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  4. Extracellular histones, a new class of inhibitory molecules of CNS axonal regeneration

Extracellular histones, a new class of inhibitory molecules of CNS axonal regeneration

Brain Communications, 2021 · DOI: http://doi.org/10.1093/braincomms/fcab271 · Published: November 13, 2021

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Axonal regeneration in the mature CNS is limited by extracellular inhibitory factors. Triple knockout mice lacking the major myelin-associated inhibitors do not display spontaneous regeneration after injury, indicating the presence of other inhibitors. Following dorsal column lesions in mice and optic nerve crushes in rats, elevated levels of extracellular histone H3 were detected at the injury site. Similar to myelin-associated inhibitors, these extracellular histones induced growth cone collapse and inhibited neurite outgrowth. Histone-mediated inhibition can be reversed by the addition of activated protein C in vitro, and activated protein C treatment promotes axonal regeneration in the crushed optic nerve in vivo. These findings identify extracellular histones as a new class of nerve regeneration-inhibiting molecules within the injured CNS.

Study Duration
Not specified
Participants
Human CSF samples, mice, and rats
Evidence Level
Not specified

Key Findings

  • 1
    Elevated levels of histone H3 were detected in human CSF 24 h after spinal cord injury.
  • 2
    Extracellular histones induced growth cone collapse and inhibited neurite outgrowth.
  • 3
    Histone-mediated inhibition can be reversed by the addition of activated protein C in vitro, and activated protein C treatment promotes axonal regeneration in the crushed optic nerve in vivo.

Research Summary

Axonal regeneration in the mature CNS is limited by extracellular inhibitory factors. Following dorsal column lesions in mice and optic nerve crushes in rats, elevated levels of extracellular histone H3 were detected at the injury site. Histone-mediated inhibition can be reversed by the addition of activated protein C in vitro, and activated protein C treatment promotes axonal regeneration in the crushed optic nerve in vivo.

Practical Implications

Therapeutic Target

Extracellular histones represent a new therapeutic target for promoting axonal regeneration in CNS injuries.

Combination Therapies

Combining APC with chABC and other interventions may enhance axonal regeneration.

Clinical Relevance

Findings provide new opportunities for developing mechanism-based treatments for spinal cord injury relevant to humans.

Study Limitations

  • 1
    The study identifies histones as inhibitory molecules, but further research is needed to fully elucidate the complex mechanisms involved.
  • 2
    The study acknowledges that other properties of APC, such as anti-inflammatory and anti-apoptotic effects, may also contribute to its pro-regenerative effects.
  • 3
    The siRNA for TLR4 was not as potent, resulting in only a 20% reduction in mRNA levels compared to SC siRNA-treated cortical neurons after 96 h

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