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Neuroregeneration

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308:, also called keratosulfate, is formed from repeating disaccharide galactose units and N-acetylglucosamines. It is also 6-sulfated. This sulfation is crucial to the elongation of the keratan sulfate chain. A study was done using N-acetylglucosamine 6-O-sulfotransferase-1 deficient mice. The wild type mouse showed a significant up regulation of mRNA expressing N-acetylglucosamine 6-O-sulfotransferase-1 at the site of cortical injury. However, in the N-acetylglucosamine 6-O-sulfotransferase-1 deficient mice, the expression of keratan sulfate was significantly decreased when compared to the wild type mice. Similarly, glial scar formation was significantly reduced in the N-acetylglucosamine 6-O-sulfotransferase-1 mice, and as a result, nerve regeneration was less inhibited. 141:). While the peripheral nervous system has an intrinsic ability for repair and regeneration, the central nervous system is, for the most part, incapable of self-repair and regeneration. There is currently no treatment for recovering human nerve-function after injury to the central nervous system. Multiple attempts at nerve re-growth across the PNS-CNS transition have not been successful. There is simply not enough knowledge about regeneration in the central nervous system. In addition, although the peripheral nervous system has the capability for regeneration, much research still needs to be done to optimize the environment for maximum regrowth potential. Neuroregeneration is important clinically, as it is part of the 611:. In allografts, the tissue for the graft is taken from another person, the donor, and implanted in the recipient. Xenografts involve taking donor tissue from another species. Allografts and xenografts have the same disadvantages as autografts, but in addition, tissue rejection from immune responses must also be taken into account. Often immunosuppression is required with these grafts. Disease transmission also becomes a factor when introducing tissue from another person or animal. Overall, allografts and xenografts do not match the quality of outcomes seen with autografts, but they are necessary when there is a lack of autologous nerve tissue. 248:, which axons cannot grow across. The proximal segment attempts to regenerate after injury, but its growth is hindered by the environment. It is important to note that central nervous system axons have been proven to regrow in permissive environments; therefore, the primary problem to central nervous system axonal regeneration is crossing or eliminating the inhibitory lesion site. Another problem is that the morphology and functional properties of central nervous system neurons are highly complex, for this reason a neuron functionally identical cannot be replaced by one of another type ( 164: 270:
instance, transforming growth factors B-1 and -2, interleukins, and cytokines play a role in the initiation of scar formation. The accumulation of reactive astrocytes at the site of injury and the up regulation of molecules that are inhibitory for neurite outgrowth contribute to the failure of neuroregeneration. The up-regulated molecules alter the composition of the extracellular matrix in a way that has been shown to inhibit neurite outgrowth extension. This scar formation involves several cell types and families of molecules.
531:. If a large segment of nerve is harmed, as can happen in a crush or stretch injury, the nerve will need to be exposed over a larger area. Injured portions of the nerve are removed. The cut nerve endings are then carefully reapproximated using very small sutures. The nerve repair must be covered by healthy tissue, which can be as simple as closing the skin or it can require moving skin or muscle to provide healthy padded coverage over the nerve. The type of anesthesia used depends on the complexity of the injury. A 557:: Sharp injuries, such as a knife wound, damage only a very short segment of the nerve, availing for direct suture. In contrast, nerves that are divided by stretch or crush may be damaged over long segments. These nerve injuries are more difficult to treat and generally have a poorer outcome. In addition, associated injuries, like injury to bone, muscle and skin, can make nerve recovery more difficult. 583:
sutured over the window. Regenerating axons are redirected into the stump. Efficacy of this technique is partially dependent upon the degree of partial neurectomy performed on the donor, with increasing degrees of neurectomy giving rise to increasing axon regeneration within the lesioned nerve, but with the consequence of increasing deficit to the donor.
