Key Points
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Adult mammalian CNS regeneration is limited by a combination of intrinsic and extrinsic inhibitory barriers. This differs from the extraordinary ability to form short- and long-distance connections and complex circuits during nervous system development.
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Various signalling molecules guide developing neuronal branches. Many of these molecules persist in adults, but in different quantitative and qualitative distributions.
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The immature nervous system is refined by experience-dependent plasticity, resulting in the pruning of unnecessary connections and strengthening of useful ones. Mechanisms responsible for consolidating these refinements largely prevent further plastic changes, and secondarily inhibit regenerative responses in the context of injury.
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Local network circuits termed central pattern generators (CPGs) regulate semi-automatic behaviours such as ambulation. CPG plasticity and adaptation depend on sensory feedback and voluntary input.
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Intrinsic barriers to CNS regeneration include an unfavourable intracellular second messenger milieu as well as the inability to use regeneration-associated genes.
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Extrinsic barriers to CNS regeneration include inhibitory molecules produced by oligodendrocytes, astrocytes and inflammatory cells. The altered distribution of growth and guidance factors in the adult relative to the developing nervous systems represents another extrinsic barrier to effective regeneration.
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Advances using stem cells, neurotrophins and antagonists of extracellular inhibitors have resulted in a limited degree of CNS regeneration so far. Better approaches are required to recapitulate the precision of developmental growth, guidance and plasticity mechanisms.
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One strategy to mimic the developmental milieu requires better understanding of the changes in distribution of key guidance molecules during and after development.
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Rehabilitation approaches that maximize sensory feedback to CPGs will optimize the adaptation to loss of descending voluntary input.
Abstract
The precise wiring of the adult mammalian CNS originates during a period of stunning growth, guidance and plasticity that occurs during and shortly after development. When injured in adults, this intricate system fails to regenerate. Even when the obstacles to regeneration are cleared, growing adult CNS fibres usually remain misdirected and fail to reform functional connections. Here, we attempt to fill an important niche related to the topics of nervous system development and regeneration. We specifically contrast the difficulties faced by growing fibres within the adult context to the precise circuit-forming capabilities of developing fibres. In addition to focusing on methods to stimulate growth in the adult, we also expand on approaches to recapitulate development itself.
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Acknowledgements
We thank members of the Strittmatter laboratory for critical discussions, especially B. P. Liu, S. O. Budel, W. B. Cafferty, Y. S. Yang, A. W. McGee, J. H. Park and E. C. Gunther for their extensive comments on this manuscript. J. B. Carmel also provided very helpful suggestions. This work was supported by grants from the National Institute of Neurological Disorders and Stroke (NINDS), from the Christopher Reeve Paralysis Foundation and from the Falk Medical Research Trust (S.M.S.).
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Glossary
- Morphogens
-
Diffusible proteins that are involved in signalling the differentiation of cells into specific tissues and organs during embryogenesis. More recently, they have also been shown to have roles in axon guidance.
- Radial glia
-
Progenitor cell type that gives rise to immature neurons and other radial glia. Immature neurons then migrate along radial glial processes.
- Extracellular matrix
-
(ECM). Connective tissue produced largely by fibroblasts and astrocytes that provides diverse inhibitory and growth-promoting signals to neurons and their extensions.
- Experience-dependent plasticity
-
The reorganization of neural circuits in response to excitatory and inhibitory synaptic influences. Involved in learning and adaptation to varying external stimuli.
- Critical periods
-
Discrete phases early in life during which neural circuits exhibit maximal experience-dependent plasticity.
- Ocular dominance
-
Neurons in the visual cortex respond electrophysiologically to light stimuli from one eye to a greater extent than to stimuli from the other eye. A model system for studying plasticity.
- Monocular deprivation
-
Experimental model in which one eye is sutured shut during the critical period for ocular dominance plasticity, preventing experience-dependent changes.
- Central pattern generators
-
(CPGs). Local circuits involved in coordinating largely automatic motor behaviours such as ambulation and swimming. Modulated by sensory feedback and descending voluntary inputs.
- Chondroitin sulphate proteoglycans
-
(CSPGs).Carbohydrate-rich extracellular molecules with inhibitory effects on neurite outgrowth. Produced predominantly by astrocytes.
- Myelin-associated inhibitors
-
(MAIs). Surface proteins expressed by oligodendrocytes that prevent neurite outgrowth or regeneration.
- Regeneration-associated genes
-
Genes that are upregulated following axonal injury (for example, Gap43, Sprr 1a, Fn14 and arginase I). Increased expression correlates with regeneration in peripheral but not central neurons.
- Body-weight-supported treadmill training
-
(BWSTT). Physical therapy technique for SCI patient's using a harness to partially support the patients weight while therapists assist the patient's legs to ambulate on a moving treadmill.
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Harel, N., Strittmatter, S. Can regenerating axons recapitulate developmental guidance during recovery from spinal cord injury?. Nat Rev Neurosci 7, 603–616 (2006). https://doi.org/10.1038/nrn1957
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DOI: https://doi.org/10.1038/nrn1957