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Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway
Neurospine. 2025;22(2):311-328.   Published online June 30, 2025
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Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway
Neurospine. 2025;22(2):311-328.   Published online June 30, 2025
Close
Objective
Regeneration of corticospinal tract (CST) axons after spinal cord injury (SCI) is a key element in rebuilding neuronal connections to restore voluntary motor function. However, it remains challenging owing to limited effective interventions. This study adopted a modified transcranial optogenetic technique to stimulate CST axon regeneration into the injury site of completely transected SCI and explore the underlying molecular mechanisms.
Methods
A novel optogenetic light emitting diode (LED) device was used to stimulate the brain motor cortex in channelrhodopsin-2–yellow fluorescent protein (ChR2-YFP) transgenic mice to observe the regeneration of CST axons in the injury site of a complete SCI. The LED device was also used In vitro to stimulate the motor cortex slices of the transgenic mouse brain for observing the outgrowth of their neurites.
Results
After transcranial optogenetic stimulation, the pyramidal neurons of bilateral cerebral motor cortices, in ChR2-YFP transgenic mice were activated, CST axons regenerated into the injury site of the spinal cord, and the motor function of the paralyzed hindlimbs improved. Proteomic analysis revealed that CST axon regeneration was associated with the activation of the Janus kinase 2/signal transducer and activator of transcription 3 (JAK2/STAT3) pathway in the cerebral motor cortices. In vitro LED blue light illumination enhanced the outgrowth of neurites from the brain slices of transgenic mice. Treatment with a JAK2/STAT3 inhibitor led to a significant attenuation of neurite outgrowth.
Conclusion
The modified transcranial optogenetic technique stimulated bilateral motor cortices, in the brains of ChR2-YFP transgenic mice. It increased the excitability of pyramidal neurons in the motor cortices, and promoted CST axon regeneration by activating the JAK2/STAT3 pathway, repairing complete SCI.

Citations

Citations to this article as recorded by  Crossref logo
  • Frontier Integration in Spinal Cord Injury Repair: Engineering-Driven Mechanistic Exploration and a New Paradigm for Clinical Translation
    Mi Zhou, Xue Yao, Boya Huang, Jie Ren, Haiwen Feng, Shiqing Feng
    Engineering.2026; 60: 310.     CrossRef
  • Multimodal electroconductive PLGA-based scaffold orchestrates neuroprotection and regeneration following severe spinal cord injury
    So-Yeon Park, Gyubin Kim, Yanting Liu, Ji-Won Jung, Jeoung Eun Lee, Jun-Kyu Lee, Dong-Hee Kim, Juwon Youn, Seung-Woon Baek, Dong Ryul Lee, Dong-Youn Hwang, Tae-Keun Ahn, Da-Seul Kim, Inbo Han, Dong Keun Han
    Journal of Nanobiotechnology.2026;[Epub]     CrossRef
  • Extracellular Vesicle-Based Biomarkers in Spinal Cord Injury: A State-of-the-Art Review on Diagnostic and Prognostic Advances
    Trung Nhan Vo, Hae Eun Shin, Yeji Kim, Inbo Han
    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
  • NanoScript-Enabled Nonviral Transient Repression of Phosphatase and Tensin Homolog for Axonal Regeneration and Central Nervous System Injury Repair
    Brandon Conklin, Yanting Liu, Sarah Nevins, Byeong-Gwan Song, Sy-Tsong Dean Chueng, Qiu Xiaowen, Sungyun Kim, Heyin Cheung, Seong Bae An, JongMin Lee, Bong Geun Chung, Wise Young, Dongming Sun, Hiroshi Sugiyama, Inbo Han, Ki-Bum Lee
    ACS Nano.2026; 20(8): 6582.     CrossRef
  • 3D bioprinted multifunctional GelMA/TMP scaffold integrated with neural stem cell-derived extracellular vesicles and neural progenitor cells for spinal cord injury repair
    Yanting Liu, Gyubin Kim, Jun Yong Kim, Jeong Min Park, Duck Hyun Song, Jun-Kyu Lee, So-Yeon Park, Inbo Han, Dong Keun Han
    Journal of Tissue Engineering.2026;[Epub]     CrossRef
  • Spinal cord extracellular matrix hydrogel enhances organoid maturation and functional regeneration after spinal cord injury
    Junghoon Kim, Songzi Zhang, Joon-Hyuk Jung, Mi-Jeong Lee, Inbo Han, Seung-Woo Cho
    Materials Today Bio.2026; 38: 103168.     CrossRef
  • Injectable Poloxamer and Hyaluronic Acid Hydrogel for Sustained Co-Delivery of Dexamethasone and Lidocaine Ameliorates Neuropathic Pain
    Yanting Liu, Seungwoon Baik, Trung Nhan Vo, Songzi Zhang, Boram Kim, Tae-Keun Ahn, Inbo Han, Dong Keun Han
    Biomaterials Research.2026;[Epub]     CrossRef
  • A Commentary on “Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway”
    Wu Xue, Anyuan Dai, Qinyi Liu
    Neurospine.2025; 22(2): 329.     CrossRef
  • From the Editor-in-Chief: Featured Articles in the June 2025 Issue
    Inbo Han
    Neurospine.2025; 22(2): 309.     CrossRef
  • Potential Pharmacologic Treatments in Spinal Cord Injury: A Narrative Review
    Kyeong Deuk An, Chan Yang Noh, Junsoo Jang, Woon Tak Yuh, Il Choi
    Korean Journal of Neurotrauma.2025; 21(4): 237.     CrossRef
  • 9,820 View
  • 187 Download
  • 10 Web of Science
  • 10 Crossref