564:: After a nerve is repaired, the regenerating nerve endings must grow all the way to their target. For example, a nerve injured at the wrist that normally provides sensation to the thumb must grow to the end of the thumb in order to provide sensation. The return of function decreases with increased distance over which a nerve must grow. 550:: Recovery of a nerve after surgical repair depends mainly on the age of the patient. Young children can recover close-to-normal nerve function. In contrast, a patient over 60 years old with a cut nerve in the hand would expect to recover only protective sensation; that is, the ability to distinguish hot/cold or sharp/dull. 222:
environment. The hostile, non-permissive growth environment is, in part, created by the migration of myelin-associated inhibitors, astrocytes, oligodendrocytes, oligodendrocyte precursors, and microglia. The environment within the CNS, especially following trauma, counteracts the repair of myelin and
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site in order to clear away debris such as damaged tissue which is inhibitory to regeneration. When a nerve axon is severed, the end still attached to the cell body is labeled the proximal segment, while the other end is called the distal segment. After injury, the proximal end swells and experiences
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Some evidence suggests that local delivery of soluble neurotrophic factors at the site of autologous nerve grafting may enhance axon regeneration within the graft and help expedite functional recovery of a paralyzed target. Other evidence suggests that gene-therapy induced expression of neurotrophic
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Currently, autologous nerve grafting, or a nerve autograft, is known as the gold standard for clinical treatments used to repair large lesion gaps in the peripheral nervous system. It is important that nerves are not repaired under tension, which could otherwise happen if cut ends are reapproximated
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Neuroregeneration in the peripheral nervous system (PNS) occurs to a significant degree. After an injury to the axon, peripheral neurons activate a variety of signaling pathways which turn on pro-growth genes, leading to reformation of a functional growth cone and regeneration. The growth of these
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within hours of the injury; the axons and myelin degenerate, but the endoneurium remains. In the later stages of regeneration the remaining endoneurial tube directs axon growth back to the correct targets. During Wallerian degeneration, Schwann cells grow in ordered columns along the endoneurial
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When appropriate, a nearby donor may be used to supply innervation to lesioned nerves. Trauma to the donor can be minimized by utilizing a technique known as end-to-side repair. In this procedure, an epineurial window is created in the donor nerve and the proximal stump of the lesioned nerve is
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scar formation is induced following damage to the nervous system. In the central nervous system, this glial scar formation significantly inhibits nerve regeneration, which leads to a loss of function. Several families of molecules are released that promote and drive glial scar formation. For
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Slower degeneration of the distal segment than that which occurs in the peripheral nervous system also contributes to the inhibitory environment because inhibitory myelin and axonal debris are not cleared away as quickly. All these factors contribute to the formation of what is known as a
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for axonal regeneration across the gap. However, this is not a perfect treatment; often the outcome is only limited function recovery. Also, partial de-innervation is frequently experienced at the donor site, and multiple surgeries are required to harvest the tissue and implant it.
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Like the chondroitin sulfate proteoglycans, keratan sulfate proteoglycan (KSPG) production is up regulated in reactive astrocytes as part of glial scar formation. KSPGs have also been shown to inhibit neurite outgrowth extension, limiting nerve regeneration.
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A direction of research is towards the use of drugs that target remyelinating inhibitor proteins, or other inhibitors. Possible strategies include vaccination against these proteins (active immunisation), or treatment with previously created antibodies
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Prang P, MĂŒller R, Eljaouhari A, Heckmann K, Kunz W, Weber T, Faber C, Vroemen M, Bogdahn U, Weidner N (July 2006). "The promotion of oriented axonal regrowth in the injured spinal cord by alginate-based anisotropic capillary hydrogels".
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in order to guide axonal regrowth. The creation of artificial nerve conduits is also known as entubulation because the nerve ends and intervening gap are enclosed within a tube composed of biological or synthetic materials.
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Karnezis T, Mandemakers W, McQualter JL, Zheng B, Ho PP, Jordan KA, Murray BM, Barres B, Tessier-Lavigne M, Bernard CC (July 2004). "The neurite outgrowth inhibitor Nogo A is involved in autoimmune-mediated demyelination".
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Shiotani A, O'Malley BW, Coleman ME, Alila HW, Flint PW (September 1998). "Reinnervation of motor endplates and increased muscle fiber size after human insulin-like growth factor I gene transfer into the paralyzed larynx".
