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  4. Protein Tyrosine Phosphatase r Inhibitory Peptide Promotes Recovery of Diaphragm Function and Sprouting of Bulbospinal Respiratory Axons after Cervical Spinal Cord Injury

Protein Tyrosine Phosphatase r Inhibitory Peptide Promotes Recovery of Diaphragm Function and Sprouting of Bulbospinal Respiratory Axons after Cervical Spinal Cord Injury

JOURNAL OF NEUROTRAUMA, 2020 · DOI: 10.1089/neu.2019.6586 · Published: February 1, 2020

Spinal Cord InjuryPulmonologyNeuroplasticity

Simple Explanation

Damage to the respiratory neural circuitry after cervical spinal cord injury (SCI) can lead to diaphragm paralysis. The study investigates the use of a PTPr inhibitory peptide to promote axon plasticity and respiratory recovery in a rat model of C2 hemisection SCI. The PTPr peptide was applied locally to the injury site and surrounding spinal cord using a gelfoam release strategy. The study found that the PTPr peptide significantly improved ipsilateral hemidiaphragm function. The PTPr peptide stimulated robust sprouting of contralateral-originating rVRG fibers and serotonergic axons within the PhMN pool ipsilateral to hemisection. This suggests that the PTPr peptide-induced restoration of function was attributed to plasticity of spared axon pathways descending in contralateral spinal cord.

Study Duration
8 weeks
Participants
Adult female Sprague-Dawley rats (250–300 g)
Evidence Level
Not specified

Key Findings

  • 1
    PTPr peptide significantly improved ipsilateral hemidiaphragm function, as assessed in vivo with electromyography recordings.
  • 2
    PTPr peptide stimulated robust sprouting of contralateral-originating rVRG fibers and serotonergic axons within the PhMN pool ipsilateral to hemisection.
  • 3
    Relesion through the hemisection did not compromise diaphragm recovery, suggesting that PTPr peptide-induced restoration of function was attributed to plasticity of spared axon pathways descending in contralateral spinal cord.

Research Summary

The study investigates the effect of a PTPr inhibitory peptide on respiratory neuronal plasticity and functional restoration using a rat model of C2 hemisection SCI. The PTPr peptide was applied locally to the injury site using a gelfoam release strategy. At 8 weeks post-hemisection, PTPr peptide significantly improved ipsilateral hemidiaphragm function. The study found that the PTPr peptide stimulated robust sprouting of spared bulbospinal respiratory axons after cervical SCI and that functional recovery was driven by plasticity of spared contralateral input.

Practical Implications

Therapeutic Potential

Inhibition of PTPr signaling can promote significant recovery of diaphragmatic respiratory function after cervical SCI.

Spared Axon Plasticity

Stimulating relatively short-distance local sprouting of rVRG fibers represents a more easily achievable therapeutic goal.

Combination Therapies

Combination of PTPr and PTEN inhibition may result in particularly robust therapeutic efficacy through additive or synergistic effects.

Study Limitations

  • 1
    The relesion results demonstrate that functional recovery was completely based on input from the spared contralateral spinal cord; however, neuronal populations in addition to (or instead of) contralateral-originating rVRG axons may have been responsible for driving recovery.
  • 2
    Although anatomical tracing data support the notion that sprouting of spared rVRG axons was responsible for the observed functional recovery in response to PTPr peptide, we have not causally established this relationship.
  • 3
    Differential levels of expression of PTPr ligands may be responsible for local sprouting of rVRG axons, but not regeneration of injured fibers.

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