Nelson Craig M, Lennon Vanda A, Lee Han, Krug Randall G, Kamalova Aichurok, Madigan Nicolas N, Clark Karl J, Windebank Anthony J, Henley John R
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States.
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Front Cell Dev Biol. 2019 Apr 24;7:56. doi: 10.3389/fcell.2019.00056. eCollection 2019.
Following injury, the mammalian spinal cord forms a glial scar and fails to regenerate. In contrast, vertebrate fish spinal cord tissue regenerates significantly to restore function. Cord transection in zebrafish () initially causes paralysis and neural cell death. Subsequently, ependymal glia proliferate, bipolar glia extend across the lesion, and new neurons are born; axons from spared and nascent neurons extend along -lesional glial bridges to restore functional connectivity. Here we report that glucocorticoids, used in the clinical management of spinal cord injury, directly inhibit neural repair by targeting ependymal glia independently of hematogenous cells and microglia. After transecting injury, the glucocorticoid receptor in ependymal glia is regulated differentially in zebrafish (becoming inactive) vs. the rat (becoming active). Glucocorticoid blockade of neural regeneration via a direct effect on ependymal glia has important therapeutic implications for the putative benefit of corticosteroids in early management of spinal cord injury.
受伤后,哺乳动物的脊髓会形成胶质瘢痕且无法再生。相比之下,脊椎动物鱼类的脊髓组织能显著再生以恢复功能。斑马鱼的脊髓横断最初会导致瘫痪和神经细胞死亡。随后,室管膜胶质细胞增殖,双极胶质细胞跨越损伤部位延伸,新的神经元生成; spared和新生神经元的轴突沿着损伤部位的胶质桥延伸以恢复功能连接。我们在此报告,用于脊髓损伤临床治疗的糖皮质激素通过独立于造血细胞和小胶质细胞靶向室管膜胶质细胞直接抑制神经修复。横断损伤后,斑马鱼(变得不活跃)与大鼠(变得活跃)的室管膜胶质细胞中的糖皮质激素受体受到不同调节。糖皮质激素通过对室管膜胶质细胞的直接作用阻断神经再生,这对于皮质类固醇在脊髓损伤早期治疗中的假定益处具有重要的治疗意义。