295:(CS-GAGs), are covalently coupled to the protein core CSPGs. CSPGs have been shown to inhibit regeneration in vitro and in vivo, but the role that the CSPG core protein vs. CS-GAGs had not been studied until recently. 290:
pathway is involved. Chondroitin sulfate proteoglycans (CSPGs) have been shown to be up regulated in the central nervous system (CNS) following injury. Repeating disaccharides of glucuronic acid and galactosamine,
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rapidly form, and the glia actually produce factors that inhibit remyelination and axon repair; for instance, NOGO and NI-35. The axons themselves also lose the potential for growth with age, due to a decrease in
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De Winter F, Oudega M, Lankhorst AJ, Hamers FP, Blits B, Ruitenberg MJ, Pasterkamp RJ, Gispen WH, Verhaagen J (May 2002). "Injury-induced class 3 semaphorin expression in the rat spinal cord".
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some retrograde degeneration, but once the debris is cleared, it begins to sprout axons and the presence of growth cones can be detected. The proximal axons are able to regrow as long as the
1852:"Application of neutralizing antibodies against NI-35/250 myelin-associated neurite growth inhibitory proteins to the adult rat cerebellum induces sprouting of uninjured purkinje cell axons" 201:(also known as the endoneurial tube or channel). Human axon growth rates can reach 2 mm/day in small nerves and 5 mm/day in large nerves. The distal segment, however, experiences 390:(Semaphorin 3A) is present in the scar that forms in both central nervous system and peripheral nerve injuries and contributes to the outgrowth-inhibitory properties of these scars 218:
Unlike peripheral nervous system injury, injury to the central nervous system is not followed by extensive regeneration. It is limited by the inhibitory influences of the glial and
286:. Astrocytes are a predominant type of glial cell in the central nervous system that provide many functions including damage mitigation, repair, and glial scar formation. The 1968: 1015:
Bregman BS, Kunkel-Bagden E, Schnell L, Dai HN, Gao D, Schwab ME (November 1995). "Recovery from spinal cord injury mediated by antibodies to neurite growth inhibitors".
523:. The injured nerve is identified and exposed so that normal nerve tissue can be examined above and below the level of injury, usually with magnification, using either 1565:
Kalantarian B, Rice DC, Tiangco DA, Terzis JK (October 1998). "Gains and losses of the XII-VII component of the "baby-sitter" procedure: a morphometric analysis".
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Fansa H, Schneider W, Wolf G, Keilhoff G (July 2002). "Influence of insulin-like growth factor-I (IGF-I) on nerve autografts and tissue-engineered nerve grafts".
645: 336: 328: 1961: 76:(CNS) by the functional mechanisms involved, especially in the extent and speed of repair. When an axon is damaged, the distal segment undergoes 849: 742: 206:
tube, creating a band of BĂŒngner cells that protects and preserves the endoneurial channel. Also, macrophages and Schwann cells release
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Stabenfeldt SE, GarcĂ­a AJ, LaPlaca MC (June 2006). "Thermoreversible laminin-functionalized hydrogel for neural tissue engineering".
327:, has been identified as an inhibitor of remyelination in the CNS, especially in autoimmune mediated demyelination, such as found in 2131: 2126: 670: 619:
Because of the limited functionality received from autografts, the current gold standard for nerve regeneration and repair, recent
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Tiangco DA, Papakonstantinou KC, Mullinax KA, Terzis JK (May 2001). "IGF-I and end-to-side nerve repair: a dose-response study".
1423:"Astrocytes and neurons share region-specific transcriptional signatures that confer regional identity to neuronal reprogramming" 283: 335:(MS). Nogo A functions via either its amino-Nogo terminus through an unknown receptor, or by its Nogo-66 terminus through NgR1, 2080: 1369:"Human neuroma contains increased levels of semaphorin 3A, which surrounds nerve fibers and reduces neurite extension in vitro" 435: 574:
across a gap. Nerve segments are taken from another part of the body (the donor site) and inserted into the lesion to provide
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Phillips JB, Bunting SC, Hall SM, Brown RA (2005). "Neural tissue engineering: a self-organizing collagen guidance conduit".
360: 110:, is becoming a rapidly growing field dedicated to the discovery of new ways to recover nerve functionality after injury. 587:
factors within the target muscle itself can also help enhance axon regeneration. Accelerating neuroregeneration and the
92:, which is an attempt at repair. In the CNS, synaptic stripping occurs as glial foot processes invade the dead synapse. 710: 102:
alone affect an estimated 10,000 people each year. As a result of this high incidence of neurological injuries, nerve
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Herrero-Navarro Á, Puche-Aroca L, Moreno-Juan V, Sempere-FerrĂ ndez A, Espinosa A, SusĂ­n R, et al. (April 2021).
