F.M. Kirby Neurobiology Center, Children's Hospital, and Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Nat Neurosci. 2010 Sep;13(9):1075-81. doi: 10.1038/nn.2603. Epub 2010 Aug 8.
Despite the essential role of the corticospinal tract (CST) in controlling voluntary movements, successful regeneration of large numbers of injured CST axons beyond a spinal cord lesion has never been achieved. We found that PTEN/mTOR are critical for controlling the regenerative capacity of mouse corticospinal neurons. After development, the regrowth potential of CST axons was lost and this was accompanied by a downregulation of mTOR activity in corticospinal neurons. Axonal injury further diminished neuronal mTOR activity in these neurons. Forced upregulation of mTOR activity in corticospinal neurons by conditional deletion of Pten, a negative regulator of mTOR, enhanced compensatory sprouting of uninjured CST axons and enabled successful regeneration of a cohort of injured CST axons past a spinal cord lesion. Furthermore, these regenerating CST axons possessed the ability to reform synapses in spinal segments distal to the injury. Thus, modulating neuronal intrinsic PTEN/mTOR activity represents a potential therapeutic strategy for promoting axon regeneration and functional repair after adult spinal cord injury.
尽管皮质脊髓束 (CST) 在控制随意运动方面起着至关重要的作用,但从未实现过大量受损 CST 轴突在脊髓损伤后成功再生。我们发现 PTEN/mTOR 对于控制小鼠皮质脊髓神经元的再生能力至关重要。在发育后,CST 轴突的再生潜力丧失,同时皮质脊髓神经元中的 mTOR 活性下调。轴突损伤进一步降低了这些神经元中的神经元 mTOR 活性。通过条件性缺失 mTOR 的负调节剂 Pten 强制上调皮质脊髓神经元中的 mTOR 活性,增强了未受伤 CST 轴突的代偿性发芽,并使一群受伤的 CST 轴突成功再生越过脊髓损伤部位。此外,这些再生的 CST 轴突具有在损伤远端的脊髓节段形成突触的能力。因此,调节神经元内在的 PTEN/mTOR 活性代表了一种促进成年脊髓损伤后轴突再生和功能修复的潜在治疗策略。
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