450903428962.
Although neurons within the peripheral nervous system have a remarkable ability to repair themselves after injury, neurons within the central nervous system do not spontaneously regenerate. This problem has remained recalcitrant despite a century of research on the reaction of axons to injury. The balance between inhibitory cues present in the environment and the intrinsic growth capacity of the injured neuron determines the extent of axonal regeneration following injury. The cell body of an injured neuron must receive accurate and timely information about the site and extent of axonal damage in order to increase its intrinsic growth capacity and regenerate successfully. One of the mechanisms contributing to this process is retrograde transport of injury signals. For example, molecules activated at the injury site convey information to the cell body leading to the expression of regeneration-associated genes and increased growth capacity of the neuron. In this paper, we are introducing therapeutic agents to treat brain injury and peripheral nerve injury. Since glial cell adhesion molecule is upregulated in gliotic scar, it is possible to target therapeutic agents to the site of brain injury. This directed therapy presents an innovative and promising therapy.
虽然外周神经系统中的神经元在受伤后有很强的自我修复能力,但中枢神经系统中的神经元不会自发再生。尽管在研究轴突对损伤的反应方面已经进行了一个世纪的研究,但这个问题仍然难以解决。在环境中存在的抑制性线索和受伤神经元的内在生长能力之间的平衡决定了受伤后轴突再生的程度。受伤神经元的细胞体必须接收到关于轴突损伤的位置和程度的准确和及时的信息,以便增加其内在的生长能力并成功再生。促进这一过程的机制之一是损伤信号的逆行运输。例如,在损伤部位激活的分子将信息传递到细胞体,导致与再生相关的基因表达,并增加神经元的生长能力。在本文中,我们介绍了治疗脑损伤和周围神经损伤的治疗剂。由于神经胶质细胞黏附分子在胶质瘢痕中上调,因此可以将治疗剂靶向到脑损伤部位。这种靶向治疗提供了一种创新且有前途的治疗方法。