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Shafqat, Areez; Albalkhi, Ibrahem; Magableh, Hamzah M.; Saleh, Tariq; Alkattan, Khaled; Yaqinuddin, Ahmed (2023).
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target is critically important in order to reduce the possibility of permanent paralysis due to muscular atrophy.
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Tannemaat MR, Korecka J, Ehlert EM, Mason MR, van Duinen SG, Boer GJ, Malessy MJ, Verhaagen J (December 2007).
447: 2085: 627: 470: 439: 158: 95: 2169: 2121: 2065: 2040: 690: 443: 202: 114: 103: 89: 77: 73: 438:) because they share the same lineage as neurons and region—specific transcription signatures, while the 2004: 837: 700: 653: 347:. Antagonising this inhibitor results in improved remyelination, as it is involved in the RhoA pathway. 2174: 2149: 1434: 1188: 1024: 729:
Kandel ER, Schwartz JH, Jessell TM (2003). "Chapter 55: The formation and regeneration of synapses".
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Zhang H, Uchimura K, Kadomatsu K (November 2006). "Brain keratan sulfate and glial scar formation".
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Surgery can be done in case a peripheral nerve has become cut or otherwise divided. This is called
2111: 1832: 1676: 1633: 1590: 1298: 1255: 1212: 1127:"Intrinsic electrical properties of mammalian neurons and CNS function: a historical perspective" 1048: 997: 649: 543:
The expectations after surgical repair of a divided peripheral nerve depends on several factors:
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Song I, Dityatev A (January 2018). "Crosstalk between glia, extracellular matrix and neurons".
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Bradbury EJ, McMahon SB (August 2006). "Spinal cord repair strategies: why do they work?".
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While theses techniques show lot of promise in animal models for many otherwise incurable
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are not expressed or re-expressed; for instance, the extracellular matrix is lacking
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Proteins of oligodendritic or glial debris origin that influence neuroregeneration:
1946: 1921: 1836: 1385: 1259: 1052: 840:(2006). "Nerve Regeneration: Tissue Engineering Strategies". In Bronzino JD (ed.). 489: 454: 384:(Semaphorin 4D) functions through the PlexinB1 receptor and inhibits remyelination. 177: 142: 134: 31: 1637: 1480:"A Widespread Neurogenic Potential of Neocortical Astrocytes Is Induced by Injury" 731: 1997: 665: 624: 592: 575: 198: 173: 122: 118: 17: 1748: 1731: 1708: 1495: 1084: 180:. Injury to the peripheral nervous system immediately elicits the migration of 882: 370: 279: 266: 261: 245: 232: 185: 1784: 1334: 1143: 1093: 48:
or cell products. Neuroregenerative mechanisms may include generation of new
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Zamboni M, Llorens-Bobadilla E, Magnusson JP, Frisén J (October 2020).
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have also been used against inhibitory factors such as NI-35 and NOGO.
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Payne SH (2001). "Nerve repair and grafting in the upper extremity".
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is intact, and they have made contact with the Schwann cells in the
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The nervous system is divided by neurologists into two parts: the
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functions through the EphA4 receptor and inhibits remyelination.
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The most commonly targeted glias are astrocytes (usually using
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acts via the receptors NgR2, GT1b, NgR1, p75, TROY and LINGO1.
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Targeted genes usually depend on the type of neuron sought; (
644:). These strategies appear promising on animal models with 481:
and self-amplification phase before maturating as neurons.
