Fibroblast growth factor 21 facilitates peripheral nerve regeneration through suppressing oxidative damage and

Yingfeng Lu1,2, Rui Li1,2, Junyi Zhu1

  • 1Department of Hand Surgery and Peripheral Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Insights

Fibroblast growth factor 21 (FGF21) promotes nerve regeneration after peripheral nerve injury (PNI) by reducing oxidative stress and cell death. FGF21 therapy may offer a novel treatment for PNI recovery.

Area of Science:

  • Neuroscience
  • Regenerative Medicine
  • Molecular Biology

Background:

  • Peripheral nerve injury (PNI) necessitates effective treatments for axonal regrowth.
  • Fibroblast growth factor 21 (FGF21), a metabolic regulator, has unexplored therapeutic potential in nerve regeneration.
  • Understanding FGF21's molecular mechanisms in PNI is crucial for developing new therapies.

Purpose of the Study:

  • To investigate the efficacy of exogenous FGF21 in promoting functional and morphological recovery after PNI.
  • To elucidate the underlying molecular mechanisms of FGF21's protective effects on nerve regeneration.
  • To assess FGF21's impact on oxidative stress, Schwann cell proliferation, and autophagy.

Main Methods:

  • Established a rat model of sciatic crush injury.
  • Administered exogenous FGF21 locally to assess its effects on nerve recovery.
  • Analyzed motor and sensory function, axonal remyelination, and Schwann cell proliferation.
  • Investigated the roles of oxidative stress, Nrf-2, ERK signaling, and autophagy in FGF21's mechanism of action.

Main Results:

  • FGF21 administration significantly improved functional and morphological recovery in sciatic nerve injury.
  • FGF21 treatment reduced oxidative stress by activating Nrf-2 and ERK phosphorylation.
  • FGF21 suppressed autophagic cell death in Schwann cells, promoting nerve regeneration.

Conclusions:

  • FGF21 promotes nerve regeneration and remyelination after PNI by inhibiting oxidative stress and autophagy-induced cell death.
  • The therapeutic effects of FGF21 involve the ERK/Nrf-2 signaling pathway.
  • FGF21 represents a promising therapeutic candidate for treating peripheral nerve injuries.

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