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  4. Extracellular vesicles from skin precursor-derived Schwann cells promote axonal outgrowth and regeneration of motoneurons via Akt/mTOR/p70S6K pathway

Extracellular vesicles from skin precursor-derived Schwann cells promote axonal outgrowth and regeneration of motoneurons via Akt/mTOR/p70S6K pathway

Ann Transl Med, 2020 · DOI: 10.21037/atm-20-5965 · Published: December 1, 2020

Regenerative MedicineNeurologyGenetics

Simple Explanation

This study investigates the potential of extracellular vesicles (EVs) derived from skin precursor-derived Schwann cells (SKP-SCs) to promote nerve regeneration, particularly in motoneurons. The researchers used in vitro and in vivo models of nerve injury, including axotomy and oxygen-glucose deprivation, to simulate damage to motoneurons and examined the effect of SKP-SC-EVs on axonal outgrowth and regrowth. The study also explored the underlying molecular mechanism, focusing on the Akt/mTOR/p70S6K signaling pathway, which is known to play a role in cell growth and survival.

Study Duration
Not specified
Participants
Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    SKP-SC-EVs can be internalized by neuronal cells both in vitro and in vivo, suggesting that they can deliver their cargo to the target cells.
  • 2
    SKP-SC-EVs promote axonal outgrowth and regrowth in motoneurons, both in normal conditions and after injury induced by axotomy or oxygen-glucose deprivation (OGD).
  • 3
    The pro-regenerative effect of SKP-SC-EVs is associated with the activation of the Akt/mTOR/p70S6K signaling pathway, which can be abolished by rapamycin, an mTOR inhibitor.

Research Summary

This study explores the therapeutic potential of extracellular vesicles (EVs) derived from skin precursor-derived Schwann cells (SKP-SCs) for promoting axonal regeneration in damaged motoneurons. The researchers found that SKP-SC-EVs can be internalized by neuronal cells and promote axonal outgrowth and regrowth in both in vitro and in vivo models of nerve injury. The study also identified the Akt/mTOR/p70S6K signaling pathway as a key mediator of the pro-regenerative effects of SKP-SC-EVs.

Practical Implications

Novel Therapeutic Strategy

SKP-SC-EVs treatment could be a novel promising strategy for improving the axonal outgrowth and regeneration of motoneurons.

Potential for SCI and PNI Treatment

The therapeutic potential of SKP-SC-EVs on PNI, SCI, and even ALS/motoneuron disease.

Underlying Mechanisms for Neurological Recovery

SKP-SCs-EVs could induce neurological recovery by a combination of different mechanisms via mTOR pathway activation, involving the promotion of neurogenesis, neuroprotection, autophagy/apoptosis regulation, and antioxidant defense.

Study Limitations

  • 1
    The information reservoir of SKP-SC-EVs has not yet been identified.
  • 2
    The appropriate normalization strategy to compare quantitatively the functions of different EVs with drug therapy remains to be explored.
  • 3
    Rat nerve defect injury and SCI model application need to be performed in the future for more behavioral function and safety index tests.

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