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  4. To scar or not to scar

To scar or not to scar

Trends Mol Med, 2018 · DOI: 10.1016/j.molmed.2018.04.007 · Published: June 1, 2018

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

Spinal cord injury leads to scar formation, involving astrocytes and fibrotic components like fibroblasts/pericytes. While astrocyte contribution has been studied extensively, the role of fibrotic components is gaining attention. A recent study found that reducing fibrotic scarring, specifically by preventing the proliferation of type A pericytes, can promote axon regeneration and improve functional recovery after spinal cord injury. The study used genetically modified mice to eliminate Ras activity in type A pericytes, inhibiting their proliferation without directly affecting neurons, thus reducing fibrotic scarring.

Study Duration
Not specified
Participants
Mice with genetic modifications
Evidence Level
Not specified

Key Findings

  • 1
    Attenuation of pericyte-derived fibrotic scarring promotes axon regeneration and functional recovery after spinal cord injury.
  • 2
    Reducing type A pericyte-mediated fibrotic scarring improves axon regeneration and functional recovery.
  • 3
    Severely inhibiting fibrotic scarring in a subset of animals exhibited detrimental effects including failure to seal off the injury site.

Research Summary

The review discusses a study that attenuating pericyte-derived fibrotic scarring promotes axon regeneration and functional recovery after spinal cord injury. The researchers used an inducible Cre transgene under the promoter of the sodium-dependent glutamate/aspartate transporter gene (Glast) to mark type A pericytes. Important questions remain such as the specificity of the Glast promoter-based transgene and how the type A pericytes are related to the perivascular fibroblasts.

Practical Implications

Therapeutic Target

Modulating type A pericyte proliferation could be a promising strategy for spinal cord injury repair and recovery.

Further Research

Further studies are required to confirm these findings with a prospective experimental design with predictable outcomes.

Clinical Translation

The results await validation across labs and experimental conditions before clinical translation, especially using a model in which any sparing of the axonal tract is ruled out.

Study Limitations

  • 1
    Specificity of Glast promoter-based transgene.
  • 2
    Relationship between type A pericytes and perivascular fibroblasts.
  • 3
    Validation across labs and experimental conditions.

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