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After spinal cord injury (SCI), severed axons in the adult mammalian CNS are unable to mount a robust regenerative response. In addition, the glial scar at the lesion site further restricts the regenerative potential of axons. We hypothesized that a combinatorial approach coincidentally targeting these obstacles would promote axonal regeneration. We combined (1) transplantation of a growth-permissive peripheral nerve graft (PNG) into an incomplete, cervical lesion cavity; (2) transduction of neurons rostral to the SCI site to express constitutively active Rheb (caRheb; a Ras homolog enriched in brain), a GTPase that directly activates the growth-promoting pathway mammalian target of rapamycin (mTOR) via AAV-caRheb injection; and (3) digestion of growth-inhibitory chondroitin sulfate proteoglycans within the glial scar at the distal PNG interface using the bacterial enzyme chondroitinase ABC (ChABC). We found that expressing caRheb in neurons post SCI results in modestly yet significantly more axons regenerating across a ChABC-treated distal graft interface into caudal spinal cord than either treatment alone. Excitingly, we found that caRheb+ChABC treatment significantly potentiates the formation of synapses in the host spinal cord and improves the animals' ability to use the affected forelimb. Thus, this combination strategy enhances functional axonal regeneration following a cervical SCI.
Combining Constitutively Active Rheb Expression and Chondroitinase Promotes Functional Axonal Regeneration after Cervical Spinal Cord Injury
Creators
Di Wu - Drexel University
Michelle C. Klaw - Drexel University
Theresa Connors - Drexel University
Nikolai Kholodilov - Columbia University
Robert E. Burke - Columbia University
Marie-Pascale Cote - Drexel University
Veronica J. Tom - Drexel University
Publication Details
Molecular therapy, Vol.25(12), pp.2715-2726
Publisher
Elsevier
Number of pages
12
Grant note
R01 NS085426; P50 NS038370 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
R01NS085426 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
Resource Type
Journal article
Language
English
Academic Unit
Neurobiology and Anatomy
Identifiers
991019167450104721
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Biotechnology & Applied Microbiology
Genetics & Heredity
Medicine, Research & Experimental
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