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  4. A Conditioning Sciatic Nerve Lesion Triggers a Pro-regenerative State in Primary Sensory Neurons Also of Dorsal Root Ganglia Non-associated With the Damaged Nerve

A Conditioning Sciatic Nerve Lesion Triggers a Pro-regenerative State in Primary Sensory Neurons Also of Dorsal Root Ganglia Non-associated With the Damaged Nerve

Front. Cell. Neurosci., 2019 · DOI: 10.3389/fncel.2019.00011 · Published: February 4, 2019

Regenerative MedicineNeurologyGenetics

Simple Explanation

The study investigates how nerve damage in one area can trigger a healing response in nerve cells located in a different, undamaged area. Researchers found that damaging the sciatic nerve in rats led to increased production of proteins associated with nerve regeneration, not only in the area of damage but also in remote areas. The study suggests that this widespread regenerative response may involve a systemic reaction mediated by the signaling molecule IL-6. These results indicate that the pro-regenerative state of cervical DRG neurons illustrates a systemic reaction along the neuroaxis to unilateral sciatic nerve injury, and that this reaction can be mediated by IL-6 and JAK2/STAT3 signaling. Moreover, the results suggest a role for inflammatory mediators in activating the neuronal pro-regenerative state without direct retrograde axonal transport of signaling molecules from the injured nerve.

Study Duration
Not specified
Participants
194 adult male rats (Wistar, 250–280 g)
Evidence Level
Not specified

Key Findings

  • 1
    A unilateral sciatic nerve injury leads to a bilateral increase in growth-associated protein-43 (GAP-43) and superior cervical ganglion-10 (SCG-10) mRNA and protein levels in both lumbar and cervical DRG neurons.
  • 2
    Increased axonal regeneration capacity was observed in cervical DRG neurons after a prior conditioning sciatic nerve lesion, confirmed by both in vivo and in vitro assays.
  • 3
    Intrathecal injection of IL-6 or a JAK2 inhibitor (AG490) revealed a role for the IL-6 signaling pathway in activating the pro-regenerative state in remote DRG neurons.

Research Summary

This study demonstrates that a conditioning sciatic nerve lesion induces a pro-regenerative state in primary sensory neurons of both lumbar and remote cervical DRG. The pro-regenerative state is characterized by increased levels of GAP-43 and SCG-10 mRNA and proteins, as well as activation of cJun and p38. IL-6 and JAK2/STAT3 signaling play a critical role in mediating this systemic reaction of DRG neurons to unilateral sciatic nerve injury.

Practical Implications

Therapeutic Potential

Understanding the systemic signaling mechanisms that promote nerve regeneration could lead to new therapies for nerve injuries.

Inflammation Role

The role of inflammatory mediators in activating the pro-regenerative state may offer new targets for therapeutic intervention.

Targeted Therapies

Specifically targeting the IL-6/JAK/STAT3 pathway may enhance nerve regeneration in remote, undamaged areas after injury.

Study Limitations

  • 1
    The study was conducted exclusively on rats, and findings may not directly translate to humans.
  • 2
    The exact mechanisms by which IL-6 is released and transported to remote DRG neurons remain unclear.
  • 3
    Further research is needed to investigate the long-term effects of the observed pro-regenerative state and its impact on functional recovery.

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