Basic Science

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Extracellular Ubiquitin Enhances Autophagy and Inhibits Mitochondrial Apoptosis Pathway to Protect Neurons Against Spinal Cord Ischemic Injury via CXCR4
Neurospine. 2025;22(1):157-172.   Published online February 27, 2025
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Extracellular Ubiquitin Enhances Autophagy and Inhibits Mitochondrial Apoptosis Pathway to Protect Neurons Against Spinal Cord Ischemic Injury via CXCR4
Neurospine. 2025;22(1):157-172.   Published online February 27, 2025
Close
Objective
Neuronal apoptosis is considered to be a critical process in spinal cord injury (SCI). Despite growing evidence of the antiapoptotic, anti-inflammatory, and modulation of ischemic injury tolerance effects of extracellular ubiquitin (eUb), existing studies have paid less attention to the impact of eUb in neurological injury disorders, particularly in SCI. This study aimed to investigate whether eUb can play a protective role in neurons, both in vitro and in vivo, and explores the underlying mechanisms.
Methods
By utilizing an oxygen glucose deprivation cellular model and a SCI rat model, we firstly investigated the therapeutic effects of eUb on SCI and further explored its effects on neuronal autophagy and mitochondria-dependent apoptosis-related indicators, as well as the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt)/mechanical target of rapamycin (mTOR) signaling pathway.
Results
In the SCI models both in vivo and in vitro, early intervention with eUb enhanced neuronal autophagy and inhibited mitochondrial apoptotic pathways, significantly mitigating SCI. Further studies had shown that this protective effect of eUb was mediated through its receptor, CXC chemokine receptor type 4 (CXCR4). Additionally, eUb-enhanced autophagy and antiapoptotic effects were possibly associated with inhibiting the PI3K/Akt/mTOR pathway.
Conclusion
In summary, the study demonstrates that early eUb intervention can enhance autophagy and inhibit mitochondrial apoptotic pathways via CXCR4, protecting neurons and promoting SCI repair.

Citations

Citations to this article as recorded by  Crossref logo
  • Multimodal electroconductive PLGA-based scaffold orchestrates neuroprotection and regeneration following severe spinal cord injury
    So-Yeon Park, Gyubin Kim, Yanting Liu, Ji-Won Jung, Jeoung Eun Lee, Jun-Kyu Lee, Dong-Hee Kim, Juwon Youn, Seung-Woon Baek, Dong Ryul Lee, Dong-Youn Hwang, Tae-Keun Ahn, Da-Seul Kim, Inbo Han, Dong Keun Han
    Journal of Nanobiotechnology.2026;[Epub]     CrossRef
  • Extracellular Vesicle-Based Biomarkers in Spinal Cord Injury: A State-of-the-Art Review on Diagnostic and Prognostic Advances
    Trung Nhan Vo, Hae Eun Shin, Yeji Kim, Inbo Han
    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
  • 3D bioprinted multifunctional GelMA/TMP scaffold integrated with neural stem cell-derived extracellular vesicles and neural progenitor cells for spinal cord injury repair
    Yanting Liu, Gyubin Kim, Jun Yong Kim, Jeong Min Park, Duck Hyun Song, Jun-Kyu Lee, So-Yeon Park, Inbo Han, Dong Keun Han
    Journal of Tissue Engineering.2026;[Epub]     CrossRef
  • Spinal cord extracellular matrix hydrogel enhances organoid maturation and functional regeneration after spinal cord injury
    Junghoon Kim, Songzi Zhang, Joon-Hyuk Jung, Mi-Jeong Lee, Inbo Han, Seung-Woo Cho
    Materials Today Bio.2026; 38: 103168.     CrossRef
  • Multifunctional Nanozyme Hydrogel for Oxidative Stress Scavenging and Mitophagy Activation in Spinal Cord Injury Repair
    Zhen Dai, Hui Lu, Yanfeng Yang, Huicong Feng, Yijia Zhang, Zuqiang Shi, Ensi Liu, Haosen Zhao, Xifan Mei, Yansong Wang
    ACS Applied Materials & Interfaces.2026; 18(20): 28449.     CrossRef
  • Machine learning-assisted prediction of PANoptosis-related molecular targets and precise screening of neuroprotective drugs for spinal cord injury
    Dongmei Wang, Rui Wang, Huangmei Liao, Feiyang Lu, Zepeng Guo, Ruijun Xu, Aini Chen, Zhen Niu, Yusen Ou, Ge Li
    Experimental Neurology.2026; 404: 115884.     CrossRef
  • LncRNA NORAD Promotes Spinal Cord Injury via miR-22-3p/PTEN Axis to Regulate Oxidative Stress and Inflammation in Neuronal Cells
    Chenming Zhang, Lin Chen, Yue Pan, Shiwei Yu, Qingyi Wang, Yongfu Chen, Haitao Xu, Yuanyuan Zhang
    Global Spine Journal.2026;[Epub]     CrossRef
  • Phenserine Mitigates Neuroinflammation, Apoptosis, and Behavioural Deficits to Enhance Motor Function and Recovery in a Mouse Model of Spinal Cord Injury
    Lahanya Guha, Divya Goyal, Nidhi Singh, Mamidi Teena, Inbo Han, Hemant Kumar
    Molecular Neurobiology.2025; 62(10): 13763.     CrossRef
  • Potential Pharmacologic Treatments in Spinal Cord Injury: A Narrative Review
    Kyeong Deuk An, Chan Yang Noh, Junsoo Jang, Woon Tak Yuh, Il Choi
    Korean Journal of Neurotrauma.2025; 21(4): 237.     CrossRef
  • 5,112 View
  • 134 Download
  • 9 Web of Science
  • 9 Crossref

