Rho kinase inhibition enhances axonal regeneration in the injured CNS

Alyson E Fournier1, Bayan T Takizawa, Stephen M Strittmatter

  • 1Department of Neurology and Section of Neurobiology, Yale University School of Medicine, New Haven, Connecticut 06510, USA.

Insights

Myelin inhibitors like Nogo-66 activate Rho GTPases, hindering nerve regeneration. Inhibiting Rho-associated kinase (ROCK) promotes axonal regrowth and functional recovery after spinal cord injury.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Regenerative Medicine

Background:

  • Myelin-associated inhibitors impede axonal regeneration in the central nervous system.
  • The Rho signaling pathway, particularly Rho and its effector p160ROCK, is a key mediator of neurite outgrowth inhibition.

Purpose of the Study:

  • To investigate the direct activation of Rho by the myelin-associated inhibitor Nogo-66.
  • To evaluate the therapeutic potential of inhibiting Rho or p160ROCK for axonal regeneration and functional recovery after spinal cord injury.

Main Methods:

  • Stimulation of PC12 and dorsal root ganglion (DRG) cells with Nogo-66 and Amino-Nogo.
  • Measurement of Rho activity using a GTP-Rho binding assay.
  • Inhibition of Rho with C3 transferase and p160ROCK with Y-27632 in vitro and in vivo models of spinal cord injury.

Main Results:

  • Nogo-66 directly activated Rho GTPases in neuronal cell lysates.
  • Rho inactivation promoted neurite outgrowth in vitro but failed to enhance regeneration after corticospinal tract (CST) lesions in vivo with the tested delivery method.
  • p160ROCK inhibition promoted neurite outgrowth on myelin inhibitors in vitro, enhanced CST fiber sprouting, and accelerated locomotor recovery in vivo.

Conclusions:

  • Nogo-66-mediated Rho activation is a significant mechanism underlying inhibition of axonal regeneration.
  • Targeting p160ROCK represents a promising therapeutic strategy for promoting axonal regeneration and functional recovery after central nervous system injury.