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  4. Glial metabolic rewiring promotes axon regeneration and functional recovery in the central nervous system

Glial metabolic rewiring promotes axon regeneration and functional recovery in the central nervous system

Cell Metab, 2020 · DOI: 10.1016/j.cmet.2020.08.015 · Published: November 3, 2020

Regenerative MedicineEndocrinologyNeurology

Simple Explanation

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.

Study Duration
5 Weeks
Participants
Adult Mice, Drosophila larvae
Evidence Level
Level 1: Experimental study in animal models

Key Findings

  • 1
    Activation of PI3K and EGFR pathways in glial cells significantly enhances axon regeneration in the CNS of Drosophila.
  • 2
    Glial metabolic rewiring, specifically increased glycolysis, is sufficient to promote axon regeneration, with L-lactate and L-2HG acting as key mediators.
  • 3
    L-lactate and L-2HG act on neuronal metabotropic GABAB receptors, leading to increased cAMP signaling, which is crucial for neuronal regrowth and functional recovery.

Research Summary

The study investigates the inhibitory environment of the mature CNS, demonstrating its reversibility through glial metabolic reprogramming. Increased glycolysis in glia, mediated by L-lactate and L-2HG, promotes morphological and functional regeneration after CNS injury. Local application of L-lactate to injured spinal cords in mice leads to corticospinal tract axon regeneration and behavioral recovery, revealing a potential therapeutic approach for CNS injuries.

Practical Implications

Therapeutic Potential

L-lactate and L-2HG, or their analogs, could be developed as therapeutic targets for treating neural injuries, including spinal cord injuries.

Metabolic Targeting

Modulating glial metabolism may offer a novel strategy to overcome the inhibitory environment of the CNS and promote axon regeneration.

GABAB Receptor Activation

Targeting neuronal GABAB receptors to enhance cAMP signaling could promote axon regeneration and functional recovery after CNS injuries.

Study Limitations

  • 1
    Additional factors from reprogrammed glia may affect axon regeneration beyond L-lactate and L-2HG.
  • 2
    The extent to which neuronal GABAB receptors contribute to the observed phenotype requires further investigation.
  • 3
    The long-term effects of L-lactate treatment in the chronic phase of SCI remain to be determined.

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