Basic Science

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Precision Nanotherapy for Spinal Cord Injury: Modulating SLC16A3 With Methylprednisolone-Loaded Nanoparticles
Neurospine. 2025;22(2):478-499.   Published online December 23, 2024
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Precision Nanotherapy for Spinal Cord Injury: Modulating SLC16A3 With Methylprednisolone-Loaded Nanoparticles
Neurospine. 2025;22(2):478-499.   Published online December 23, 2024
Close
Objective
Spinal cord injury (SCI) leads to severe motor and sensory deficits, with limited treatment options. This study investigates how methylprednisolone-loaded nanoparticles (MP-NPs) modulate SCI repair by targeting solute carrier family 16 member 3 (SLC16A3) and reshaping the macrophage-inflammatory microenvironment.
Methods
Transcriptome data were analyzed to identify differentially expressed genes (DEGs) associated with SCI. Immune infiltration and WGCNA (Weighted Gene Co-expression Network Analysis) identified genes linked to M2 macrophage polarization, pinpointing SLC16A3 as a key regulatory factor. MP-NPs were synthesized, characterized, and tested for their effects on macrophage polarization, neuronal protection, and SCI recovery in rats.
Results
We identified 612 DEGs related to inflammation and immune response in SCI. SLC16A3, upregulated in SCI, was downregulated by MP-NPs. In vitro, MP-NPs promoted M2 macrophage polarization, enhanced neuronal survival, and supported neural stem cell differentiation. In vivo, MP-NPs significantly improved motor recovery, reduced inflammation, and facilitated neural repair in SCI rats.
Conclusion
MP-NPs downregulate SLC16A3 and modulate the macrophage-inflammatory environment, promoting neural repair and functional recovery in SCI, offering a promising therapeutic strategy.

Citations

Citations to this article as recorded by  Crossref logo
  • Multimodal electroconductive PLGA-based scaffold orchestrates neuroprotection and regeneration following severe spinal cord injury
    So-Yeon Park, Gyubin Kim, Yanting Liu, Ji-Won Jung, Jeoung Eun Lee, Jun-Kyu Lee, Dong-Hee Kim, Juwon Youn, Seung-Woon Baek, Dong Ryul Lee, Dong-Youn Hwang, Tae-Keun Ahn, Da-Seul Kim, Inbo Han, Dong Keun Han
    Journal of Nanobiotechnology.2026;[Epub]     CrossRef
  • NanoScript-Enabled Nonviral Transient Repression of Phosphatase and Tensin Homolog for Axonal Regeneration and Central Nervous System Injury Repair
    Brandon Conklin, Yanting Liu, Sarah Nevins, Byeong-Gwan Song, Sy-Tsong Dean Chueng, Qiu Xiaowen, Sungyun Kim, Heyin Cheung, Seong Bae An, JongMin Lee, Bong Geun Chung, Wise Young, Dongming Sun, Hiroshi Sugiyama, Inbo Han, Ki-Bum Lee
    ACS Nano.2026; 20(8): 6582.     CrossRef
  • ROS-scavenging and oxygen-generating MgMn-LDH integrated smart injectable hydrogel for microenvironment-reprogrammable spinal cord injury repair
    Lian Ren, Xiaobin Zhou, Longbao Feng, Guodong Sun
    Materials Advances.2026; 7(7): 3586.     CrossRef
  • Extracellular Vesicle-Based Biomarkers in Spinal Cord Injury: A State-of-the-Art Review on Diagnostic and Prognostic Advances
    Trung Nhan Vo, Hae Eun Shin, Yeji Kim, Inbo Han
    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
  • 3D bioprinted multifunctional GelMA/TMP scaffold integrated with neural stem cell-derived extracellular vesicles and neural progenitor cells for spinal cord injury repair
    Yanting Liu, Gyubin Kim, Jun Yong Kim, Jeong Min Park, Duck Hyun Song, Jun-Kyu Lee, So-Yeon Park, Inbo Han, Dong Keun Han
    Journal of Tissue Engineering.2026;[Epub]     CrossRef
  • Spinal cord extracellular matrix hydrogel enhances organoid maturation and functional regeneration after spinal cord injury
    Junghoon Kim, Songzi Zhang, Joon-Hyuk Jung, Mi-Jeong Lee, Inbo Han, Seung-Woo Cho
    Materials Today Bio.2026; 38: 103168.     CrossRef
  • Injectable Poloxamer and Hyaluronic Acid Hydrogel for Sustained Co-Delivery of Dexamethasone and Lidocaine Ameliorates Neuropathic Pain
    Yanting Liu, Seungwoon Baik, Trung Nhan Vo, Songzi Zhang, Boram Kim, Tae-Keun Ahn, Inbo Han, Dong Keun Han
    Biomaterials Research.2026;[Epub]     CrossRef
  • Potential Pharmacologic Treatments in Spinal Cord Injury: A Narrative Review
    Kyeong Deuk An, Chan Yang Noh, Junsoo Jang, Woon Tak Yuh, Il Choi
    Korean Journal of Neurotrauma.2025; 21(4): 237.     CrossRef
  • 5,445 View
  • 141 Download
  • 8 Web of Science
  • 8 Crossref

