Frontiers in Cellular Neuroscience, 2020 · DOI: 10.3389/fncel.2020.00174 · Published: July 2, 2020
Glial scars, which form after CNS injuries, inhibit axon regeneration by upregulating molecules like chondroitin sulfate proteoglycans (CSPGs). These molecules create a non-permissive environment that hinders the regrowth of injured axons, contributing to functional loss. CSPGs bind to transmembrane receptors, such as PTPσ and LAR, triggering intracellular signaling pathways that suppress axon elongation. Understanding these pathways is crucial for developing therapies to promote axon regeneration after CNS injuries. The review explores recent advancements in identifying CSPG signaling pathways and their potential as molecular targets for treating CNS injuries, primarily focusing on mammalian models while also considering relevant findings in non-mammalian species like lampreys.
Identifying specific intracellular signaling pathways downstream of CSPG receptors allows for the development of targeted therapies to promote axon regeneration.
Since multiple factors contribute to CNS repair failure, combined strategies, including neuroprotection, regenerative approaches, cell/biomaterial transplants, and rehabilitative training, may be required for effective regeneration.
The review highlights clinical trials targeting RhoA and GSK-3β, indicating a potential for translating preclinical findings into clinical treatments for CNS axonal injuries.