Function of GSK‑3 signaling in spinal cord injury

EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2023 · DOI: 10.3892/etm.2023.12240 · Published: August 10, 2023

Simple Explanation

Spinal cord injury (SCI) is a major social problem with a heavy burden on patient physiology and psychology. Exploring the key mechanism of SCI is crucial for finding further treatments. Glycogen synthase kinase‑3 (GSK‑3) is a widely expressed kinase with important physiological and pathophysiological functions in vivo. The present review summarized the roles of GSK‑3 signaling in SCI to aid in the understanding of GSK‑3 signaling during the pathological processes of SCI and to provide evidence for the development of comprehensive treatments.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    SCI can decrease the phosphory­lated (p)/total (t)‑GSK‑3β ratio, which leads to an increase in apoptosis, whereas treatment with GSK‑3 inhibitors can promote neurogenesis.
  • 2
    Several therapies for the treatment of SCI involve signaling pathways associated with GSK‑3.
  • 3
    Signaling pathways associated with GSK‑3 also participate in the pathological process of neuropathic pain that remains following SCI.

Research Summary

The pathophysiological process of SCI is quite complex; nonetheless, the poor prognosis of patients with SCI may mainly be due to glial scar formation and irreversible neuron loss. SCI decreases the ratio of p‑/t‑GSK‑3β. Treatment with GSK‑3 inhibitors can promote neurogenesis; in addition, several therapies for the treat­ment of SCI also act through GSK‑3 signaling pathways. Based on the current body of evidence, GSK‑3 signaling can be considered a potential therapeutic target for SCI.

Practical Implications

Therapeutic Target

GSK-3 signaling can be considered a potential therapeutic target for SCI.

Neurogenesis Promotion

Treatment with GSK-3 inhibitors can promote neurogenesis after SCI.

Neuropathic Pain Management

GSK-3 signaling pathways may be involved in the pathological process of neuropathic pain following SCI.

Study Limitations

  • 1
    GSK-3 inhibitors promoting neurogenesis in SCI are mainly generated from in vitro experiments.
  • 2
    Development of therapies based on GSK-3 still needs further study.
  • 3
    Dual role of glial scars makes it difficult to be used as a therapeutic target

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