Regular Issue

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Modulation of the LIMK Pathway by Myricetin: A Protective Strategy Against Neurological Impairments in Spinal Cord Injury
Neurospine. 2024;21(3):878-889.   Published online September 30, 2024
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Modulation of the LIMK Pathway by Myricetin: A Protective Strategy Against Neurological Impairments in Spinal Cord Injury
Neurospine. 2024;21(3):878-889.   Published online September 30, 2024
Close
Objective
Spinal cord injury (SCI), one of the major disabilities concerning central nervous system injury, results in permanent tissue loss and neurological impairment. The existing therapeutic options for SCI are limited and predominantly consist of chemical compounds. In this study, we delved into the neuroprotective effects of myricetin, a natural flavonoid compound, and the underlying mechanisms, specifically in the context of SCI, utilizing an in vivo model. Previously, our investigations revealed an elevation in the phosphorylated form of Lin-11, Isl-1, and Mec-3 kinase1 (LIMK1) at chronic time points postinjury, coinciding with neuronal loss and scar formation. Our primary objective here was to assess the potential neuroprotective properties of myricetin in SCI and to ascertain if these effects were linked to LIMK inhibition, a hitherto unexamined pathway to date.
Methods
Computational docking and molecular dynamics simulation studies were performed to assess myricetin’s potential to bind with LIMK. Then, using a rat contusion model, SCI was induced and different molecular techniques (Western blot, Evans Blue assay, quantitative reverse transcription polymerase chain reaction and immunohistochemistry) were performed to determine the effects of myricetin.
Results
Remarkably, computational docking models identified myricetin as having a better interaction profile with LIMK than standard. Subsequent to myricetin treatment, a significant downregulation in phosphorylated LIMK expression was observed at chronic time points. This reduction correlated with a notable decrease in glial and fibrotic scar formation, and enhanced neuroprotection indicating a positive outcome in vivo.
Conclusion
In summary, our findings underscore myricetin’s potential as a bioactive compound capable of attenuating SCI-induced injury cascades by targeting the LIMK pathway.

Citations

Citations to this article as recorded by  Crossref logo
  • Multimodal electroconductive PLGA-based scaffold orchestrates neuroprotection and regeneration following severe spinal cord injury
    So-Yeon Park, Gyubin Kim, Yanting Liu, Ji-Won Jung, Jeoung Eun Lee, Jun-Kyu Lee, Dong-Hee Kim, Juwon Youn, Seung-Woon Baek, Dong Ryul Lee, Dong-Youn Hwang, Tae-Keun Ahn, Da-Seul Kim, Inbo Han, Dong Keun Han
    Journal of Nanobiotechnology.2026;[Epub]     CrossRef
  • NanoScript-Enabled Nonviral Transient Repression of Phosphatase and Tensin Homolog for Axonal Regeneration and Central Nervous System Injury Repair
    Brandon Conklin, Yanting Liu, Sarah Nevins, Byeong-Gwan Song, Sy-Tsong Dean Chueng, Qiu Xiaowen, Sungyun Kim, Heyin Cheung, Seong Bae An, JongMin Lee, Bong Geun Chung, Wise Young, Dongming Sun, Hiroshi Sugiyama, Inbo Han, Ki-Bum Lee
    ACS Nano.2026; 20(8): 6582.     CrossRef
  • Photobiomodulation Therapy with Zinc Oxide/Pheophorbide-a Nanoflakes Enhances Neurovascular Repair in Spinal Cord Injury Evidenced Using Photoacoustic Imaging
    Santimoy Sen, Prathamesh Mahadev Patil, Nidhi Parihar, Sweta Saswati Das, Ankita Damaleshwar Saha, Deepak B. Pemmaraju
    ACS Applied Bio Materials.2026; 9(6): 2876.     CrossRef
  • Extracellular Vesicle-Based Biomarkers in Spinal Cord Injury: A State-of-the-Art Review on Diagnostic and Prognostic Advances
    Trung Nhan Vo, Hae Eun Shin, Yeji Kim, Inbo Han
    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
  • 3D bioprinted multifunctional GelMA/TMP scaffold integrated with neural stem cell-derived extracellular vesicles and neural progenitor cells for spinal cord injury repair
    Yanting Liu, Gyubin Kim, Jun Yong Kim, Jeong Min Park, Duck Hyun Song, Jun-Kyu Lee, So-Yeon Park, Inbo Han, Dong Keun Han
    Journal of Tissue Engineering.2026;[Epub]     CrossRef
  • Theranostic CuS/ALA Nanoprobes Modulate Drug Efflux Pumps and Synergize the Photoacoustics-Guided Photothermal Breast Cancer Therapy
    Nidhi Parihar, Prathamesh Mahadev Patil, Santimoy Sen, Amanda Marak, Deepak Bharadwaj Pemmaraju
    ACS Applied Materials & Interfaces.2026; 18(17): 24104.     CrossRef
  • Integrative QSAR strategies for hexokinase 2 (HK2) targeting: combining ligand-based, structure-based, and AI-enabled drug discovery
    Rudradip Das
    In Silico Research in Biomedicine.2026; 2: 100482.     CrossRef
  • Research Progress of Flavonoids in Spinal Cord Injury: Therapeutic Mechanisms and Drug Delivery Strategies
    Shizhe Li, Shutao Gao, Yukun Hu, Jingsheng Feng, Weibin Sheng
    Phytotherapy Research.2025; 39(6): 2555.     CrossRef
  • Phenserine Mitigates Neuroinflammation, Apoptosis, and Behavioural Deficits to Enhance Motor Function and Recovery in a Mouse Model of Spinal Cord Injury
    Lahanya Guha, Divya Goyal, Nidhi Singh, Mamidi Teena, Inbo Han, Hemant Kumar
    Molecular Neurobiology.2025; 62(10): 13763.     CrossRef
  • Exploring the Neuroprotective Potentials of Flavonoid Metabolites in Syzygium aromaticum: A Review with in-silico Insight to Therapeutic Potential
    Ekom Etukudo, Ibe Usman, Augustine Oviosun, Vivian Ojiakor, Wusa Makena, Elna Owembabazi, Patrick Aja, Bives Mutume Nzanzu Vivalya, Victor Archibong, Emeka Anyanwu
    Journal of Experimental Pharmacology.2025; Volume 17: 587.     CrossRef
  • 5,762 View
  • 114 Download
  • 8 Web of Science
  • 10 Crossref

