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  4. Sustained Delivery of Activated Rho GTPases and BDNF Promotes Axon Growth in CSPG-Rich Regions Following Spinal Cord Injury

Sustained Delivery of Activated Rho GTPases and BDNF Promotes Axon Growth in CSPG-Rich Regions Following Spinal Cord Injury

PLoS ONE, 2011 · DOI: 10.1371/journal.pone.0016135 · Published: January 24, 2011

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injuries often lead to permanent loss of function due to physical trauma and secondary events like the deposition of chondroitin sulfate proteoglycans (CSPGs), which inhibit axon regeneration. The study explores whether delivering activated Rho GTPases (Cdc42 and Rac1) and Brain-Derived Neurotrophic Factor (BDNF) to the injury site can reduce CSPG-mediated inhibition and promote axon regeneration. An in situ gelling hydrogel system was used to deliver CA-Rho GTPases or BDNF, which served to physically bridge the lesion and allow the local, slow release of the proteins.

Study Duration
6 Weeks
Participants
Male Sprague-Dawley rats (190–230 grams)
Evidence Level
Not specified

Key Findings

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    Treatment with BDNF, CA-Cdc42, or CA-Rac1 reduced the number of GFAP-positive astrocytes, as well as CSPG deposition, at the interface of the implanted hydrogel and host tissue.
  • 2
    Neurofilament 160kDa positively stained axons traversed the glial scar extensively, entering the hydrogel-filled cavity in the treatments with BDNF and CA-Rho GTPases.
  • 3
    The treated animals had a higher percentage of axons from the corticospinal tract that traversed the CSPG-rich regions located proximal to the lesion site.

Research Summary

This study investigates whether local delivery of constitutively active Rho GTPases (CA-Cdc42 and CA-Rac1) and Brain-derived neurotrophic factor (BDNF) can alleviate CSPG-mediated inhibition of regenerating axons following spinal cord injury (SCI). The researchers used an in situ gelling hydrogel combined with lipid microtubes for the controlled release of CA-Cdc42, CA-Rac1, or BDNF at the lesion site in a rat model of SCI. The results demonstrated that local delivery of CA-Cdc42, CA-Rac1, and BDNF reduced reactive astrocytes and CSPG deposition and promoted axonal growth within inhibitory CSPG-rich regions, suggesting a potential therapeutic role in overcoming regenerative failure after SCI.

Practical Implications

Therapeutic Potential

Local delivery of CA-Cdc42, CA-Rac1, and BDNF may be a significant therapeutic strategy for overcoming CSPG-mediated regenerative failure after SCI.

Axonal Growth Promotion

These treatments may have reduced retraction or altered dieback of axons allowing them to extend toward the lesion site despite the presence of CSPG inhibitory regions.

Drug Delivery System

The hydrogel/microtubule scaffold delivery system enables the sustained release of therapeutics, offering a promising approach for SCI treatment.

Study Limitations

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