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can also increase reprograming efficiency by causing a
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Renewal or physiological repair of damaged nerve tissue
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469:...); RBPJ-k blocks the 312:Other inhibitory factors 210:that enhance re-growth. 30:Not to be confused with 2086:Visual evoked potential 1232:Brain Research Bulletin 1201:10.1196/annals.1377.014 628:nerve guidance conduits 535:is almost always used. 159:Peripheral nerve injury 117:(which consists of the 96:Nervous system injuries 2170:Long-term potentiation 2122:Postsynaptic potential 2066:Bereitschaftspotential 1579:10.1055/s-2007-1000208 1447:10.1126/sciadv.abe8978 1287:10.1006/exnr.2002.7884 1275:Experimental Neurology 691:Magnetic nanoparticles 615:Nerve guidance conduit 444:adeno-associated virus 203:Wallerian degeneration 176:factors secreted from 168: 115:central nervous system 90:chromatolytic reaction 78:Wallerian degeneration 74:central nervous system 2005:Intracranial pressure 701:Regenerative medicine 654:Monoclonal antibodies 442:used is typically an 410:Transcription factors 260:Further information: 184:, Schwann cells, and 166: 2175:Long-term depression 2150:Axoplasmic transport 1622:10.1055/s-2001-14516 642:passive immunisation 529:operating microscope 457:is known to produce 208:neurotrophic factors 100:Spinal cord injuries 2165:Synaptic plasticity 2157:/Nerve regeneration 1809:Nature Neuroscience 1439:2021SciA....7.8978H 1193:2006NYASA1086...81Z 1029:1995Natur.378..498B 772:10.1002/jbm.a.30638 555:mechanism of injury 533:surgical tourniquet 448:blood brain barrier 414:activation of genes 400:Neurons replacement 395:Clinical treatments 129:(which consists of 2112:Membrane potential 1977:Physiology of the 1773:Tissue Engineering 1697:Human Gene Therapy 1653:Muscle & Nerve 671:Muscle LIM protein 648:(EAE), a model of 333:multiple sclerosis 293:glycosaminoglycans 169: 147:multiple sclerosis 2205: 2204: 2201: 2200: 2155:Neuroregeneration 2102:Neurotransmission 1665:10.1002/mus.10165 1490:(4): 605–617.e5. 1023:(6556): 498–501. 851:978-0-8493-2123-8 744:978-0-8385-7701-1 576:endoneurial tubes 479:dedifferentiation 418:CRISPR activation 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1900: 1898:Further reading 1895: 1849: 1848: 1844: 1805: 1804: 1800: 1770: 1769: 1765: 1729: 1728: 1724: 1703:(14): 2039–47. 1693: 1692: 1688: 1650: 1649: 1645: 1607: 1606: 1602: 1564: 1563: 1559: 1537: 1536: 1521: 1477: 1476: 1472: 1420: 1419: 1412: 1379:(52): 14260–4. 1366: 1365: 1361: 1315: 1314: 1310: 1272: 1271: 1267: 1229: 1228: 1224: 1178: 1177: 1170: 1124: 1123: 1119: 1065: 1064: 1060: 1014: 1013: 1009: 986:10.1038/nrn1964 971: 970: 966: 941:10.1038/nrn1956 922: 921: 908: 864: 863: 859: 852: 838:Mallapragada SK 835: 834: 823: 792: 791: 787: 757: 756: 752: 745: 728: 727: 723: 719: 696:Neuroprotection 662: 637: 617: 601: 571: 562:level of injury 541: 517: 512: 507: 505:Tissue regrowth 502: 494:clinical trials 422:small molecules 