Neural Regeneration Research, 2022 · DOI: 10.4103/1673-5374.335144 · Published: September 1, 2022
After spinal cord injury (SCI), axon regeneration fails, leading to paralysis. Chondroitin sulfate proteoglycans (CSPGs) are secreted at the injury site and were initially considered a physical barrier. These CSPGs interact with receptors, initiating inhibitory signaling that prevents regeneration. Studies show that removing CSPGs with chondroitinase ABC (ChABC) reduces their inhibitory effects and promotes axon growth and functional recovery. ChABC treatment enhances axon sprouting after SCI. Experiments in lampreys, which have identifiable reticulospinal (RS) neurons, show that CSPG digestion reduces apoptotic signaling and enhances axon regeneration after spinal cord transection.
Modulating CSPG levels or CSPG receptor activities could promote axon regeneration after SCI.
Combining manipulations of both intracellular and extracellular mechanisms may enhance recovery from SCI.
Optimizing delivery methods for ChABC, such as nanoparticles or synthetic scaffolds, could improve its efficacy in treating SCI.