Neurosurgery, 2014 · DOI: 10.1227/NEU.0000000000000337 · Published: July 1, 2014
This study investigates the role of NgR1, a protein that inhibits nerve regeneration, in spinal cord injury (SCI) using mice with and without the NgR1 gene. Researchers aimed to understand why previous studies showed conflicting results regarding NgR1's impact on recovery after SCI. The study found that the severity of the spinal cord injury influenced the recovery of motor function in mice lacking NgR1. Mice with a severe injury showed more improvement when NgR1 was absent compared to those with a moderate injury. The research suggests that while removing NgR1 alone may not be enough to promote extensive nerve regeneration across the injury site, it can enhance the sprouting of nerve fibers to the opposite side of the spinal cord, potentially contributing to functional recovery.
NgR1 antagonism, especially in cases of severe SCI, may produce appreciable functional recovery, suggesting it as a therapeutic target.
NgR1 antagonism may necessitate combination with other therapeutic measures such as spatial or temporal regulation of glial scar formation or CSPG degradation to induce significant improvements following SCI.
The in vivo function of NgR1 needs to be studied under the appropriate context, as the degree of locomotor recovery in NgR1-deficient mice is influenced by the severity of the injury.