Nature Medicine:脊髓损伤后星形胶质细胞瘢痕形成的新机制!

2017-06-20 xing.T MedSci原创

该研究的发现揭示了调节星形细胞命运决定的环境线索,从而为中枢神经系统损伤提供了潜在的治疗靶点。

中枢神经系统损伤可以使幼稚的星形胶质细胞转化为反应性星形胶质细胞,最终变成会形成瘢痕的星形胶质细胞,其会损伤轴突再生和功能恢复。星形胶质细胞这种顺序的表型变化,称为反应性星形胶质细胞增生,长期以来一直被认为是单向的、不可逆的。

然而,近日,权威杂志Nature Medicine上发表了一篇研究文章,在这个研究中,研究人员报告了从脊髓损伤分离出来的反应性星形胶质细胞,当移植到较为年幼的脊髓时,可以逆行转变为幼稚的星形胶质细胞,而当将分离的反应性星形胶质细胞移植入损伤的脊髓时,就会形成星形胶质细胞瘢痕,提示反应性星形胶质细胞增生的可塑性受到环境的依赖。

研究人员还发现在瘢痕形成期I型胶原在脊髓高表达,并且诱导星形胶质细胞瘢痕形成是通过整合素-N-钙粘蛋白的途径。在脊髓损伤小鼠模型中,药物阻断反应性星形胶质细胞Ⅰ型胶原相互作用可防止星形胶质细胞瘢痕形成,从而促进轴突再生,以及获得更好的功能结局。

该研究的发现揭示了调节星形细胞命运决定的环境线索,从而为中枢神经系统损伤提供了潜在的治疗靶点。

原始出处:

Masamitsu Hara,et al. Interaction of reactive astrocytes with type I collagen induces astrocytic scar formation through the integrin–N-cadherin pathway after spinal cord injury.Nature medicine, 2017. https://www.nature.com/nm/journal/vaop/ncurrent/full/nm.4354.html

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    2018-03-11 liye789132251
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    2018-04-04 jeanqiuqiu
  4. [GetPortalCommentsPageByObjectIdResponse(id=2070886, encodeId=754820e08866a, content=<a href='/topic/show?id=790ce1225ab' target=_blank style='color:#2F92EE;'>#瘢痕形成#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71225, encryptionId=790ce1225ab, topicName=瘢痕形成)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc9246, createdName=zhangfenasdf, createdTime=Mon Jun 04 04:21:00 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1882185, encodeId=51c118821854d, content=<a href='/topic/show?id=3b2112532d8' target=_blank style='color:#2F92EE;'>#Nat#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12532, encryptionId=3b2112532d8, topicName=Nat)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e6f107, 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encryptionId=5f014e1852, topicName=CIN)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a9a038523631, createdName=kalseyzl, createdTime=Wed Apr 18 06:21:00 CST 2018, time=2018-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1318922, encodeId=2fec131892245, content=<a href='/topic/show?id=421a5968510' target=_blank style='color:#2F92EE;'>#星形胶质细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59685, encryptionId=421a5968510, topicName=星形胶质细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60b4474, createdName=bbwuyu_003, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1336960, encodeId=1cf9133696075, content=<a href='/topic/show?id=48f8e12220f' target=_blank style='color:#2F92EE;'>#瘢痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1389183, encodeId=e239138918346, content=<a href='/topic/show?id=acf3840e459' target=_blank style='color:#2F92EE;'>#胶质细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84074, encryptionId=acf3840e459, topicName=胶质细胞)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/DC48AC6B5FFD609EED5594C15A97B420/100, createdBy=57dc2500034, createdName=ms1692212821629096, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1397228, encodeId=dd72139e228a5, content=<a href='/topic/show?id=8bee565436d' target=_blank style='color:#2F92EE;'>#损伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56543, encryptionId=8bee565436d, topicName=损伤)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eoNX3lUOlDKGBUEPNwZx0nibmdcFyeibnX4WMhUSCU2REpGRWtSmnT2CCs0dA5waxvJknYDxwtYnIcQ/132, createdBy=294e2500218, createdName=ms3046638856685384, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1577537, encodeId=da1515e753794, content=<a href='/topic/show?id=cda91148004' target=_blank style='color:#2F92EE;'>#Medicine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11480, encryptionId=cda91148004, topicName=Medicine)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54cd16396700, createdName=ms1692212821629096, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1607675, encodeId=8744160e6755f, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=)]
    2018-04-18 kalseyzl
  5. [GetPortalCommentsPageByObjectIdResponse(id=2070886, encodeId=754820e08866a, content=<a href='/topic/show?id=790ce1225ab' target=_blank style='color:#2F92EE;'>#瘢痕形成#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71225, encryptionId=790ce1225ab, topicName=瘢痕形成)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc9246, createdName=zhangfenasdf, createdTime=Mon Jun 04 04:21:00 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1882185, encodeId=51c118821854d, content=<a href='/topic/show?id=3b2112532d8' target=_blank style='color:#2F92EE;'>#Nat#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12532, encryptionId=3b2112532d8, topicName=Nat)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e6f107, 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channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1389183, encodeId=e239138918346, content=<a href='/topic/show?id=acf3840e459' target=_blank style='color:#2F92EE;'>#胶质细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84074, encryptionId=acf3840e459, topicName=胶质细胞)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/DC48AC6B5FFD609EED5594C15A97B420/100, createdBy=57dc2500034, createdName=ms1692212821629096, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), 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topicList=[TopicDto(id=11480, encryptionId=cda91148004, topicName=Medicine)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54cd16396700, createdName=ms1692212821629096, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1607675, encodeId=8744160e6755f, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Wed Jun 21 23:21:00 CST 2017, time=2017-06-21, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=2070886, encodeId=754820e08866a, content=<a href='/topic/show?id=790ce1225ab' target=_blank style='color:#2F92EE;'>#瘢痕形成#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71225, encryptionId=790ce1225ab, topicName=瘢痕形成)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fc9246, createdName=zhangfenasdf, createdTime=Mon Jun 04 04:21:00 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1882185, encodeId=51c118821854d, content=<a href='/topic/show?id=3b2112532d8' target=_blank style='color:#2F92EE;'>#Nat#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12532, encryptionId=3b2112532d8, topicName=Nat)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e6f107, 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  7. 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  8. 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  9. 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JEM:肠道菌群或可帮助患者恢复脊髓损伤

