Characterization and Modulation of PI3K-Akt Signaling Following Contusive SCI

poster abstractSpinal cord injury (SCI) is devastating, with most injuries being contusive/compressive injuries at the cervical spinal level. There are two mechanisms of damage after acute contusive SCI: a primary mechanical insult to the cord, and secondary injury induced by many biological events, including inflammation and signal-mediated cell death. The extent of tissue damage correlates with functional loss after SCI, therefore it is critical to protect neural tissue for preservation of functional ability. Focusing on cellular signaling events following SCI is a promising direction of investigation, as modulation of such pathways can promote neuroprotection or regeneration following injury. Two particular signaling pathways have been highlighted as mediators of cellular survival post-central nervous system (CNS) injury, the MEK-Erk and PI3K-Akt pathways. Reducing Erk activity has been shown to promote neuroprotection and reduced reactive gliosis, while reduction of PI3K-Akt signaling likely results in initiation of cellular death. Recent studies have demonstrated promotion of regrowth of adult corticospinal (CST) neurons and protection of motor neuron atrophy by disinhibition of PI3K via PTEN deletion or knock-down in these cells. Understanding the signal pathways and mechanisms involved in different cell types, when such response occurs, and the potential interaction between pathways is essential for maximizing development of optimal approaches to treatment following SCI. This study highlights PI3K-Akt signaling involvement following injury, with future directions aimed at better understanding this pathway for targeting therapies to mediate anatomical and functional preservation and recovery following SCI

Restoring cellular energetics promotes axon regeneration and functional recovery after spinal cord injury

Axonal regeneration in the central nervous system (CNS) is a highly energy-demanding process. Extrinsic insults and intrinsic restrictions lead to an energy crisis in injured axons, raising the question of whether recovering energy deficits facilitates regeneration. Here, we reveal that enhancing axonal mitochondrial transport by deleting syntaphilin (Snph) recovers injury-induced mitochondrial depolarization. Using three CNS injury mouse models, we demonstrate that Snph-/- mice display enhanced corticospinal tract (CST) regeneration passing through a spinal cord lesion, accelerated regrowth of monoaminergic axons across a transection gap, and increased compensatory sprouting of uninjured CST. Notably, regenerated CST axons form functional synapses and promote motor functional recovery. Administration of the bioenergetic compound creatine boosts CST regenerative capacity in Snph-/- mice. Our study provides mechanistic insights into intrinsic regeneration failure in CNS and suggests that enhancing mitochondrial transport and cellular energetics are promising strategies to promote regeneration and functional restoration after CNS injuries

Protective effects of estradiol and dihydrotestosterone following spinal cord injury

Spinal cord injury (SCI) results in lesions that destroy tissue and disrupt spinal tracts, producing deficits in locomotor and autonomic function. We previously demonstrated that motoneurons and the muscles they innervate show pronounced atrophy after SCI, and these changes are prevented by treatment with testosterone. Here, we assessed whether the testosterone active metabolites estradiol and dihydrotestosterone have similar protective effects after SCI. Young adult female rats received either sham or T9 spinal cord contusion injuries and were treated with estradiol, dihydrotestosterone, both, or nothing via Silastic capsules. Basso-Beattie-Bresnahan locomotor testing was performed weekly and voiding behavior was assessed at 3 weeks post-injury. Four weeks after SCI, lesion volume and tissue sparing, quadriceps muscle fiber cross-sectional area, and motoneuron dendritic morphology were assessed. Spontaneous locomotor behavior improved after SCI, but hormone treatments had no effect. Voiding behavior was disrupted after SCI, but was significantly improved by treatment with either estradiol or dihydrotestosterone; combined treatment was maximally effective. Treatment with estradiol reduced lesion volume, but dihydrotestosterone alone and estradiol combined with dihydrotestosterone were ineffective. SCI-induced decreases in motoneuron dendritic length were attenuated by all hormone treatments. SCI-induced reductions in muscle fiber cross-sectional areas were prevented by treatment with either dihydrotestosterone or estradiol combined with dihydrotestosterone, but estradiol treatment was ineffective. These findings suggest that deficits in micturition and regressive changes in motoneuron and muscle morphology seen after SCI are ameliorated by treatment with estradiol or dihydrotestosterone, further supporting a role for steroid hormones as neurotherapeutic agents in the injured nervous system