407: 402: 397: 314: 306:Keratan sulfate 301: 276: 264: 258: 216: 161: 155: 88:or undergo the 42:nervous tissues 35: 28: 23: 22: 15: 12: 11: 5: 2231: 2229: 2221: 2220: 2210: 2209: 2203: 2202: 2199: 2198: 2196: 2195: 2193:Myelinogenesis 2189: 2187: 2183: 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373: 364: 354: 348: 313: 310: 300: 297: 275: 272: 257: 254: 225:Growth factors 215: 212: 157:Main article: 154: 151: 72:(PNS) and the 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2230: 2219: 2216: 2215: 2213: 2194: 2191: 2190: 2188: 2184: 2176: 2173: 2171: 2168: 2167: 2166: 2162: 2159: 2156: 2153: 2151: 2148: 2147: 2145: 2141: 2133: 2130: 2128: 2125: 2124: 2123: 2120: 2118: 2115: 2113: 2110: 2108: 2105: 2103: 2100: 2099: 2097: 2093: 2087: 2084: 2082: 2079: 2077: 2074: 2072: 2069: 2067: 2064: 2063: 2061: 2059: 2055: 2052: 2048: 2042: 2039: 2037: 2034: 2033: 2031: 2029:Primarily PNS 2027: 2021: 2018: 2016: 2013: 2011: 2008: 2006: 2003: 1999: 1996: 1995: 1994: 1991: 1990: 1988: 1986:Primarily CNS 1984: 1980: 1972: 1967: 1965: 1960: 1958: 1953: 1952: 1949: 1944: 1941: 1937: 1932: 1927: 1923: 1919: 1915: 1911: 1907: 1897: 1889: 1885: 1880: 1875: 1870: 1865: 1861: 1857: 1853: 1846: 1843: 1838: 1834: 1830: 1826: 1822: 1818: 1815:(7): 736–44. 1814: 1810: 1802: 1799: 1794: 1790: 1786: 1782: 1778: 1774: 1767: 1764: 1759: 1755: 1750: 1745: 1741: 1737: 1733: 1726: 1723: 1718: 1714: 1710: 1706: 1702: 1698: 1690: 1687: 1682: 1678: 1674: 1670: 1666: 1662: 1658: 1654: 1647: 1644: 1639: 1635: 1631: 1627: 1623: 1619: 1616:(4): 247–56. 1615: 1611: 1604: 1601: 1596: 1592: 1588: 1584: 1580: 1576: 1573:(7): 459–71. 1572: 1568: 1561: 1558: 1553: 1549: 1545: 1541: 1534: 1532: 1530: 1528: 1526: 1524: 1520: 1515: 1511: 1506: 1501: 1497: 1493: 1489: 1485: 1481: 1474: 1471: 1466: 1462: 1457: 1452: 1448: 1444: 1440: 1436: 1432: 1428: 1424: 1417: 1415: 1411: 1406: 1402: 1397: 1392: 1387: 1382: 1378: 1374: 1370: 1363: 1360: 1355: 1351: 1346: 1341: 1336: 1331: 1327: 1323: 1319: 1312: 1309: 1304: 1300: 1296: 1292: 1288: 1284: 1280: 1276: 1269: 1266: 1261: 1257: 1253: 1249: 1245: 1241: 1237: 1233: 1226: 1223: 1218: 1214: 1210: 1206: 1202: 1198: 1194: 1190: 1186: 1182: 1175: 1173: 1169: 1164: 1160: 1155: 1150: 1145: 1140: 1136: 1132: 1128: 1121: 1118: 1113: 1109: 1104: 1099: 1095: 1091: 1086: 1081: 1077: 1073: 1069: 1062: 1059: 1054: 1050: 1046: 1042: 1038: 1034: 1030: 1026: 1022: 1018: 1011: 1008: 1003: 999: 995: 991: 987: 983: 980:(8): 644–53. 979: 975: 968: 965: 960: 956: 951: 946: 942: 938: 935:(8): 617–27. 934: 930: 926: 919: 917: 915: 913: 911: 907: 902: 898: 893: 888: 884: 880: 876: 872: 868: 861: 858: 853: 847: 843: 839: 832: 830: 828: 826: 822: 817: 813: 809: 805: 801: 797: 789: 786: 781: 777: 773: 769: 766:(4): 718–25. 