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  4. Neurogenic potential of NG2 in neurotrauma: a systematic review

Neurogenic potential of NG2 in neurotrauma: a systematic review

Neural Regeneration Research, 2024 · DOI: https://doi.org/10.4103/NRR.NRR-D-23-01031 · Published: March 1, 2024

Regenerative MedicineNeurology

Simple Explanation

This review investigates the regenerative potential of neural-glial antigen 2 (NG2) cells after traumatic brain injury (TBI) and spinal cord injury (SCI). NG2 cells, normally precursors to oligodendrocytes, can potentially transform into neurons, offering a therapeutic avenue for neurotrauma. The study reviewed 1504 papers to find studies that explored inducing neurogenesis in NG2 cells following TBI or SCI in animal models. The focus was on assessing the utility of NG2 cells in treating primary injuries resulting from neurotrauma. The review found that manipulating NG2 cells, particularly through genetic reprogramming, can induce them to become functional neurons in animal models of TBI and SCI. This suggests that NG2 cell neurogenesis could be a viable therapeutic strategy for neurotrauma.

Study Duration
From 1998 to 2022
Participants
1504 papers reviewed, 11 articles selected
Evidence Level
Review of preclinical experimental studies

Key Findings

  • 1
    NG2 cells possess an inducible neurogenic potential in animal models and in vitro, and this can be promoted by pharmacological and genetic approaches.
  • 2
    Genetic manipulations and ex vivo transplantations of NG2 glial cells were apparent and were employed in most of the studies regardless of the chosen trauma type.
  • 3
    Pharmacological treatments, particularly EGFR inhibition, can promote neurological differentiation from NG2 cells, offering a faster route to clinical translation compared to genetic manipulation.

Research Summary

This systematic review investigates the potential of NG2 cells to differentiate into neurons in models of traumatic brain injury (TBI) and spinal cord injury (SCI). It summarizes findings from 11 selected studies that explored various methods of inducing neurogenesis in NG2 cells. The review highlights that NG2 cells can be manipulated to differentiate into neurons in both TBI and SCI models, with genetic reprogramming showing particularly promising results. Ex vivo transplantation of manipulated NG2 cells also demonstrated high survival and integration rates. The authors conclude that NG2 cells possess a manipulable neurogenic potential that can be harnessed to suppress local neuronal loss caused by TBI or SCI. Pharmacological and genetic approaches, combined with ex-vivo transplantation, hold promise for future clinical applications.

Practical Implications

Therapeutic Development

NG2 cells offer a potential target for developing new therapies to treat neuronal loss following TBI and SCI.

Clinical Translation

Pharmacological approaches to NG2 neurogenesis may offer a faster path to clinical translation compared to genetic manipulation.

Personalized Medicine

Further research is needed to understand the heterogeneity of NG2 cell populations and how to tailor treatments to individual patients.

Study Limitations

  • 1
    The reviewed studies had a high risk of bias due to inadequate reporting of methods and lack of blinding.
  • 2
    There is a limited number of studies exploring NG2 neurogenesis, particularly in TBI models.
  • 3
    The long-term functional outcomes of NG2-derived neurons require further investigation, especially in complex behavioral tests.

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