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STM2457 Inhibits METTL3-Mediated m6A Modification of miR-30c to Alleviate Spinal Cord Injury by Inducing the ATG5-Mediated Autophagy
Neurospine. 2024;21(3):925-941.   Published online September 30, 2024
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STM2457 Inhibits METTL3-Mediated m6A Modification of miR-30c to Alleviate Spinal Cord Injury by Inducing the ATG5-Mediated Autophagy
Neurospine. 2024;21(3):925-941.   Published online September 30, 2024
Close
Objective
The study aimed to investigate the role of N6-methyladenosine (m6A) modification in spinal cord injury (SCI) and its underlying mechanism, focusing on the interplay between m6A methyltransferase-like 3 (METTL3), miR-30c, and autophagy-related proteins.
Methods
An SCI model was established in rats, and changes in autophagy-related proteins, m6A methylation levels, and miR-30c levels were analyzed. Hydrogen peroxide (H2O2)-stimulated spinal cord neuron cells (SCNCs) were used to assess the impact of METTL3 overexpression. The effects of STM2457, an antagonist of METTL3, were evaluated on cell viability, apoptosis, and autophagy markers in H2O2-stimulated SCNCs.
Results
In the SCI model, decreased levels of autophagy markers and increased m6A methylation, miR-30c levels, and METTL3 were observed. Overexpression of METTL3 in SCNCs led to reduced cell viability, increased apoptosis, and suppressed autophagy. Conversely, co-overexpression of autophagy-related protein 5 (ATG5) or miR-30c inhibition reversed these effects. Knocking out METTL3 yielded opposite results. STM2457 treatment improved cell viability, reduced apoptosis, and upregulated autophagy markers in SCNCs, which also enhanced functional recovery in rats as measured by the Basso-Beattie-Bresnahan score and inclined plate test.
Conclusion
STM2457 alleviated SCI by suppressing METTL3-mediated m6A modification of miR-30c, which in turn induces ATG5-mediated autophagy. This study provides insights into the role of m6A modification in SCI and suggests a potential therapeutic approach through targeting METTL3.

Citations

Citations to this article as recorded by  Crossref logo
  • Multimodal electroconductive PLGA-based scaffold orchestrates neuroprotection and regeneration following severe spinal cord injury
    So-Yeon Park, Gyubin Kim, Yanting Liu, Ji-Won Jung, Jeoung Eun Lee, Jun-Kyu Lee, Dong-Hee Kim, Juwon Youn, Seung-Woon Baek, Dong Ryul Lee, Dong-Youn Hwang, Tae-Keun Ahn, Da-Seul Kim, Inbo Han, Dong Keun Han
    Journal of Nanobiotechnology.2026;[Epub]     CrossRef
  • YTHDF2 promotes arsenic carcinogenesis through m6A-dependent SMAD7 decay and PRR5 escape from decay
    Qian Zhang, Jin Man, Jingsilin Cai, Tianhe Zhao, Zunzhen Zhang
    International Journal of Biological Macromolecules.2026; 348: 150816.     CrossRef
  • NanoScript-Enabled Nonviral Transient Repression of Phosphatase and Tensin Homolog for Axonal Regeneration and Central Nervous System Injury Repair
    Brandon Conklin, Yanting Liu, Sarah Nevins, Byeong-Gwan Song, Sy-Tsong Dean Chueng, Qiu Xiaowen, Sungyun Kim, Heyin Cheung, Seong Bae An, JongMin Lee, Bong Geun Chung, Wise Young, Dongming Sun, Hiroshi Sugiyama, Inbo Han, Ki-Bum Lee
    ACS Nano.2026; 20(8): 6582.     CrossRef
  • Extracellular Vesicle-Based Biomarkers in Spinal Cord Injury: A State-of-the-Art Review on Diagnostic and Prognostic Advances
    Trung Nhan Vo, Hae Eun Shin, Yeji Kim, Inbo Han
    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
  • 3D bioprinted multifunctional GelMA/TMP scaffold integrated with neural stem cell-derived extracellular vesicles and neural progenitor cells for spinal cord injury repair
    Yanting Liu, Gyubin Kim, Jun Yong Kim, Jeong Min Park, Duck Hyun Song, Jun-Kyu Lee, So-Yeon Park, Inbo Han, Dong Keun Han
    Journal of Tissue Engineering.2026;[Epub]     CrossRef
  • Comprehensive analysis of m6A RNA methylation regulators and the immune microenvironment in spinal cord injury
    Xiaoqin Liu, Jiating Hu, Guodong Shi, Wenxia Zhu, Qiao Hao
    Frontiers in Neurology.2026;[Epub]     CrossRef
  • Injectable Poloxamer and Hyaluronic Acid Hydrogel for Sustained Co-Delivery of Dexamethasone and Lidocaine Ameliorates Neuropathic Pain
    Yanting Liu, Seungwoon Baik, Trung Nhan Vo, Songzi Zhang, Boram Kim, Tae-Keun Ahn, Inbo Han, Dong Keun Han
    Biomaterials Research.2026;[Epub]     CrossRef
  • Pharmacological METTL3 inhibition attenuates HIV-1 latency reversal in CD4 + T cells
    Tarun Mishra, Avary Edwards, Li Wu, Zhaohui Qian
    Antimicrobial Agents and Chemotherapy.2026;[Epub]     CrossRef
  • Machine learning-assisted prediction of PANoptosis-related molecular targets and precise screening of neuroprotective drugs for spinal cord injury
    Dongmei Wang, Rui Wang, Huangmei Liao, Feiyang Lu, Zepeng Guo, Ruijun Xu, Aini Chen, Zhen Niu, Yusen Ou, Ge Li
    Experimental Neurology.2026; 404: 115884.     CrossRef
  • Roles of METTL3 and NLRP3 in pyroptosis and prospects in SCIRI
    Xiaoqing Guan, Fengyi Zhang, Ning Zhang, Guangchun Li, Fei Yin
    Frontiers in Immunology.2025;[Epub]     CrossRef
  • Phenserine Mitigates Neuroinflammation, Apoptosis, and Behavioural Deficits to Enhance Motor Function and Recovery in a Mouse Model of Spinal Cord Injury
    Lahanya Guha, Divya Goyal, Nidhi Singh, Mamidi Teena, Inbo Han, Hemant Kumar
    Molecular Neurobiology.2025; 62(10): 13763.     CrossRef
  • m6A-RNA epitranscriptomes regulate splicing and neuronal development in the Pacific oyster Crassostrea gigas
    Natacha Clairet, Hélène Auger, Roberto-Carlos Arredondo-Espinoza, Hugo Koechlin, Benoît Bernay, Lukas Manoury, Didier Goux, Guillaume Rivière
    Genomics.2025; 117(6): 111142.     CrossRef
  • METTL3 improves spinal cord injury-associated locomotor function via SIRT1 m6A modification and regulation of neuronal ferroptosis
    Ying Chen, Kaibin Zeng, Gongzhou Chen, Ruiqi Yang, Lian Wu, Shaolin Li, Bin Hu
    Neurological Research.2025; : 1.     CrossRef
  • Potential Pharmacologic Treatments in Spinal Cord Injury: A Narrative Review
    Kyeong Deuk An, Chan Yang Noh, Junsoo Jang, Woon Tak Yuh, Il Choi
    Korean Journal of Neurotrauma.2025; 21(4): 237.     CrossRef
  • 6,311 View
  • 97 Download
  • 14 Web of Science
  • 14 Crossref

