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  4. Inhibition of astrocyte hemichannel improves recovery from spinal cord injury

Inhibition of astrocyte hemichannel improves recovery from spinal cord injury

JCI Insight, 2021 · DOI: https://doi.org/10.1172/jci.insight.134611 · Published: March 8, 2021

Spinal Cord InjuryOncologyNeurology

Simple Explanation

Spinal cord injuries often lead to lasting disabilities because the damaged spinal cord cannot fully recover. One way to lessen the impact of such injuries is to limit the spread of secondary damage that occurs after the initial trauma. This study explores connexin 43 (Cx43), a protein found in spinal cord cells called astrocytes, as a potential contributor to this secondary damage. The researchers developed a special antibody, named MHC1, that can block Cx43 from forming hemichannels, which are structures that can release harmful substances. The findings suggest that blocking Cx43 hemichannels after a spinal cord injury can reduce secondary damage, limit the formation of scar tissue, and improve the recovery of motor functions.

Study Duration
8 Weeks
Participants
C57BL/6 mice
Evidence Level
Not specified

Key Findings

  • 1
    MHC1 inhibits the activation of Cx43 hemichannels in both primary spinal astrocytes and astrocytes in situ.
  • 2
    Administration of MHC1 after SCI significantly improved hind limb locomotion function.
  • 3
    MHC1 treatment decreased gliosis and lesion sizes, increased white and gray matter sparing, and improved neuronal survival.

Research Summary

Spinal cord injury (SCI) causes severe disability, and the current inability to restore function to the damaged spinal cord leads to lasting detrimental consequences to patients. Here, we developed a specific inhibitory antibody, mouse-human chimeric MHC1 antibody (MHC1), that inhibited Cx43 hemichannels, but not gap junctions, and reduced secondary damage in 2 incomplete SCI mouse models. Together, these results suggest that inhibition of Cx43 hemichannel function after traumatic SCI reduces secondary damage, limits perilesional gliosis, and improves functional recovery.

Practical Implications

Therapeutic Potential

Inhibition of Cx43 hemichannels represents a new therapeutic strategy for treating SCI.

Drug development

Cx43 hemichannels are a potential target for drug development for SCI.

Antibody Therapeutics

This study shows a great potential for the development of a new line of antibody therapeutics for SCI.

Study Limitations

  • 1
    The study focuses on incomplete SCI models, and results may not be directly applicable to complete SCI.
  • 2
    The blood-spinal cord barrier is reported to be closed 2 weeks after SCI in mice
  • 3
    MHC1 is only efficacious during the early acute phase of SCI, when hemichannels are pathologically open.

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