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  3. Regenerative Medicine
  4. Proregenerative Properties of ECM Molecules

Proregenerative Properties of ECM Molecules

BioMed Research International, 2013 · DOI: 10.1155/2013/981695 · Published: August 7, 2013

Regenerative MedicineNeurologyGenetics

Simple Explanation

After injuries to the nervous system, axons face a complex environment where regeneration is both promoted and inhibited. This review focuses on extracellular matrix (ECM) molecules that encourage axon growth. The ECM affects cell adhesion, differentiation, survival, growth, and migration. Injured neurons need to make changes at the cellular level to regenerate, and the ECM influences these processes. Peripheral nerve injuries heal better than central nervous system injuries, but still cause impairment. Tissue engineering strategies could use knowledge of axonal regeneration to develop artificial nerve grafts.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

  • 1
    Laminins promote axonal growth in both the developing and adult nervous systems, particularly in areas where regeneration occurs.
  • 2
    Fibronectin supports growth from embryonic retinal ganglion cells and other types of neurons, with different isoforms produced after peripheral nerve injury having varying potentials for growth.
  • 3
    Osteopontin is upregulated after various types of brain injury and appears to support the growth of retinal ganglion cells and hippocampal neurons, potentially acting as a neuroprotective agent.

Research Summary

This review discusses the supportive roles of various ECM molecules in neurite outgrowth, while acknowledging that ECM molecules also impact synapse formation and neural stem cell migration. Novel developments in material design, incorporating ECM motifs or intact molecules like laminin, may provide new tools for improving neural regeneration. The interplay between supportive and inhibitory molecules is complex, and categorizing molecules as strictly 'inhibitory' or 'stimulating' is an oversimplification. A better understanding of this interplay may lead to more successful therapies for CNS injuries.

Practical Implications

Tissue Engineering

Knowledge of proregenerative ECM molecules can be used to design artificial nerve grafts for PNS injuries.

Therapeutic Targets

Understanding the interplay between ECM molecules may help design therapies for CNS injuries.

Personalized Medicine

Identifying the preferred ECM substrate for different neuron subgroups can lead to more targeted therapies.

Study Limitations

  • 1
    Regenerative capacity of neurons diminishes with age
  • 2
    Heterogeneity concerning regenerative ability exists within both the CNS and the PNS
  • 3
    Segregating molecules into either “inhibitory” or “stimulating” may be to oversimplify the situation

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