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  4. Administration of prosaposin-derived neurotrophic factor to neural tube defects facilitates regeneration and restores neurological functions

Administration of prosaposin-derived neurotrophic factor to neural tube defects facilitates regeneration and restores neurological functions

iScience, 2023 · DOI: https://doi.org/10.1016/j.isci.2023.106277 · Published: April 21, 2023

Regenerative MedicineNeurologyGenetics

Simple Explanation

Neural tube defects (NTDs) are severe birth defects affecting the brain and spinal cord, often leading to death or lifelong disabilities. Current treatments are limited, so this study explores a new therapeutic approach using a molecule called PS18. The researchers used a chicken model of spina bifida, a type of NTD, and administered PS18 directly into the amniotic fluid surrounding the developing embryo. They found that PS18 helped to close the spinal cord defect and protect it from further damage. Chicks treated with PS18 showed improved walking ability, sensorimotor responses, and bowel control compared to untreated chicks. This suggests that PS18 could be a promising new treatment for NTDs and other spinal cord injuries.

Study Duration
Not specified
Participants
Chick embryos and hatched chicks
Evidence Level
Level III, Experimental study in a chicken model

Key Findings

  • 1
    PS18 promoted the formation of a neuroectodermal covering over the defective neural tube within 24-h after treatment, enhancing regeneration and decreasing apoptotic activity.
  • 2
    PS18 treatment reduced the SBA wound size and almost completely reformed the spinal cord in the chicken model.
  • 3
    SBA chicks treated with PS18 exhibited relatively normal walking, sensorimotor responses, and reduced pain-associated behavior in postnatal life, demonstrating functional recovery.

Research Summary

This study investigates the potential of prosaposin-derived 18-mer peptide (PS18) as a therapeutic agent for neural tube defects (NTDs) using a chicken model of spina bifida aperta (SBA). The intra-amniotic treatment with PS18 demonstrated significant improvements in the formation of a neuroectodermal covering over the defective neural tube, enhanced regeneration, and reduced apoptotic activity in the developing spinal cord. The results suggest that PS18 could be a promising therapeutic agent for NTDs, offering potential for improved neurological outcomes and warranting further investigation for clinical applications.

Practical Implications

Potential therapeutic agent for NTDs

PS18 shows promise as a novel therapeutic agent for neural tube defects, potentially improving neurological outcomes.

In-utero treatment strategy

Intra-amniotic administration of PS18 suggests a feasible approach for early intervention in NTDs, addressing the limitations of postnatal surgical interventions.

Application to other spinal cord injuries

The regenerative and neuroprotective effects of PS18 may extend to the treatment of other types of spinal cord injuries.

Study Limitations

  • 1
    The study used a surgery-induced chicken model of SBA, which may not fully replicate the natural development of NTDs.
  • 2
    Further research is needed to determine the clinical use of PS18 in humans.
  • 3
    Future studies are needed with genetic or drug-induced models that mimic natural events of NTDs to strengthen conclusions.

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