Tackling the glial scar in spinal cord regeneration: new discoveries and future directions

Axonal regeneration and functional recovery are poor after spinal cord injury (SCI), typified by the formation of an injury scar. While this scar was traditionally believed to be primarily responsible for axonal regeneration failure, current knowledge takes a more holistic approach that considers th...

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Main Authors: Areez Shafqat, Ibrahem Albalkhi, Hamzah M. Magableh, Tariq Saleh, Khaled Alkattan, Ahmed Yaqinuddin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Cellular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fncel.2023.1180825/full
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author Areez Shafqat
Ibrahem Albalkhi
Hamzah M. Magableh
Tariq Saleh
Khaled Alkattan
Ahmed Yaqinuddin
author_facet Areez Shafqat
Ibrahem Albalkhi
Hamzah M. Magableh
Tariq Saleh
Khaled Alkattan
Ahmed Yaqinuddin
author_sort Areez Shafqat
collection DOAJ
description Axonal regeneration and functional recovery are poor after spinal cord injury (SCI), typified by the formation of an injury scar. While this scar was traditionally believed to be primarily responsible for axonal regeneration failure, current knowledge takes a more holistic approach that considers the intrinsic growth capacity of axons. Targeting the SCI scar has also not reproducibly yielded nearly the same efficacy in animal models compared to these neuron-directed approaches. These results suggest that the major reason behind central nervous system (CNS) regeneration failure is not the injury scar but a failure to stimulate axon growth adequately. These findings raise questions about whether targeting neuroinflammation and glial scarring still constitute viable translational avenues. We provide a comprehensive review of the dual role of neuroinflammation and scarring after SCI and how future research can produce therapeutic strategies targeting the hurdles to axonal regeneration posed by these processes without compromising neuroprotection.
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spelling doaj.art-634754ed0d6740049ab9d9494e69580d2023-05-24T04:54:55ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022023-05-011710.3389/fncel.2023.11808251180825Tackling the glial scar in spinal cord regeneration: new discoveries and future directionsAreez ShafqatIbrahem AlbalkhiHamzah M. MagablehTariq SalehKhaled AlkattanAhmed YaqinuddinAxonal regeneration and functional recovery are poor after spinal cord injury (SCI), typified by the formation of an injury scar. While this scar was traditionally believed to be primarily responsible for axonal regeneration failure, current knowledge takes a more holistic approach that considers the intrinsic growth capacity of axons. Targeting the SCI scar has also not reproducibly yielded nearly the same efficacy in animal models compared to these neuron-directed approaches. These results suggest that the major reason behind central nervous system (CNS) regeneration failure is not the injury scar but a failure to stimulate axon growth adequately. These findings raise questions about whether targeting neuroinflammation and glial scarring still constitute viable translational avenues. We provide a comprehensive review of the dual role of neuroinflammation and scarring after SCI and how future research can produce therapeutic strategies targeting the hurdles to axonal regeneration posed by these processes without compromising neuroprotection.https://www.frontiersin.org/articles/10.3389/fncel.2023.1180825/fullspinal cord injuryaxonal regenerationglial scarneuroinflammationastrocyte heterogeneitymicroglia heterogeneity
spellingShingle Areez Shafqat
Ibrahem Albalkhi
Hamzah M. Magableh
Tariq Saleh
Khaled Alkattan
Ahmed Yaqinuddin
Tackling the glial scar in spinal cord regeneration: new discoveries and future directions
Frontiers in Cellular Neuroscience
spinal cord injury
axonal regeneration
glial scar
neuroinflammation
astrocyte heterogeneity
microglia heterogeneity
title Tackling the glial scar in spinal cord regeneration: new discoveries and future directions
title_full Tackling the glial scar in spinal cord regeneration: new discoveries and future directions
title_fullStr Tackling the glial scar in spinal cord regeneration: new discoveries and future directions
title_full_unstemmed Tackling the glial scar in spinal cord regeneration: new discoveries and future directions
title_short Tackling the glial scar in spinal cord regeneration: new discoveries and future directions
title_sort tackling the glial scar in spinal cord regeneration new discoveries and future directions
topic spinal cord injury
axonal regeneration
glial scar
neuroinflammation
astrocyte heterogeneity
microglia heterogeneity
url https://www.frontiersin.org/articles/10.3389/fncel.2023.1180825/full
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AT tariqsaleh tacklingtheglialscarinspinalcordregenerationnewdiscoveriesandfuturedirections
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