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Expressing Constitutively Active Rheb in Adult Neurons after a Complete Spinal Cord Injury Enhances Axonal Regeneration beyond a Chondroitinase-Treated Glial Scar
Journal article   Open access   Peer reviewed

Expressing Constitutively Active Rheb in Adult Neurons after a Complete Spinal Cord Injury Enhances Axonal Regeneration beyond a Chondroitinase-Treated Glial Scar

Di Wu, Michelle C Klaw, Theresa Connors, Nikolai Kholodilov, Robert E Burke and Veronica J Tom
The Journal of neuroscience, v 35(31), pp 11068-11080
05 Aug 2015
PMID: 26245968
url
https://doi.org/10.1523/jneurosci.0719-15.2015View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open
url
https://doi.org/10.1523/JNEUROSCI.0719-15.2015View
Published, Version of Record (VoR) Open

Abstract

Animals Axons - drug effects Axons - physiology Chondroitin ABC Lyase - pharmacology Chondroitin ABC Lyase - therapeutic use Cicatrix - drug therapy Cicatrix - genetics Cicatrix - therapy Disease Models, Animal Female Monomeric GTP-Binding Proteins - genetics Nerve Regeneration - drug effects Nerve Regeneration - genetics Neuroglia - drug effects Neuroglia - physiology Neurons - drug effects Neurons - physiology Neuropeptides - genetics Ras Homolog Enriched in Brain Protein Rats Rats, Wistar Spinal Cord Injuries - drug therapy Spinal Cord Injuries - genetics Spinal Cord Injuries - therapy Treatment Outcome
After a spinal cord injury (SCI), CNS axons fail to regenerate, resulting in permanent deficits. This is due to: (1) the presence of inhibitory molecules, e.g., chondroitin sulfate proteoglycans (CSPG), in the glial scar at the lesion; and (2) the diminished growth capacity of adult neurons. We sought to determine whether expressing a constitutively active form of the GTPase Rheb (caRheb) in adult neurons after a complete SCI in rats improves intrinsic growth potential to result in axon regeneration out of a growth-supportive peripheral nerve grafted (PNG) into the SCI cavity. We also hypothesized that treating the glial scar with chondroitinase ABC (ChABC), which digests CSPG, would further allow caRheb-transduced neurons to extend axons across the distal graft interface. We found that targeting this pathway at a clinically relevant post-SCI time point improves both sprouting and regeneration of axons. CaRheb increased the number of axons, but not the number of neurons, that projected into the PNG, indicative of augmented sprouting. We also saw that caRheb enhanced sprouting far rostral to the injury. CaRheb not only increased growth rostral and into the graft, it also resulted in significantly more regrowth of axons across a ChABC-treated scar into caudal spinal cord. CaRheb(+) neurons had higher levels of growth-associated-43, suggestive of a newly identified mechanism for mTOR-mediated enhancement of regeneration. Thus, we demonstrate for the first time that simultaneously addressing intrinsic and scar-associated, extrinsic impediments to regeneration results in significant regrowth beyond an extremely challenging, complete SCI site. After spinal cord injury (SCI), CNS axons fail to regenerate, resulting in permanent deficits. This is due to the diminished growth capacity of adult neurons and the presence of inhibitory molecules in the scar at the lesion. We sought to simultaneously counter both of these obstacles to achieve more robust regeneration after complete SCI. We transduced neurons postinjury to express a constitutively active Rheb to enhance their intrinsic growth potential, transplanted a growth supporting peripheral nerve graft into the lesion cavity, and enzymatically modulated the inhibitory glial scar distal to the graft. We demonstrate, for the first time, that simultaneously addressing neuron-related, intrinsic deficits in axon regrowth and extrinsic, scar-associated impediments to regeneration results in significant regeneration after SCI.

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