Brain Sci., 2018 · DOI: 10.3390/brainsci8020033 · Published: February 18, 2018
Neuron-specific enolase (NSE) is an enzyme found in nerve and neuroendocrine cells that can both promote inflammation and protect nerve cells in conditions like spinal cord injury. High levels of NSE can worsen nerve damage by degrading the matrix around cells, increasing inflammation, and changing cell structure, potentially leading to cell death. However, NSE can also aid in nerve repair. NSE influences neuronal survival, differentiation, and regeneration through activation of certain signaling pathways, and its activity can be regulated by enzymes like cathepsin X, influencing whether it promotes nerve damage or repair.
NSE levels in serum and CSF can be used to assess neuronal damage and predict outcomes in various neurological conditions, including stroke, traumatic brain injury, and neurodegenerative diseases.
Regulation of NSE expression and activity may offer therapeutic opportunities for managing neuroinflammation and promoting neuroprotection in spinal cord injury and other neurodegenerative diseases.
Understanding NSE's role in microglial activation and polarization (M1/M2) could help in designing targeted therapies to shift microglial responses towards neuroprotection.