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Updated: Feb 2, 2026

Author Spotlight: Innovative Use of nsPEF to Boost Peripheral Nerve Regeneration
Published on: May 3, 2024
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.
Abstract:
Seeking for effective drugs which are beneficial to facilitating axonal regrowth and elongation after peripheral nerve injury (PNI) has gained extensive attention. Fibroblast growth factor 21 (FGF21) is a metabolic factor that regulates blood glucose and lipid homeostasis. However, there is little concern for the potential protective effect of FGF21 on nerve regeneration after PNI and revealing related molecular mechanisms. Here, we firstly found that exogenous FGF21 administration remarkably promoted functional and morphologic recovery in a rat model of sciatic crush injury, manifesting as persistently improved motor and sensory function, enhanced axonal remyelination and regrowth and accelerated Schwann cells (SCs) proliferation. Furthermore, local FGF21 application attenuated the excessive activation of oxidative stress, which was accompanied with the activation of nuclear factor erythroid-2-related factor 2 (Nrf-2) transcription and extracellular regulated protein kinases (ERK) phosphorylation. We detected FGF21 also suppressed autophagic cell death in SCs. Additionally, treatment with the ERK inhibitor U0126 or autophagy inhibitor 3-MA partially abolishes anti-oxidant effect and reduces SCs death. Taken together, these results indicated that the role of FGF21 in remyelination and nerve regeneration after PNI was probably related to inhibit the excessive activation of ERK/Nrf-2 signalling-regulated oxidative stress and autophagy-induced cell death. Overall, our work suggests that FGF21 administration may provide a new therapy for PNI.
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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