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Inhibition of Ferroptosis by Mesenchymal Stem Cell-Derived Exosomes in Acute Spinal Cord Injury: Role of Nrf2/GCH1/BH4 Axis
Neurospine. 2024;21(2):642-655.   Published online June 30, 2024
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Inhibition of Ferroptosis by Mesenchymal Stem Cell-Derived Exosomes in Acute Spinal Cord Injury: Role of Nrf2/GCH1/BH4 Axis
Neurospine. 2024;21(2):642-655.   Published online June 30, 2024
Close
Objective
The therapeutic benefits of exosomes obtained from mesenchymal stem cells (MSCs) in acute spinal cord injury (SCI) have been demonstrated in recent years, but the precise mechanisms remain unknown. In this study, the efficacy and mechanisms of MSC-derived exosomes (MSC-Exo) in acute SCI were investigated.
Methods
By utilizing a BV2 ferroptosis cellular model and an SCI rat model, we investigated the effects of MSC-Exo on iron death related indicators and NF-E2 related factor 2 (Nrf2)/GTP cyclolase I (GCH1)/5,6,7,8-tetrahydrobiopterin (BH4) signaling axis, as well as their therapeutic effects on SCI rats.
Results
The results revealed that MSC-Exo effectively inhibited the production of ferrous iron, lipid peroxidation products malonaldehyde and reactive oxygen species, and ferroptosis-promoting factor prostaglandin-endoperoxide synthase 2. Concurrently, they upregulated ferroptosis suppressors FTH-1 (ferritin heavy chain 1), SLC7A11 (solute carrier family 7 member 11), FSP1 (ferroptosis suppressor protein 1), and GPX4 (glutathione peroxidase 4), contributing to enhanced neurological recovery in SCI rats. Further analysis showed the Nrf2/GTP/BH4 signaling pathway’s critical role in suppressing ferroptosis. Additionally, MSC-Exo was found to inhibit lipopolysaccharide-induced ferroptosis in BV2 cells and SCI rats by activating the Nrf2/GCH1/BH4 axis.
Conclusion
In summary, the study demonstrates that MSC-Exo mitigates microglial cell ferroptosis via the Nrf2/GCH1/BH4 axis, showing potential for preserving and restoring neurological function post-SCI.

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    Genes & Diseases.2026; : 102058.     CrossRef
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    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
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    Journal of Cellular and Molecular Medicine.2026;[Epub]     CrossRef
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    Yiheng Wang, Liangfu Zhou, Kan Xu
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    Molecular Biology Reports.2025;[Epub]     CrossRef
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    Kyeong Deuk An, Chan Yang Noh, Junsoo Jang, Woon Tak Yuh, Il Choi
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    Zhiliang Guo, Zhuojian Qu, Yubing Zhang, Donghua Xu, Lijuan Chu, Min Cheng
    Journal of Physiology and Biochemistry.2025; 81(4): 1001.     CrossRef
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    Sung Jun Hong, Minsung Bock, Songzi Zhang, Seong Bae An, Inbo Han
    International Journal of Molecular Sciences.2024; 25(15): 8540.     CrossRef
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Role of Preoperative Albumin Quotient in Surgical Planning for Posttraumatic Syringomyelia: A Comparative Cohort Study
Neurospine. 2024;21(1):212-222.   Published online February 1, 2024
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Role of Preoperative Albumin Quotient in Surgical Planning for Posttraumatic Syringomyelia: A Comparative Cohort Study
Neurospine. 2024;21(1):212-222.   Published online February 1, 2024
Close
Objective
Surgical procedures for patients with posttraumatic syringomyelia (PTS) remain controversial. Until now, there have been no effective quantitative evaluation methods to assist in selecting appropriate surgical plans before surgery.
Methods
We consecutively enrolled PTS patients (arachnoid lysis group, n = 42; shunting group, n = 14) from 2003 to 2023. Additionally, 19 intrathecal anesthesia patients were included in the control group. All patients with PTS underwent physical and neurological examinations and spinal magnetic resonance imaging preoperatively, 3–12 months postoperatively and during the last follow-up. Preoperative lumbar puncture was performed and blood-spinal cord barrier disruption was detected by quotient of albumin (Qalb, cerebrospinal fluid/serum).
Results
The ages (p = 0.324) and sex (p = 0.065) of the PTS and control groups did not differ significantly. There were also no significant differences in age (p = 0.216), routine blood data and prognosis (p = 0.399) between the arachnoid lysis and shunting groups. But the QAlb level of PTS patients was significantly higher than that of the control group (p < 0.001), and the shunting group had a significantly higher QAlb (p < 0.001) than the arachnoid lysis group. A high preoperative QAlb (odds ratio, 1.091; 95% confidence interval, 1.004–1.187; p = 0.041) was identified as the predictive factor for the shunting procedure, with the receiver operating characteristic curve showing 100% specificity and 80.95% sensitivity for patients with a QAlb > 12.67.
Conclusion
Preoperative QAlb is a significant predictive factor for the types of surgery. For PTS patients with a QAlb > 12.67, shunting represents the final recourse, necessitating the exploration and development of novel treatments for these patients.

