Department of Orthopedics, Jining No. 1 People's Hospital, Jining, China.
Department of Orthopedics, Affiliated Jining No. 1 People's Hospital of Jining Medical University, Jining Medical University, Jining, China.
Eur Neurol. 2019;81(3-4):197-204. doi: 10.1159/000502004. Epub 2019 Jul 23.
Spinal cord injury (SCI) is a constant challenge in medical research and a global therapeutic problem. Treatment of this condition remains difficult in clinical practice. Hence, prevention, treatment, and rehabilitation of SCI have become imminent tasks in the medical field.
Recent evidence suggest the important role of Wnt/β-catenin signaling pathway, a canonical Wnt signaling pathway, in neural development, axon guidance, neuropathic pain relief, and neuronal survival. Wnt-3a is regarded as an activator of the canonical Wnt signaling pathway. This activator is expressed in the dorsal midline region and is responsible for spinal cord development. In addition, Wnt-3a plays a regulatory role in autophagy, apoptosis, and regeneration of neurons; neurogenic inflammation; and axon regeneration. Herein, we demonstrated that neuronal autophagy was regulated by Wnt-3a via β-catenin and mammalian target of rapamycin signaling pathways after SCI. Our study also discovered that the Wnt-3a provided a favorable microenvironment for the recovery of nerve function after SCI. Key Messages: This study systematically elaborates the neuroprotective effect of Wnt-3a and its neuroprotection molecular mechanism after SCI. This study provides a new molecular mechanism and research basis for clinical treatment of SCI.
脊髓损伤(SCI)是医学研究中的一个持续挑战,也是一个全球性的治疗难题。在临床实践中,这种疾病的治疗仍然很困难。因此,SCI 的预防、治疗和康复已成为医学领域的紧迫任务。
最近的证据表明,Wnt/β-catenin 信号通路,一种经典的 Wnt 信号通路,在神经发育、轴突导向、神经病理性疼痛缓解和神经元存活中起着重要作用。Wnt-3a 被认为是经典 Wnt 信号通路的激活剂。这种激活剂在背中线区域表达,负责脊髓发育。此外,Wnt-3a 在神经元自噬、凋亡和再生、神经原性炎症以及轴突再生中发挥调节作用。在此,我们证明了 SCI 后 Wnt-3a 通过β-catenin 和哺乳动物雷帕霉素靶蛋白信号通路调节神经元自噬。我们的研究还发现,Wnt-3a 为 SCI 后神经功能的恢复提供了有利的微环境。
本研究系统阐述了 Wnt-3a 在 SCI 后的神经保护作用及其神经保护分子机制。本研究为 SCI 的临床治疗提供了新的分子机制和研究基础。