Neuroprotection and neuroregeneration: roles for the white matter

Efficient strategies for neuroprotection and repair are still an unmet medical need for neurodegenerative diseases and lesions of the central nervous system. Over the last few decades, a great deal of attention has been focused on white matter as a potential therapeutic target, mainly due to the dis...

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Main Authors: Vito Antonio Baldassarro, Agnese Stanzani, Luciana Giardino, Laura Calzà, Luca Lorenzini
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2022;volume=17;issue=11;spage=2376;epage=2380;aulast=Baldassarro
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author Vito Antonio Baldassarro
Agnese Stanzani
Luciana Giardino
Laura Calzà
Luca Lorenzini
author_facet Vito Antonio Baldassarro
Agnese Stanzani
Luciana Giardino
Laura Calzà
Luca Lorenzini
author_sort Vito Antonio Baldassarro
collection DOAJ
description Efficient strategies for neuroprotection and repair are still an unmet medical need for neurodegenerative diseases and lesions of the central nervous system. Over the last few decades, a great deal of attention has been focused on white matter as a potential therapeutic target, mainly due to the discovery of the oligodendrocyte precursor cells in the adult central nervous system, a cell type able to fully repair myelin damage, and to the development of advanced imaging techniques to visualize and measure white matter lesions. The combination of these two events has greatly increased the body of research into white matter alterations in central nervous system lesions and neurodegenerative diseases and has identified the oligodendrocyte precursor cell as a putative target for white matter lesion repair, thus indirectly contributing to neuroprotection. This review aims to discuss the potential of white matter as a therapeutic target for neuroprotection in lesions and diseases of the central nervous system. Pivot conditions are discussed, specifically multiple sclerosis as a white matter disease; spinal cord injury, the acute lesion of a central nervous system component where white matter prevails over the gray matter, and Alzheimer’s disease, where the white matter was considered an ancillary component until recently. We first describe oligodendrocyte precursor cell biology and developmental myelination, and its regulation by thyroid hormones, then briefly describe white matter imaging techniques, which are providing information on white matter involvement in central nervous system lesions and degenerative diseases. Finally, we discuss pathological mechanisms which interfere with myelin repair in adulthood.
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spelling doaj.art-da2945d7e0a9430eb6fc460355ee08332022-12-22T02:29:06ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742022-01-0117112376238010.4103/1673-5374.335834Neuroprotection and neuroregeneration: roles for the white matterVito Antonio BaldassarroAgnese StanzaniLuciana GiardinoLaura CalzàLuca LorenziniEfficient strategies for neuroprotection and repair are still an unmet medical need for neurodegenerative diseases and lesions of the central nervous system. Over the last few decades, a great deal of attention has been focused on white matter as a potential therapeutic target, mainly due to the discovery of the oligodendrocyte precursor cells in the adult central nervous system, a cell type able to fully repair myelin damage, and to the development of advanced imaging techniques to visualize and measure white matter lesions. The combination of these two events has greatly increased the body of research into white matter alterations in central nervous system lesions and neurodegenerative diseases and has identified the oligodendrocyte precursor cell as a putative target for white matter lesion repair, thus indirectly contributing to neuroprotection. This review aims to discuss the potential of white matter as a therapeutic target for neuroprotection in lesions and diseases of the central nervous system. Pivot conditions are discussed, specifically multiple sclerosis as a white matter disease; spinal cord injury, the acute lesion of a central nervous system component where white matter prevails over the gray matter, and Alzheimer’s disease, where the white matter was considered an ancillary component until recently. We first describe oligodendrocyte precursor cell biology and developmental myelination, and its regulation by thyroid hormones, then briefly describe white matter imaging techniques, which are providing information on white matter involvement in central nervous system lesions and degenerative diseases. Finally, we discuss pathological mechanisms which interfere with myelin repair in adulthood.http://www.nrronline.org/article.asp?issn=1673-5374;year=2022;volume=17;issue=11;spage=2376;epage=2380;aulast=Baldassarroalzheimer’s disease; multiple sclerosis; oligodendrocyte precursor cells; spinal cord injury; thyroid hormone; traumatic brain injury; white matter; white matter imaging
spellingShingle Vito Antonio Baldassarro
Agnese Stanzani
Luciana Giardino
Laura Calzà
Luca Lorenzini
Neuroprotection and neuroregeneration: roles for the white matter
Neural Regeneration Research
alzheimer’s disease; multiple sclerosis; oligodendrocyte precursor cells; spinal cord injury; thyroid hormone; traumatic brain injury; white matter; white matter imaging
title Neuroprotection and neuroregeneration: roles for the white matter
title_full Neuroprotection and neuroregeneration: roles for the white matter
title_fullStr Neuroprotection and neuroregeneration: roles for the white matter
title_full_unstemmed Neuroprotection and neuroregeneration: roles for the white matter
title_short Neuroprotection and neuroregeneration: roles for the white matter
title_sort neuroprotection and neuroregeneration roles for the white matter
topic alzheimer’s disease; multiple sclerosis; oligodendrocyte precursor cells; spinal cord injury; thyroid hormone; traumatic brain injury; white matter; white matter imaging
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2022;volume=17;issue=11;spage=2376;epage=2380;aulast=Baldassarro
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