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  4. Discovery of therapeutic targets for spinal cord injury based on molecular mechanisms of axon regeneration after conditioning lesion

Discovery of therapeutic targets for spinal cord injury based on molecular mechanisms of axon regeneration after conditioning lesion

Journal of Translational Medicine, 2023 · DOI: https://doi.org/10.1186/s12967-023-04375-1 · Published: July 20, 2023

Spinal Cord InjuryRegenerative MedicineBioinformatics

Simple Explanation

This study explores how nerve pre-injury can trigger axon regeneration, especially in young mice, to find therapies for central nervous system injuries. The researchers analyzed gene expression data from young and old mice after nerve injury to identify key genes and potential drug targets that promote axon regeneration. Telmisartan, a drug identified through this analysis, was shown to promote axon regeneration and improve motor and sensory functions in mice with spinal cord injuries.

Study Duration
6 weeks
Participants
48 adult C57BL/6 mice
Evidence Level
Not specified

Key Findings

  • 1
    Identified 693 and 885 DEGs in old and young mice, respectively, after peripheral nerve injury, with shared DEGs involved in inflammatory and immune responses.
  • 2
    Agtr1a was identified as a potential therapeutic target for SCI treatment based on bioinformatics analysis of DRG after conditioning lesion.
  • 3
    In vivo experiments showed that telmisartan promoted axonal regeneration after SCI by downregulating AGTR1 expression.

Research Summary

This study comprehensively maps transcriptional changes in young and old DRGs after injury, identifying hub genes and related drugs affecting axon regeneration. The research pioneers the construction of a drug-hub gene network, highlighting Agtr1a downregulation in conditioned DRGs as a potential target for axon regeneration. In vivo experiments demonstrate telmisartan's effectiveness in promoting sensory and motor function recovery after SCI, validating the identified therapeutic targets.

Practical Implications

Therapeutic Target Identification

The study identifies Agtr1a as a potential therapeutic target for spinal cord injury, opening avenues for targeted drug development.

Drug Repurposing

Telmisartan, a clinically used drug, is shown to promote axon regeneration and functional recovery in SCI, suggesting its potential repurposing for SCI treatment.

Age-Related Differences

The study highlights age-related differences in DRG transcriptional responses to injury, which could inform age-specific therapeutic strategies.

Study Limitations

  • 1
    Specific molecular mechanism of telmisartan inhibiting AGTR1 gene expression in SCI needs further experimental verification.
  • 2
    Dose-response and therapeutic window of telmisartan for SCI require extensive preclinical studies.
  • 3
    The effect of screened miRNAs on TF still needs to be verified.

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