日前,来自俄亥俄州立大学的研究人员通过研究发现,脊髓损伤能够改变肠道细菌的类型,而且细菌类型的改变还会加剧个体神经性损伤和损伤修复的程度,相关研究刊登于国际杂志The Journal of Experimental Medicine上,研究者指出,利用益生菌中和这些改变或许能够帮助患者从脊髓损伤中恢复过来。居住在胃肠道中的数亿万计的细菌被统称为肠道微生物组,当非病原性的微生物被剔除或者被病原性炎性

2016NICE指南——脊髓损伤的评估和初始管理(NG.41)发布

脊髓损伤是一种严重的致残,致死性损伤。2016年2月,英国国家卫生与临床优化研究所 (NICE)发布了脊髓损伤的评估和初始管理指南。全文获取:下载地址:指南下载(需要扣积分2分, 梅斯医学APP免积分下载) 

盘点:近期脊髓损伤研究进展

特脊髓损伤是一类严重的中枢神经系统损伤。脊髓损伤后由于损伤及继发的一系列病理生理反应,患者损伤平面以下的感觉及运动功能会丧失,导致截瘫,将严重影响生活质量,给家庭和社会造成沉重负担。迄今为止,脊髓损伤修复一直是世界性难题,尚无有效的治疗方法。近几十年来,研究者们在这一领域进行了大量深入的研究。本文关于脊髓损伤研究进展做出了盘点,与大家分享。【1】JAAOS:评述用于治疗脊髓损伤的干细胞益处干细

重新认识胸腰段脊柱骨折的诊断和治疗

胸腰段骨折有其独特的流行病学特点,也有其独特的解剖生理和解剖病理,在诊断和治疗上更有其独特的地方;针对临床上胸腰段脊柱损伤的诊治的国际现状和进展以及目前国内临床上存在的问题,再度温习和认识胸腰段骨折的特点、最新临床分类和治疗进展,以飧读者。 胸腰段骨折的流行病学特点 胸腰段骨折是脊柱骨折最为常见、最为重要的骨折之一。胸腰段骨折是脊柱的常见创伤,占全部脊柱骨折的2/3以上,伤

施万细胞移植治疗脊髓损伤的研究进展

随着现代交通的发展,脊髓损伤(SCI)已经成为常见的外伤性疾病,可导致中枢神经系统感觉运动功能障碍且不可逆,造成截瘫或四肢瘫,从而严重影响患者的日常生活和生存质量。其并发症的发生也会是致命的威胁并大大加重患者的家庭负担,例如膀胱和直肠功能障碍、心血管系统和呼吸系统功能障碍。目前,SCI的治疗方法主要包括大剂量甲泼尼龙冲击、脊髓松解减压和手术固定以及康复训练等,这些方法虽然被广泛应用于SCI临床