765: 761: 754: 751: 746: 740: 735: 734: 725: 722: 716: 712: 709: 707: 704: 702: 699: 697: 694: 692: 689: 687: 684: 682: 679: 677: 674: 672: 669: 667: 664: 663: 659: 657: 655: 651: 647: 643: 634: 632: 629: 626: 625:bioartificial 622: 614: 612: 610: 606: 598: 596: 594: 590: 589:reinnervation 584: 580: 577: 568: 563: 559: 556: 552: 549: 546: 545: 544: 538: 536: 534: 530: 526: 522: 514: 509: 504: 499: 497: 495: 491: 487: 482: 480: 476: 472: 471:Notch pathway 468: 464: 460: 459:glutamatergic 456: 451: 449: 445: 441: 437: 432: 430: 427: 423: 419: 415: 411: 404: 399: 394: 389: 386: 383: 380: 377: 374: 372: 368: 365: 362: 358: 355: 352: 349: 346: 342: 338: 334: 330: 326: 322: 319: 318: 317: 311: 309: 307: 298: 296: 294: 289: 285: 281: 273: 271: 268: 263: 255: 253: 251: 247: 241: 239: 234: 230: 226: 221: 220:extracellular 213: 211: 209: 204: 200: 196: 191: 187: 183: 179: 178:Schwann cells 175: 165: 160: 152: 150: 148: 144: 140: 136: 135:spinal nerves 132: 128: 124: 120: 116: 111: 109: 105: 101: 97: 93: 91: 87: 83: 80:, losing its 79: 75: 71: 67: 63: 59: 55: 51: 47: 43: 39: 33: 19: 2154: 1913: 1909: 1902: 1859: 1855: 1845: 1812: 1808: 1801: 1776: 1772: 1766: 1742:(3): 274–9. 1739: 1735: 1725: 1700: 1696: 1689: 1659:(1): 87–93. 1656: 1652: 1646: 1613: 1609: 1603: 1570: 1566: 1560: 1543: 1539: 1487: 1483: 1473: 1430: 1426: 1376: 1372: 1362: 1325: 1321: 1311: 1281:(1): 61–75. 1278: 1274: 1268: 1235: 1231: 1225: 1187:(1): 81–90. 1184: 1180: 1134: 1130: 1120: 1075: 1071: 1061: 1020: 1016: 1010: 977: 973: 967: 932: 928: 874: 870: 860: 841: 836:Recknor JB, 799: 796:Biomaterials 795: 788: 763: 759: 753: 732: 724: 638: 635:Immunisation 618: 602: 585: 581: 572: 561: 554: 547: 542: 518: 483: 452: 433: 424:are used to 408: 387: 381: 375: 366: 356: 350: 320: 315: 302: 277: 265: 242: 217: 170: 143:pathogenesis 112: 104:regeneration 94: 37: 36: 32:Neurogenesis 1998:Wakefulness 1238:: 101–108. 331:(EAE), and 250:LlinĂĄs' law 233:Glial scars 199:endoneurium 186:macrophages 174:chemotactic 123:spinal cord 2132:Inhibitory 2127:Excitatory 717:References 593:denervated 510:Peripheral 280:astrocytes 267:Glial cell 262:Glial scar 246:glial scar 182:phagocytes 125:) and the 2143:Long term 2107:Chronaxie 2041:Sensation 1094:1662-5102 609:xenograft 605:allograft 539:Prognosis 467:GABAergic 426:reprogram 376:Ephrin B3 223:neurons. 195:cell body 86:apoptosis 2212:Category 1940:27053198 1888:10704503 1829:15184901 1793:16259614 1758:10190798 1681:38261013 1673:12115953 1630:11396586 1595:24168382 1552:12132829 1514:32758425 1465:33827819 1405:18160633 1354:25386118 1303:39940363 1295:12009760 1252:28284900 1217:27885790 1209:17185507 1163:25408634 1112:37293626 1103:10244598 1002:11890502 994:16858392 959:16858390 901:29666508 816:16500703 780:16555267 660:See also 607:and the 229:laminins 66:synapses 1993:Arousal 1931:6705512 1879:6772513 1837:9613584 1717:9759931 1587:9819092 1505:7534841 1456:8026135 1435:Bibcode 1396:6673446 1345:4209881 1328:: 328. 1260:3287589 1189:Bibcode 1154:4219458 1137:: 320. 