F1000Research, 2019 · DOI: 10.12688/f1000research.17084.1 · Published: March 20, 2019
Traumatic brain and spinal cord injuries often lead to permanent disabilities, and currently, there are no effective treatments to fully restore function. However, advancements in omics technologies, bioinformatics, and imaging techniques are uncovering novel cellular and molecular targets that could potentially be manipulated to repair the injured central nervous system. Omics technologies such as epigenomics, transcriptomics, proteomics, and metabolomics are providing unprecedented insight into how injuries to the brain or spinal cord affect genes, molecules, cells and body systems. This insight allows us to see which pathways may be critical regulators of effective axon growth as well as regeneration and remodeling of both injured and spared neural circuits. By studying genetic, proteomic, metabolic, and immunologic functions outside the nervous system using metagenomics, we can learn how microbes in the gut affect the function of neurons and glia in the CNS. Changes in gut microbial communities that occur after brain injury or SCI is a potentially novel target for regulating the structure and function of injured neurons.
Omics technologies can be used to identify new molecular targets for therapeutic interventions to promote axon regeneration and functional recovery after CNS injuries.
Multi-omics data integration, combined with computational methods and artificial intelligence, can enable the selection of personalized treatment strategies for CNS repair.
Existing drugs, such as gabapentinoids, can be repurposed as novel treatments for CNS repair based on their effects on specific molecular targets identified through omics studies.