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Nogo-66 receptor antagonist peptide (NEP1-40) administration promotes functional recovery and axonal growth after lateral funiculus injury in the adult rat
Journal article   Open access   Peer reviewed

Nogo-66 receptor antagonist peptide (NEP1-40) administration promotes functional recovery and axonal growth after lateral funiculus injury in the adult rat

Y Cao, J S Shumsky, M A Sabol, R A Kushner, S Strittmatter, F P T Hamers, D H S Lee, S A Rabacchi and M Murray
Neurorehabilitation and neural repair, v 22(3), pp 262-278
May 2008
PMID: 18056009
url
https://europepmc.org/articles/pmc2853251View
Accepted (AM)Open Access (License Unspecified) Open
url
https://doi.org/10.1177/1545968307308550View
Published, Version of Record (VoR) Open

Abstract

Animals Behavior, Animal - drug effects Denervation Efferent Pathways - drug effects Efferent Pathways - metabolism Efferent Pathways - physiopathology Female GPI-Linked Proteins Growth Cones - drug effects Growth Cones - metabolism Myelin Proteins - antagonists & inhibitors Myelin Proteins - metabolism Myelin Proteins - pharmacology Myelin Proteins - therapeutic use Nerve Regeneration - drug effects Nerve Regeneration - physiology Neuronal Plasticity - drug effects Neuronal Plasticity - physiology Nogo Receptor 1 Peptide Fragments - pharmacology Peptide Fragments - therapeutic use Pyramidal Tracts - drug effects Pyramidal Tracts - metabolism Pyramidal Tracts - physiopathology Raphe Nuclei - drug effects Raphe Nuclei - metabolism Rats Rats, Sprague-Dawley Receptors, Cell Surface - antagonists & inhibitors Receptors, Cell Surface - metabolism Recovery of Function - drug effects Recovery of Function - physiology Red Nucleus - drug effects Red Nucleus - metabolism Spinal Cord Injuries - drug therapy Spinal Cord Injuries - metabolism Spinal Cord Injuries - physiopathology Spinal Nerve Roots - drug effects Spinal Nerve Roots - metabolism Treatment Outcome Wallerian Degeneration - drug therapy Wallerian Degeneration - metabolism Wallerian Degeneration - physiopathology
The myelin protein Nogo inhibits axon regeneration by binding to its receptor (NgR) on axons. Intrathecal delivery of an NgR antagonist (NEP1-40) promotes growth of injured corticospinal axons and recovery of motor function following a dorsal hemisection. The authors used a similar design to examine recovery and repair after a lesion that interrupts the rubrospinal tract (RST). Rats received a lateral funiculotomy at C4 and NEP1-40 or vehicle was delivered to the cervical spinal cord for 4 weeks. Outcome measures included motor and sensory tests and immunohistochemistry. Gait analysis showed recovery in the NEP1-40-treated group compared to operated controls, and a test of forelimb usage also showed a beneficial effect. The density of labeled RST axons increased ipsilaterally in the NEP1-40 group in the lateral funiculus rostral to the lesion and contralaterally in both gray and white matter. Thus, rubrospinal axons exhibited diminished dieback and/or growth up to the lesion site. This was accompanied by greater density of 5HT and calcitonin gene-related peptide axons adjacent to and into the lesion/matrix site in the NEP1-40 group. NgR blockade after RST injury is associated with axonal growth and/or diminished dieback of severed RST axons up to but not into or beyond the lesion/matrix site, and growth of serotonergic and dorsal root axons adjacent to and into the lesion/matrix site. NgR blockade also supported partial recovery of function. The authors' results indicate that severed rubrospinal axons respond to NEP1-40 treatment but less robustly than corticospinal, raphe-spinal, or dorsal root axons.

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Clinical Neurology
Rehabilitation
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