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the myelin-associated inhibitors and CSPGs, most of the chemorepulsive
factors signal via Rho. Four classes of guidance molecules have been impli-
cated in inhibiting nerve regeneration: ephrins, netrins, semaphorins, and
repulsive guidance molecules (RGMs). Ephrins and their receptor Eph
tyrosine kinases are a family of guidance proteins capable of bidirectional
signaling between neurons and oligodendrocytes, and they are expressed
in injured spinal cord ( Bundesen, Scheel, Bregman, & Kromer, 2003;
Fabes et al., 2006; Miranda et al., 1999 ). Ephrin-B3 is persistently
expressed in oligodendrocytes where it has strong axon growth inhibitory
activity ( Benson et al., 2005 ). Netrin-1 is a bifunctional ligand that
can function as a chemoattractant or chemorepellent depending on
the receptor type it interacts with ( Moore, Tessier-Lavigne, & Kennedy,
2007 ). Netrin-1 inhibits axon growth ( L¨w, Culbertson, Bradke, Tessier-
Lavigne, & Tuszynski, 2008 ), and netrins affect Rho signaling
( Moore et al., 2008 ). The semaphorin family has both soluble and
transmembrane-bound members that mediate repulsion in development,
and these proteins are reexpressed in CNS injury ( Luo, Raible, & Raper,
1993; Pasterkamp & Verhaagen, 2006 ). Sema4D is an oligodendrocyte
transmembrane protein that inhibits axon growth and is transiently
upregulated following CNS injury ( Moreau-Fauvarque et al., 2003 ).
Sema3A is a soluble inhibitory protein associated with the glial scar ( De
Winter et al., 2002; Pasterkamp et al., 1999 ), and Sema5A induces
growth cone collapse and inhibits retinal ganglion cell (RGC) outgrowth
from retinal explants; blocking Sema5A with a function-blocking
antibody neutralizes these effects ( Goldberg et al., 2004 ). Semaphorins
inhibit axon growth via the activation of Rho ( Aurandt, Vikis, Gutkind,
Ahn, & Guan, 2002; Swiercz, Kuner, Behrens, & Offermanns, 2002 ).
RGMa is also present in myelin and its expression increases at the lesion
site following SCI ( Hata et al., 2006 ). RGMa inhibits axonal outgrowth,
and application of an RGMa function-blocking antibody promotes
regeneration. RGMa activates Rho in cerebellar neurons ( Hata et al.,
2006 ). Therefore, Rho is important for signaling growth cone collapse
during axon guidance by the guidance-type axon growth inhibitors that
are expressed in the adult CNS following injury.
Together, it is clear that Rho is a converging molecule that mediates sig-
nals from all of the myelin-derived growth inhibitory proteins; fromCSPGs;
and from semaphorins, netrins, ephrins, and RGMs. Therefore, Rho is a key
target to promote regeneration in the injured CNS.
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