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  • A novel Minimally-Invasive technique for Non-Traumatic postoperative adhesive Syringomyelia
    Can Zhang, Chenghua Yuan, Jiachen Wang, Hao Wu, Zan Chen, Fengzeng Jian, Jian Guan
    European Spine Journal.2026; 35(4): 2095.     CrossRef
  • Extracellular Vesicle-Based Biomarkers in Spinal Cord Injury: A State-of-the-Art Review on Diagnostic and Prognostic Advances
    Trung Nhan Vo, Hae Eun Shin, Yeji Kim, Inbo Han
    International Journal of Molecular Sciences.2026; 27(4): 2079.     CrossRef
  • 6,040 View
  • 123 Download
  • 3 Web of Science
  • 2 Crossref

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Mesenchymal Stem Cells Combined With Electroacupuncture Treatment Regulate the Subpopulation of Macrophages and Astrocytes to Facilitate Axonal Regeneration in Transected Spinal Cord
Neurospine. 2023;20(4):1358-1379.   Published online December 31, 2023
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Mesenchymal Stem Cells Combined With Electroacupuncture Treatment Regulate the Subpopulation of Macrophages and Astrocytes to Facilitate Axonal Regeneration in Transected Spinal Cord
Neurospine. 2023;20(4):1358-1379.   Published online December 31, 2023
Close
Objective
Herein, we investigated whether mesenchymal stem cells (MSCs) transplantation combined with electroacupuncture (EA) treatment could decrease the proportion of proinflammatory microglia/macrophages and neurotoxic A1 reactive astrocytes and inhibit glial scar formation to enhance axonal regeneration after spinal cord injury (SCI).
Methods
Adult rats were divided into 5 groups after complete transection of the spinal cord at the T10 level: a control group, a nonacupoint EA (NA-EA) group, an EA group, an MSC group, and an MSCs+EA group. Immunofluorescence labeling, quantitative real-time polymerase chain reaction, enzyme-linked immunosorbent assay, and Western blots were performed.
Results
The results showed that MSCs+EA treatment reduced the proportion of proinflammatory M1 subtype microglia/macrophages, but increased the differentiation of anti-inflammatory M2 phenotype cells, thereby suppressing the mRNA and protein expression of proinflammatory cytokines (tumor necrosis factor-α and IL-1β) and increasing the expression of an anti-inflammatory cytokine (interleukin [IL]-10) on days 7 and 14 after SCI. The changes in expression correlated with the attenuated neurotoxic A1 reactive astrocytes and glial scar, which in turn facilitated the axonal regeneration of the injured spinal cord. In vitro, the proinflammatory cytokines increased the level of proliferation of astrocytes and increased the expression levels of C3, glial fibrillary acidic protein, and chondroitin sulfate proteoglycan. These effects were blocked by administering inhibitors of ErbB1 and signal transducer and activator of transcription 3 (STAT3) (AG1478 and AG490) and IL-10.
Conclusion
These findings showed that MSCs+EA treatment synergistically regulated the microglia/macrophage subpopulation to reduce inflammation, the formation of neurotoxic A1 astrocytes, and glial scars. This was achieved by downregulating the ErbB1-STAT3 signal pathway, thereby providing a favorable microenvironment conducive to axonal regeneration after SCI.

