Li Kai, Chen Zanzhi, Chang Xuejing, Xue Ruiyang, Wang Huaibo, Guo Weitao
Department of Spine Surgery, The Second Hospital Affiliated to Guangdong Medical University, Zhanjiang, China.
Front Mol Neurosci. 2024 Jul 24;17:1427054. doi: 10.3389/fnmol.2024.1427054. eCollection 2024.
Spinal cord injury (SCI) denotes damage to both the structure and function of the spinal cord, primarily manifesting as sensory and motor deficits caused by disruptions in neural transmission pathways, potentially culminating in irreversible paralysis. Its pathophysiological processes are complex, with numerous molecules and signaling pathways intricately involved. Notably, the pronounced upregulation of the Wnt signaling pathway post-SCI holds promise for neural regeneration and repair. Activation of the Wnt pathway plays a crucial role in neuronal differentiation, axonal regeneration, local neuroinflammatory responses, and cell apoptosis, highlighting its potential as a therapeutic target for treating SCI. However, excessive activation of the Wnt pathway can also lead to negative effects, highlighting the need for further investigation into its applicability and significance in SCI. This paper provides an overview of the latest research advancements in the Wnt signaling pathway in SCI, summarizing the recent progress in treatment strategies associated with the Wnt pathway and analyzing their advantages and disadvantages. Additionally, we offer insights into the clinical application of the Wnt signaling pathway in SCI, along with prospective avenues for future research direction.
脊髓损伤(SCI)指脊髓的结构和功能受损,主要表现为神经传导通路中断导致的感觉和运动功能障碍,可能最终导致不可逆的瘫痪。其病理生理过程复杂,涉及众多分子和信号通路。值得注意的是,脊髓损伤后Wnt信号通路明显上调,为神经再生和修复带来了希望。Wnt通路的激活在神经元分化、轴突再生、局部神经炎症反应和细胞凋亡中起关键作用,凸显了其作为治疗脊髓损伤的治疗靶点的潜力。然而,Wnt通路的过度激活也可能导致负面影响,这突出了进一步研究其在脊髓损伤中的适用性和意义的必要性。本文概述了脊髓损伤中Wnt信号通路的最新研究进展,总结了与Wnt通路相关的治疗策略的近期进展,并分析了它们的优缺点。此外,我们还探讨了Wnt信号通路在脊髓损伤中的临床应用,以及未来研究方向的潜在途径。