Journal of Orthopaedic Surgery and Research, 2024 · DOI: https://doi.org/10.1186/s13018-024-04678-z · Published: March 14, 2024
Spinal cord injury (SCI) can result in structural and functional damage to the spinal cord, which may lead to loss of limb movement and sensation, loss of bowel and bladder control, and other complications. Macrophages are specialized immune cells that play a critical role in the immune response in various diseases such as musculoskeletal ailments, renal diseases and SCI. The study found that SP1 transcriptionally activated HTR2B to aggravate traumatic SCI by shifting microglial M1/M2 polarization.
SP1 and HTR2B could be potential therapeutic targets for mitigating the effects of spinal cord injury by modulating microglial polarization.
Modulating the macrophage phenotype towards an anti-inflammatory and tissue repair-promoting state may hold promise for developing therapeutic strategies to enhance recovery and functional outcomes in spinal cord injury.
Drugs targeting the SP1-HTR2B pathway could be developed to promote M2 polarization and reduce inflammation in SCI patients.