Brain Communications, 2021 · DOI: http://doi.org/10.1093/braincomms/fcab271 · Published: November 13, 2021
Axonal regeneration in the mature CNS is limited by extracellular inhibitory factors. Triple knockout mice lacking the major myelin-associated inhibitors do not display spontaneous regeneration after injury, indicating the presence of other inhibitors. Following dorsal column lesions in mice and optic nerve crushes in rats, elevated levels of extracellular histone H3 were detected at the injury site. Similar to myelin-associated inhibitors, these extracellular histones induced growth cone collapse and inhibited neurite outgrowth. Histone-mediated inhibition can be reversed by the addition of activated protein C in vitro, and activated protein C treatment promotes axonal regeneration in the crushed optic nerve in vivo. These findings identify extracellular histones as a new class of nerve regeneration-inhibiting molecules within the injured CNS.
Extracellular histones represent a new therapeutic target for promoting axonal regeneration in CNS injuries.
Combining APC with chABC and other interventions may enhance axonal regeneration.
Findings provide new opportunities for developing mechanism-based treatments for spinal cord injury relevant to humans.