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  4. Repetitive transcranial magnetic stimulation promotes motor function recovery in mice after spinal cord injury via regulation of the Cx43-autophagy loop

Repetitive transcranial magnetic stimulation promotes motor function recovery in mice after spinal cord injury via regulation of the Cx43-autophagy loop

Journal of Orthopaedic Surgery and Research, 2024 · DOI: https://doi.org/10.1186/s13018-024-04879-6 · Published: June 25, 2024

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

Spinal cord injury (SCI) is a severe condition that results in the loss of motor, sensory, and autonomic nerve functions. This study explores how high-frequency transcranial magnetic stimulation (TMS) can help restore motor function after SCI. The researchers used mice with a complete spinal cord transection and treated them with daily high-frequency TMS. They found that TMS can restore hindlimb motor function by regulating the Cx43-autophagy loop and activating the mTOR signalling pathway. The study suggests that TMS decreases Cx43 expression in astrocytes, which in turn regulates autophagic flux and promotes motor function recovery. This finding offers a new understanding of how magnetic stimulation therapy might help treat spinal cord injury.

Study Duration
6 weeks
Participants
Male C57BL/6J mice (6–8 weeks, 22–26 g)
Evidence Level
Not specified

Key Findings

  • 1
    High-frequency repetitive transcranial magnetic stimulation (HF-rTMS) significantly reduces Cx43 expression on astrocytes.
  • 2
    HF-rTMS treatment significantly increased the LC3II and p62 expression levels in astrocytes, indicating that Cx43 may play a role in regulating autophagic flux.
  • 3
    HF-rTMS can inhibit the expression of CX43, which negatively regulates autophagic flux and that HF-rTMS increased the expression levels of mTOR, p-mTOR and p-S6.

Research Summary

This study investigates the therapeutic effects of repetitive transcranial magnetic stimulation (rTMS) on spinal cord injury (SCI) in mice and the related mechanisms, focusing on the role of astrocytes, connexin43 (Cx43), and autophagy. The key findings indicate that high-frequency rTMS (HF-rTMS) can inhibit Cx43 expression in astrocytes, which negatively regulates autophagic flux. This inhibition improves impaired autophagy flux and promotes motor function and electrical conduction by activating the mTOR pathway. The study concludes that the Cx43-autophagy loop may be a mechanism by which rTMS improves neurological function after SCI, providing new therapeutic targets for treating spinal cord injury.

Practical Implications

Therapeutic Target Identification

The Cx43-autophagy loop is identified as a potential therapeutic target for treating spinal cord injury.

Neuromodulation Strategies

rTMS can be used to modulate the Cx43-autophagy loop and mTOR signaling pathway, promoting recovery after SCI.

Clinical Applications

The findings support the use of rTMS as a non-invasive technology to improve motor function and neurological outcomes in SCI patients.

Study Limitations

  • 1
    The exact regulatory mechanism of rTMS on the Cx43-autophagy loop has not been fully elucidated.
  • 2
    Further studies are needed to clarify the precise mechanism of rTMS action.
  • 3
    The mechanism by which rTMS regulates synaptic plasticity after SCI requires future exploration.

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