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Sonic Hedgehog regulates brain-derived neurotrophic factor in normal and regenerating cavernous nerves
Christopher W Bond1, Nicholas Angeloni, Daniel Harrington
1Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
The Journal of Sexual Medicine
|December 15, 2012
Summary
Sonic hedgehog (SHH) treatment promotes cavernous nerve (CN) regeneration by increasing brain-derived neurotrophic factor (BDNF). Inhibiting BDNF blocks SHH
Area of Science:
- Neuroscience
- Regenerative Medicine
- Urology
Background:
- Cavernous nerve (CN) injury during prostatectomy leads to erectile dysfunction.
- Nerve microenvironment modulation is key for regeneration and therapy development.
- Sonic hedgehog (SHH) promotes CN regeneration, but its mechanism is unclear.
Purpose of the Study:
- To investigate if SHH promotes CN regeneration via a brain-derived neurotrophic factor (BDNF)-dependent pathway.
- To elucidate the role of BDNF in SHH-mediated nerve repair.
Main Methods:
- Utilized Sprague Dawley rats with bilateral CN crush models.
- Administered SHH treatment or inhibition to pelvic ganglia/CN.
- Investigated SHH's effect on BDNF levels and regeneration with and without BDNF inhibition.
Main Results:
- SHH treatment significantly increased BDNF levels in normal and injured CNs.
- SHH inhibition decreased BDNF levels.
- Blocking BDNF function abolished SHH's regenerative effects on the CN.
Conclusions:
- SHH regulates BDNF in the pelvic ganglia and cavernous nerve.
- BDNF mediates SHH's pro-regenerative effects on the CN.
- Combination therapy targeting SHH and BDNF may enhance nerve regeneration.
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