Brain Mind Institute, Faculty of Life Sciences, École Polytechnique Féderale de Lausanne (EPFL), Lausanne, Switzerland; Neural Repair Unit, NeuroRestore, Department of Clinical Neuroscience, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.
Neurosurg Clin N Am. 2021 Jul;32(3):397-405. doi: 10.1016/j.nec.2021.03.011. Epub 2021 May 11.
There have been tremendous advances in identifying cellular and molecular mechanisms constraining axon growth and strategies have been developed to overcome regenerative failure. However, reproducible and meaningful functional recovery remains elusive. An emerging reason is that neurons possess subtype-specific activation requirements. Much of this evidence comes from studying retinal ganglion cells following optic nerve injury. This review summarizes key neuropathologic events following spinal cord injury, and draws on findings from the optic nerve to suggest how a similar framework may be used to dissect and manipulate the heterogeneous and subtype-specific responses of neurons useful to target for spinal cord injury.
在鉴定限制轴突生长的细胞和分子机制方面已经取得了巨大进展,并且已经开发出克服再生失败的策略。然而,可复制和有意义的功能恢复仍然难以实现。一个新出现的原因是神经元具有亚型特异性的激活要求。这方面的大部分证据来自视神经损伤后对视网膜神经节细胞的研究。本综述总结了脊髓损伤后的关键神经病理学事件,并借鉴视神经的研究结果,提出了如何利用类似的框架来剖析和操纵神经元的异质性和亚型特异性反应,以便针对脊髓损伤进行靶向治疗。