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  4. Activation of A2A Receptor by PDRN Reduces Neuronal Damage and Stimulates WNT/β-CATENIN Driven Neurogenesis in Spinal Cord Injury

Activation of A2A Receptor by PDRN Reduces Neuronal Damage and Stimulates WNT/β-CATENIN Driven Neurogenesis in Spinal Cord Injury

Frontiers in Pharmacology, 2018 · DOI: 10.3389/fphar.2018.00506 · Published: May 29, 2018

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injury (SCI) leads to nerve cell loss and damage. Adenosine receptors, found on various brain cells, are being explored as drug targets. This study investigates PDRN, an adenosine receptor stimulator, in a mouse model of SCI, also examining its impact on the Wnt pathway, crucial for nerve cell development. Mice with induced SCI were treated with PDRN, with or without DMPX (an adenosine receptor blocker). The study found PDRN reduced tissue damage, improved motor skills, lowered pro-inflammatory markers, and boosted the Wnt pathway after SCI. These findings suggest PDRN's anti-inflammatory properties and its potential to promote nerve repair via adenosine receptor activation and Wnt pathway stimulation. PDRN might aid in axonal regeneration or neurogenesis after spinal cord injury.

Study Duration
10 days
Participants
Mice: Sham (n = 10), SCI (n = 14), SCI+PDRN (n = 14), SCI+PDRN+DMPX (n = 14)
Evidence Level
Level 3: Animal study

Key Findings

  • 1
    PDRN treatment significantly improved motor function in mice with SCI, as measured by the Basso mouse scale (BMS). The improvement was negated by the co-administration of DMPX, an adenosine receptor antagonist.
  • 2
    PDRN administration significantly decreased the levels of pro-inflammatory cytokines IL-1β and TNF-α in SCI-treated animals, indicating an anti-inflammatory effect. PDRN also reduced neutrophil infiltration into the spinal cord tissue.
  • 3
    PDRN modulated the Wnt signaling pathway by increasing the mRNA expression of Wnt3a and β-catenin, while reducing the expression of DKK-1, a Wnt inhibitor. DMPX abolished these effects of PDRN, confirming the involvement of A2A receptors.

Research Summary

This study investigated the effects of PDRN, an adenosine receptor agonist, on spinal cord injury (SCI) in mice. The research aimed to explore PDRN's potential to reduce neuronal damage and stimulate neurogenesis through the Wnt/β-catenin pathway. The results demonstrated that PDRN treatment improved motor function, reduced inflammation, and modulated the Wnt signaling pathway in SCI-induced mice. DMPX, an adenosine receptor antagonist, blocked these beneficial effects of PDRN. The study concludes that PDRN exhibits a protective effect following SCI by reducing tissue alteration and improving motor function. It suggests that PDRN's mechanism of action involves anti-inflammatory activity and a crosstalk between Wnt/β-catenin signaling via adenosine receptor activation, potentially promoting neural repair.

Practical Implications

Therapeutic Potential

PDRN may be a promising therapeutic agent for managing spinal cord injury due to its anti-inflammatory and neuroprotective effects.

Target for Drug Development

Adenosine receptors represent a valuable target for developing new treatments for neurodegenerative conditions, including SCI.

Combined Therapies

Combining PDRN with other therapeutic strategies targeting the Wnt pathway might offer enhanced neuroregenerative outcomes.

Study Limitations

  • 1
    Further studies are needed to confirm the neurogenesis stimulation hypothesis using specific markers of neuronal regeneration.
  • 2
    The study lacks a naïve group administered with PDRN to study the effects of this adenosine agonist on Wnt expression in uninjured spinal cord.
  • 3
    The exact mechanism of action of PDRN in neurological disorders requires further elucidation.

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