PLoS ONE, 2014 · DOI: 10.1371/journal.pone.0092649 · Published: March 25, 2014
After spinal cord injury, astrocytes become reactive and form a glial scar, which inhibits regeneration. Interleukin-6 (IL-6) regulates scar formation and promotes axon regeneration. The study found that IL-6 is expressed by astrocytes and neurons after injury, and its expression requires activation of p38 and depends on NF-kB transcriptional activity. Inhibition of the PI3K-mTOR-AKT pathway in astrocytes, along with an increase in cytosolic calcium concentration, is necessary for IL-6 secretion, potentially contributing to reduced mechanical hypersensitivity after SCI.
The identification of the PI3K-mTOR-Calcium pathway as a regulator of IL-6 secretion provides a potential therapeutic target for modulating astrocyte activity after SCI.
The study suggests that a combination therapy targeting both the PI3K-mTOR pathway (e.g., with torin2) and intracellular calcium levels (e.g., with rapamycin) may be more effective in promoting IL-6 release and potentially improving recovery after SCI.
The findings suggest that timing of treatment is critical, with IL-6 induction potentially being most beneficial during specific phases of SCI, such as after the acute phase but before scar maturation.