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  4. Comprehensive therapeutics targeting the corticospinal tract following spinal cord injury

Comprehensive therapeutics targeting the corticospinal tract following spinal cord injury

J Zhejiang Univ-Sci B, 2019 · DOI: https://doi.org/10.1631/jzus.B1800280 · Published: March 1, 2019

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injury (SCI) is a difficult condition to recover from, often leading to movement and sensation problems. This paper focuses on the corticospinal tract (CST), a crucial part of the nervous system for controlling voluntary movement. The paper reviews various treatment strategies targeting different aspects of SCI, with a focus on treatments that specifically help the CST. Taking a comprehensive approach is often better than implementing a simple mean. Researchers have been working on various approaches, including tackling extensive regions, providing a regenerative microenvironment, transplantation, and rehabilitation training. The paper emphasizes that a multifaceted problem needs combinatorial approaches.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

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    The cortex of corticospinal motor system has huge potential for compensation, which is helpful to functional recovery.
  • 2
    Melatonin, a kind of intense antioxidant, can not only cover the aforementioned six areas, but also restrain amyloid-β peptide fibril formation, a formation which will lead to dysfunction of the brain.
  • 3
    Incomplete SCI, spare tracts will generate intraspinal circuits boosting the post-damaged function, which is led by CST sprouting into the propriospinal neurons.

Research Summary

This review discusses comprehensive therapeutics targeting the corticospinal tract (CST) following spinal cord injury (SCI). It highlights the importance of the CST in motor function and the challenges in achieving effective treatments for SCI. The review covers various strategies, including enhancing plasticity, neuroprotection, providing regenerative and glial microenvironments, transplantation, and auxiliary methods like rehabilitation and electrical stimulation. The authors emphasize the need for combinatorial approaches to address the multifaceted nature of SCI and analyze discrepancies in past studies. They also present promising future tactics for curbing SCI.

Practical Implications

Comprehensive Treatment Strategies

SCI requires a multifaceted approach, combining various therapeutic strategies to address different aspects of the injury.

Future Research Directions

Future research should focus on developing novel tactics, such as mimicking embryonic development, using biogels to conceal lesions, and finding analogous cerebral regions to promote axon regrowth.

Astrocytic function

The discrepancy of the astrocytic functions and the survival situation of the neuronal soma of CST has been discussed. Conversion towards astrocytes could be a rational measure against SCI

Study Limitations

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