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  4. The NFATC2/Nrf2 cascade regulates spinal cord ischemia-reperfusion injury by controlling inflammation, apoptosis and oxidative stress

The NFATC2/Nrf2 cascade regulates spinal cord ischemia-reperfusion injury by controlling inflammation, apoptosis and oxidative stress

Regenerative Therapy, 2025 · DOI: https://doi.org/10.1016/j.reth.2024.11.014 · Published: November 20, 2024

Spinal Cord InjuryGeneticsNeurorehabilitation

Simple Explanation

Spinal cord ischemia/reperfusion (IR) injury (SCII) can cause major autonomic, sensory, and motor damage and loss. The upregulation of Nrf2, a primary orchestrator of the oxidative stress response, has beneficial effects in SCII. Here, we aimed to uncover a SCII-related transcription factor that is able to elevate Nrf2 expression. Rat PC12 cells were subjected to treatment with oxygen-glucose deprivation/reoxygenation (OGD/R) to induce an in vitro neuronal IR injury model. Our study demonstrates that the NFATC2/Nrf2 cascade has a regulatory capacity in inflammation, apoptosis and oxidative stress after SCII.

Study Duration
7 days
Participants
20 male SD rats
Evidence Level
Not specified

Key Findings

  • 1
    Nrf2 and NFATC2 levels were reduced in PC12 cells after OGD/R treatment.
  • 2
    Mechanistically, NFATC2 could activate Nrf2 transcription and promote its expression.
  • 3
    Nrf2 reduction exerted a counteracting impact on NFATC2's anti-inflammation, anti-apoptosis and anti-oxidative stress functions in PC12 cells under OGD/R conditions.

Research Summary

Spinal cord ischemia/reperfusion (IR) injury (SCII) can cause major autonomic, sensory, and motor damage and loss. The upregulation of Nrf2, a primary orchestrator of the oxidative stress response, has beneficial effects in SCII. Our study demonstrates that the NFATC2/Nrf2 cascade has a regulatory capacity in inflammation, apoptosis and oxidative stress after SCII.

Practical Implications

Therapeutic Target

The NFATC2/Nrf2 cascade may serve as a potential target for SCII intervention.

Restoring Nrf2 Expression

Restoring Nrf2 expression through NFATC2 upregulation or specific expression constructs may be a therapeutic strategy for SCII.

Clinical Significance

Further studies should investigate the clinical significance of dysregulation of Nrf2 and NFATC2 in SCII.

Study Limitations

  • 1
    Lacking in vivo regulation evidence of the NFATC2/Nrf2 cascade.
  • 2
    Exploring SCII pathogenesis using only one rat pheochromocytoma PC12 cell line.
  • 3
    The clinical significance of dysregulation of Nrf2 and NFATC2 has been not investigated in this study.

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