Cell Metab, 2020 · DOI: 10.1016/j.cmet.2020.08.015 · Published: November 3, 2020
The mature central nervous system (CNS) struggles to regenerate axons after injury due to an inhibitory environment created by reactive glial cells. This study demonstrates that this inhibitory environment is reversible and depends on the metabolic status of glial cells. By manipulating glial cells in Drosophila, researchers found that increasing glycolysis can promote axon regeneration. This process is facilitated by metabolites produced by glia, specifically L-lactate and L-2-hydroxyglutarate (L-2HG). The local application of L-lactate to injured spinal cords in adult mice promoted corticospinal tract axon regeneration, which led to behavioral recovery, indicating a potential therapeutic strategy for CNS injuries.
L-lactate and L-2HG, or their analogs, could be developed as therapeutic targets for treating neural injuries, including spinal cord injuries.
Modulating glial metabolism may offer a novel strategy to overcome the inhibitory environment of the CNS and promote axon regeneration.
Targeting neuronal GABAB receptors to enhance cAMP signaling could promote axon regeneration and functional recovery after CNS injuries.