2019
DOI: 10.1038/s41467-019-11707-7
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Moving beyond the glial scar for spinal cord repair

Abstract: Traumatic spinal cord injury results in severe and irreversible loss of function. The injury triggers a complex cascade of inflammatory and pathological processes, culminating in formation of a scar. While traditionally referred to as a glial scar, the spinal injury scar in fact comprises multiple cellular and extracellular components. This multidimensional nature should be considered when aiming to understand the role of scarring in limiting tissue repair and recovery. In this Review we discuss recent advance… Show more

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Cited by 469 publications
(434 citation statements)
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References 180 publications
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“…Accumulating findings have suggested the critical role of the ECM in SCI (Klapka and Müller, 2006;Schwab and Strittmatter, 2014;Yokota et al, 2017). ECM molecules not only directly participate in neuronal loss, inflammatory infiltration and axonal dieback/regrowth but also determine the outcomes of SCI by modulating scar-forming astrocytes and other cell types (Gaudet and Popovich, 2014;Didangelos et al, 2016;Bradbury and Burnside, 2019). As mentioned before, astrocytes exhibit high environment-dependent plasticity and are highly influenced by ECM molecules.…”
Section: Environmental Regulation Of Astrocytic Fatementioning
confidence: 92%
“…Accumulating findings have suggested the critical role of the ECM in SCI (Klapka and Müller, 2006;Schwab and Strittmatter, 2014;Yokota et al, 2017). ECM molecules not only directly participate in neuronal loss, inflammatory infiltration and axonal dieback/regrowth but also determine the outcomes of SCI by modulating scar-forming astrocytes and other cell types (Gaudet and Popovich, 2014;Didangelos et al, 2016;Bradbury and Burnside, 2019). As mentioned before, astrocytes exhibit high environment-dependent plasticity and are highly influenced by ECM molecules.…”
Section: Environmental Regulation Of Astrocytic Fatementioning
confidence: 92%
“…Efforts to prevent or dissociate the glial scar have been shown to improve axon regeneration (for example, see Rosenzweig et al, 2019). However, the biology of the glial scar is much more nuanced, and oversimplification of this complex healing and regeneration process can hinder advances in the field (Bradbury and Burnside, 2019). Therefore, a detailed understanding of the players involved, including the glial subtypes, can provide additional clues for intervention.…”
Section: Modulating Glial Cell-axonal Growth Cone Interactions To Aidmentioning
confidence: 99%
“…These data may well reflect, the differences in ECM composition in different regions and injury conditions. Extracellular matrix changes have mostly been examined after spinal cord injury aiming to understand how they affect the restoration of ascending and descending axonal connections (Didangelos et al, 2016;Bradbury and Burnside, 2019). Several ECM components have been found to be inhibitory for repair, especially chondroitin sulfate glycosaminoglycan-chains (GAGchains) on proteoglycans at the injury site.…”
mentioning
confidence: 99%