WIREs Mechanisms of Disease, 2021 · DOI: 10.1002/wsbm.1520 · Published: March 1, 2021
The spinal cord contains sensory circuits that process information from the body. These circuits rely on dorsal interneurons (dIs) to relay sensory information like pain, heat, or itch to the brain and/or motor circuits to initiate a response. Understanding how these dIs develop is crucial for regenerative therapies to repair somatosensory circuitry after spinal cord injuries or in neurodegenerative conditions. Recent stem cell research has provided insights into generating spinal cell types, including dIs, offering potential treatments for these conditions. The diversity of sensory interneuron patterning is achieved through the reiterated actions of multiple growth factors during spinal cord development. These factors specify distinct interneuron identities by activating self-perpetuating gene regulatory networks to direct the terminal functionality of each neuronal class.
Understanding dI development can lead to therapies for spinal cord injuries and neurodegenerative diseases by regenerating sensory circuitry.
Stem cell-derived dI4–dI6s can be used to identify non-opioid analgesics for chronic pain, potentially mitigating opioid abuse.
Regeneration of both motor and sensory circuits is crucial to restore functionality after spinal cord injury. The use of stem cells is an important step in that direction.