Stem Cell Research & Therapy, 2023 · DOI: https://doi.org/10.1186/s13287-023-03284-w · Published: March 13, 2023
Spinal cord injury (SCI) leads to nerve cell death and demyelination, hindering functional recovery. Endogenous neural stem cells (NSCs) offer a potential treatment strategy due to their ability to differentiate into mature nerve cells. Inflammation following SCI involves astrocytes, which can transform and release cytokines affecting pathology. Extracellular vesicles (EVs) mediate cell-cell communication, and NSC-derived EVs can promote neurological recovery. This study explores how cytokines from inflammation-stimulated astrocytes affect NSC differentiation and communication, revealing a BMP-miRNA-22-TGF-β regulatory loop that maintains glial balance and prevents excessive astrocytic scars.
The BMP2-miRNA-22-KDM3A/TGF-β axis represents a potential therapeutic target for promoting remyelination and neurological recovery after SCI.
NSC-derived EVs, particularly those enriched with miRNA-22-3p, could be developed as a cell-free therapeutic approach to enhance remyelination.
Controlling the inflammatory response and astrocyte activation post-SCI may improve the microenvironment for NSC differentiation and axon regeneration.