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  4. Sensory Axon Regeneration: A Review from an in vivo Imaging Perspective

Sensory Axon Regeneration: A Review from an in vivo Imaging Perspective

Exp Neurobiol, 2012 · DOI: http://dx.doi.org/10.5607/en.2012.21.3.83 · Published: September 1, 2012

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Dorsal root ganglion (DRG) neurons relay sensory information to the spinal cord, but their axons often fail to regenerate after injury, leading to chronic pain and sensory loss. The dorsal root entry zone (DREZ), the interface between the central and peripheral nervous systems, prevents axons from re-entering the spinal cord. Recent imaging studies suggest that axons stop at the DREZ not due to repulsive molecules, but because they form stable presynaptic terminals on non-neuronal cells, possibly NG2 glia.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review Article

Key Findings

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    Injured sensory axons fail to regenerate into the spinal cord due to the DREZ.
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    Axons stop at the DREZ and become immobilized by forming presynaptic terminals on non-neuronal cellular elements.
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    NG2 glia may be the non-neuronal cells with which DR axons form synapses at the DREZ, preventing regeneration into the spinal cord.

Research Summary

Injured primary sensory axons fail to regenerate into the spinal cord, leading to chronic pain and permanent sensory loss. Recent imaging studies that directly monitored axons arriving at the DREZ in living animals raise the intriguing possibility that axons stop primarily because they are stabilized by forming presynaptic terminals on non-neuronal cells that are neither astrocytes nor oligodendrocytes. These observations revitalized the idea raised many years ago but virtually forgotten, that axons stop by forming synapses at the DREZ.

Practical Implications

Novel Therapeutic Targets

Identifying the specific non-neuronal cells (potentially NG2 glia) and the synaptogenic molecules involved in forming presynaptic terminals at the DREZ could lead to new therapeutic targets.

Rethinking Regeneration Strategies

Current regeneration strategies focus on neutralizing inhibitory molecules, but this research suggests that stabilizing factors should also be addressed to promote axon regeneration.

Advanced Imaging Techniques

The application of in vivo imaging provides a more comprehensive understanding of axon behavior and the factors influencing regeneration, which can be applied to other areas of neurological research.

Study Limitations

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