JOURNAL OF NEUROTRAUMA, 2020 · DOI: 10.1089/neu.2019.6586 · Published: February 1, 2020
Damage to the respiratory neural circuitry after cervical spinal cord injury (SCI) can lead to diaphragm paralysis. The study investigates the use of a PTPr inhibitory peptide to promote axon plasticity and respiratory recovery in a rat model of C2 hemisection SCI. The PTPr peptide was applied locally to the injury site and surrounding spinal cord using a gelfoam release strategy. The study found that the PTPr peptide significantly improved ipsilateral hemidiaphragm function. The PTPr peptide stimulated robust sprouting of contralateral-originating rVRG fibers and serotonergic axons within the PhMN pool ipsilateral to hemisection. This suggests that the PTPr peptide-induced restoration of function was attributed to plasticity of spared axon pathways descending in contralateral spinal cord.
Inhibition of PTPr signaling can promote significant recovery of diaphragmatic respiratory function after cervical SCI.
Stimulating relatively short-distance local sprouting of rVRG fibers represents a more easily achievable therapeutic goal.
Combination of PTPr and PTEN inhibition may result in particularly robust therapeutic efficacy through additive or synergistic effects.