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  4. Chronic stress hinders sensory axon regeneration via impairing mitochondrial cristae and OXPHOS

Chronic stress hinders sensory axon regeneration via impairing mitochondrial cristae and OXPHOS

Science Advances, 2023 · DOI: 10.1126/sciadv.adh0183 · Published: October 6, 2023

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injuries can lead to chronic stress, which negatively impacts recovery. This study found that chronic stress impairs the regeneration of sensory axons, which are crucial for regaining sensory and motor function after injury. The researchers discovered that stress hormones like corticosterone affect glial cells, leading to neuronal hyperactivity and increased reactive oxygen species (ROS). This, in turn, damages the mitochondria within neurons, hindering their ability to regenerate. Managing psychological stress in SCI patients is important for effective rehabilitation. The study highlights the potential for targeting glial cells and mitochondrial function to improve neural repair.

Study Duration
Not specified
Participants
Mice and human SCI patients
Evidence Level
Not specified

Key Findings

  • 1
    Chronic stress impairs sensory axon regeneration in a preconditioning lesions mouse model.
  • 2
    Corticosterone, a stress hormone, affects satellite glial cells by reducing Kir4.1 expression, leading to increased neuronal hyperactivity and reactive oxygen species levels.
  • 3
    Stress-induced mitochondrial cristae loss and decreased oxidative phosphorylation (OXPHOS) within primary sensory neurons impede central axon regrowth.

Research Summary

This study investigates the impact of chronic stress on sensory axon regeneration after spinal cord injury (SCI). It reveals that chronic stress inhibits axon regrowth through a process involving both intercellular and intracellular mechanisms. The study found that corticosterone, a stress hormone, down-regulates Kir4.1 expression in satellite glial cells (SGCs), leading to neuronal hyperactivation and increased production of reactive oxygen species (ROS). The research demonstrates that neuronal hyperactivity and ROS accumulation damage mitochondrial cristae, impairing ATP production and hindering axon regeneration. Targeting SGCs and their Kir4.1 channels may improve neural repair.

Practical Implications

Clinical Management of Stress

Managing psychological stress in patients with SCI is crucial for optimizing sensory-motor rehabilitation outcomes.

Targeting Glial Cells

Satellite glial cells (SGCs) and their Kir4.1 channels represent potential therapeutic targets for improving neural repair after SCI.

Mitochondrial Protection Strategies

Developing strategies to protect mitochondrial function and reduce ROS production in neurons could enhance axon regeneration and functional recovery.

Study Limitations

  • 1
    The study primarily used a mouse model, and findings may not directly translate to human SCI patients.
  • 2
    The exact duration and intensity of stress required to induce significant axon regeneration impairment may vary.
  • 3
    The specific mechanisms by which other molecules secreted by SGCs contribute to stress-induced regeneration failure remain unclear.

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