1053:4352534 1045:7477407 1025:Bibcode 950:2693386 892:5987780 515:Surgery 416:(using 388:Sema 3A 382:Sema 4D 188:to the 139:ganglia 131:cranial 50:neurons 2036:Reflex 2020:Memory 1938:  1928:  1886:  1876:  1835:  1827:  1791:  1756:  1715:  1679:  1671:  1638:528789 1636:  1628:  1593:  1585:  1550:  1512:  1502:  1463:  1453:  1403:  1393:  1352:  1342:  1301:  1293:  1258:  1250:  1215:  1207:  1161:  1151:  1110:  1100:  1092:  1051:  1043:  1017:Nature 1000:  992:  957:  947:  899:  889:  848:  814:  778:  741:  706:SPIONs 527:or an 525:loupes 440:vector 345:LINGO1 325:Nogo-A 190:lesion 82:myelin 62:myelin 2186:Other 2015:Sleep 1833:S2CID 1677:S2CID 1634:S2CID 1591:S2CID 1299:S2CID 1256:S2CID 1213:S2CID 1049:S2CID 998:S2CID 591:of a 492:, no 463:ASCL1 429:glias 420:) or 351:NI-35 238:GAP43 119:brain 64:, or 58:axons 46:cells 2071:P300 2050:Both 1936:PMID 1884:PMID 1825:PMID 1789:PMID 1754:PMID 1713:PMID 1669:PMID 1626:PMID 1583:PMID 1548:PMID 1510:PMID 1461:PMID 1401:PMID 1350:PMID 1291:PMID 1248:PMID 1205:PMID 1185:1086 1159:PMID 1108:PMID 1090:ISSN 1041:PMID 990:PMID 955:PMID 897:PMID 846:ISBN 812:PMID 776:PMID 739:ISBN 666:PTEN 560:The 553:The 488:and 475:Sox2 455:NGN2 436:GFAP 367:OMgp 341:TROY 321:NOGO 288:RhoA 133:and 121:and 54:glia 1926:PMC 1918:doi 1874:PMC 1864:doi 1817:doi 1781:doi 1744:doi 1740:125 1705:doi 1661:doi 1618:doi 1575:doi 1500:PMC 1492:doi 1451:PMC 1443:doi 1391:PMC 1381:doi 1340:PMC 1330:doi 1283:doi 1279:175 1240:doi 1236:136 1197:doi 1149:PMC 1139:doi 1098:PMC 1080:doi 1033:doi 1021:378 982:doi 945:PMC 937:doi 887:PMC 879:doi 804:doi 768:doi 652:. 548:Age 357:MAG 343:or 337:p75 252:). 2214:: 1934:. 1924:. 1914:36 1912:. 1908:. 1882:. 1872:. 1860:20 1858:. 1854:. 1831:. 1823:. 1811:. 1787:. 1777:11 1775:. 1752:. 1738:. 1734:. 1711:. 1699:. 1675:. 1667:. 1657:26 1655:. 1632:. 1624:. 1614:17 1612:. 1589:. 1581:. 1571:14 1569:. 1544:10 1542:. 1522:^ 1508:. 1498:. 1488:27 1486:. 1482:. 1459:. 1449:. 1441:. 1429:. 1425:. 1413:^ 1399:. 1389:. 1377:27 1375:. 1371:. 1348:. 1338:. 1324:. 1320:. 1297:. 1289:. 1277:. 1254:. 1246:. 1234:. 1211:. 1203:. 1195:. 1183:. 1171:^ 1157:. 1147:. 1133:. 1129:. 1106:. 1096:. 1088:. 1078:. 1076:17 1074:. 1070:. 1047:. 1039:. 1031:. 1019:. 996:. 988:. 976:. 953:. 943:. 931:. 927:. 909:^ 895:. 885:. 875:19 873:. 869:. 824:^ 810:. 800:27 798:. 774:. 764:77 762:. 650:MS 465:: 461:, 412:, 339:, 231:. 149:. 60:, 56:, 52:, 44:, 2163:/ 1970:e 1963:t 1956:v 1942:. 1920:: 1890:. 1866:: 1839:. 1819:: 1813:7 1795:. 1783:: 1760:. 1746:: 1719:. 1707:: 1701:9 1683:. 1663:: 1640:. 1620:: 1597:. 1577:: 1554:. 1516:. 1494:: 1467:. 1445:: 1437:: 1431:7 1407:. 1383:: 1356:. 1332:: 1326:8 1305:. 1285:: 1262:. 1242:: 1219:. 1199:: 1191:: 1165:. 1141:: 1135:8 1114:. 1082:: 1055:. 1035:: 1027:: 1004:. 984:: 978:7 961:. 939:: 933:7 903:. 881:: 854:. 818:. 806:: 782:. 770:: 747:. 640:( 369:– 359:– 34:. 20:)

Index

Neurorestoration
Neurogenesis
nervous tissues
cells
neurons
glia
axons
myelin
synapses
peripheral nervous system
central nervous system
Wallerian degeneration
myelin
apoptosis
chromatolytic reaction
Nervous system injuries
Spinal cord injuries
regeneration
neural tissue engineering
central nervous system
brain
spinal cord
peripheral nervous system
cranial
spinal nerves
ganglia
pathogenesis
multiple sclerosis
Peripheral nerve injury

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