Sci Transl Med, 2019 · DOI: 10.1126/scitranslmed.aaw2064 · Published: April 10, 2019
After a spinal cord injury (SCI), motor and sensory axons fail to regenerate, leading to permanent neurological impairments. The absence of regeneration in the central nervous system (CNS) after injury has been attributed to growth inhibitory molecules and the lack of an effective neuronal-intrinsic regenerative response. The study found that placing mice in an enriched environment prior to an injury enhanced the activity of proprioceptive dorsal root ganglion neurons leading to a lasting increase in their regenerative potential. This effect was dependent on Creb-binding protein (Cbp) mediated histone acetylation. The researchers administered a small molecule activator of Cbp, which promoted regeneration and sprouting of sensory and motor axons, and also the recovery of sensory and motor functions in both mouse and rat models of spinal cord injury.
Pharmacological activation of Cbp/p300 could be a potential therapeutic strategy for promoting axon regeneration and functional recovery after SCI.
Rehabilitation strategies that increase afferent activity in the spinal cord could be combined with Cbp activators to augment functional recovery after SCI.
The study opens a pathway for clinical evaluations of Cbp activators for treating spinal cord injury.