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  • The role of autophagy in spinal cord injury: Mechanisms, crosstalk, and therapeutic strategies
    Rui Wang, Zhen Niu, Runze Tian, Aini Chen, Huangmei Liao, Rui Kuang, Ying Feng, Guangyu Chin, Jiesheng Xie, Ping Zhu, Chi Teng Vong, Ge Li
    Neural Regeneration Research.2026; 21(6): 2110.     CrossRef
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    Wen-Jun Zhang, Xin Zhang, Ji-Peng Liu, Yong-Sheng Xu, Jun-Xiang Liao, Bing Zou, Liu-Xiang Fu
    International Journal of Surgery.2026; 112(3): 7906.     CrossRef
  • STAT3 Signaling in Spinal Cord Injury: Neurochemical Mechanisms Linking Neuroinflammation, Mitochondrial Stress, and Glial Remodeling
    Da Wei, Jinsan Yang, Xiao He, Kang Li, Chaoliang Lv, Kai Gao
    Neurochemical Research.2026;[Epub]     CrossRef
  • Electroacupuncture-modulated DHCR24 facilitates spinal cord injury recovery by attenuating apoptosis and neuroinflammation via the Wnt signaling pathway
    Chunlei Li, Yuan Li, Tongyan Liu, Yue Zong, Lingyun Zhou
    Metabolic Brain Disease.2026;[Epub]     CrossRef
  • Glial cell: Role of the pain modulation in acupuncture analgesia
    Mi YUAN, Lan YUAN, Wei CHEN, Yang-shuai SU, Meng-yan FAN, Xiang-hong JING, Wei HE, Xiao-yu WANG
    World Journal of Acupuncture - Moxibustion.2025; 35(2): 103.     CrossRef
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    Sara Haratizadeh, Haitao Liu, Hengde Li, Mohsen Adeli, Angelo H. All
    Journal of Translational Medicine.2025;[Epub]     CrossRef
  • Integrated single-cell and bulk RNA sequencing reveals the mechanisms of electroacupuncture in suppressing ferroptosis after spinal cord injury
    Jieqi Zhang, Yi Huang, Xihan Ying, Ruoqi Wang, Kai Zhang, Lei Wu, Dexiong Han, Ruijie Ma, Kelin He
    Clinical Traditional Medicine and Pharmacology.2025; 6(3): 200230.     CrossRef
  • Therapeutic Transplantation of Human Central Nervous System Organoids for Neural Reconstruction
    Sung Jun Hong, Minsung Bock, Songzi Zhang, Seong Bae An, Inbo Han
    International Journal of Molecular Sciences.2024; 25(15): 8540.     CrossRef
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Electroacupuncture-Modulated MiR-106b-5p Expression Enhances Autophagy by Targeting Beclin-1 to Promote Motor Function Recovery After Spinal Cord Injury in Rats
Neurospine. 2023;20(3):1011-1027.   Published online August 7, 2023
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Electroacupuncture-Modulated MiR-106b-5p Expression Enhances Autophagy by Targeting Beclin-1 to Promote Motor Function Recovery After Spinal Cord Injury in Rats
Neurospine. 2023;20(3):1011-1027.   Published online August 7, 2023
Close
Objective
Electroacupuncture (EA) has a definite effect on the treatment of spinal cord injuries (SCIs), but its underlying molecular mechanism remains unclear. Meanwhile, MiR106b-5p is an autophagy- and apoptosis-related microribonucleic acid, but whether it regulates the progression of autophagy and apoptosis in SCIs is yet undetermined. As such, this study aimed to elucidate the involvement of miR-106b-5p in the EA treatment of an SCI.
Methods
The miR-106b-5p level was detected by quantitative real-time polymerase chain reaction. In vitro, SH-SY5Y cells were transfected with miR-106b-5p mimics or inhibitors to regulate the miR-106b-5p expression, while in vivo, SCI rats were treated with EA for 7 days at the bilateral Zusanli (ST36) and Jiaji (EX-B2) acupoints. The motor function was evaluated using the Basso-Beattie-Bresnahan (BBB) criteria. Further, autophagic vacuoles, pathological damage, and neuronal cell morphology were observed by transmission electron microscopy, as well as by hematoxylin and eosin and Nissl staining, respectively.
Results
The miR-106b-5p level, which can interact directly with Beclin-1 by influencing its expression, as well as the expressions of P62, Caspase-3, and Bax, was upregulated after an SCI, but it decreased after EA. Moreover, the ratio of LC3-II to LC3-I was upregulated after EA. EA can enhance autophagy, reduce neuronal apoptosis, and minimize motor dysfunction and histopathological deficits after an SCI. More importantly, however, all the above effects induced by EA can be reversed after an injection of miR-106-5p agomir to produce an overexpression of miR-106b-5p.
Conclusion
EA treatment could downregulate miR-106b-5p to alleviate SCI-mediated injuries by promoting autophagy and inhibiting apoptosis.

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  • Electroacupuncture enhances the effects of escitalopram oxalate on glucocorticoid-inducible genes, inflammation and neurotrophin in depressed patients
    Xinjing Yang, Bingcong Zhao, Jing Li, Chuan Shi, Xingzhou Gao, Yangpeng Wang, Huili Jiang, Shixing Feng, Tuya Bao, Zhangjin Zhang
    Journal of Traditional and Complementary Medicine.2026; 16(2): 143.     CrossRef
  • Acupuncture alleviates inflammatory pain by regulating microglial polarization through α7nAchR-mediated autophagy
    Guo-qi Dong, Hui Gao, Yi-jun Sun, Qiu-hong Yang, Yong Yao, Hua-yuan Yang
    Journal of Integrative Medicine.2026; 24(3): 429.     CrossRef
  • The Mechanism of Acupuncture Regulating Autophagy: Progress and Prospect
    Jing He, Min He, Mengmeng Sun, Hongxiu Chen, Zhiqiang Dou, Ru Nie, Jun Zhou, Qingqing Tang, Cong Che, Jie Liu, Tie Li
    Biomolecules.2025; 15(2): 263.     CrossRef
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METTL3 Affects Spinal Cord Neuronal Apoptosis by Regulating Bcl-2 m6A Modifications After Spinal Cord Injury
Neurospine. 2023;20(2):623-636.   Published online June 30, 2023
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METTL3 Affects Spinal Cord Neuronal Apoptosis by Regulating Bcl-2 m6A Modifications After Spinal Cord Injury
Neurospine. 2023;20(2):623-636.   Published online June 30, 2023
Close
Objective
Spinal cord injury (SCI) is a severe type of neurological trauma. N6-methyladenosine (m6A) modification is one of the most common internal modifications of RNA. The role of METTL3, the predominant methylation enzyme of m6A modification, in SCI remains unclear. This study aimed to investigate the role of methyltransferase METTL3 in SCI.
Methods
After establishing the oxygen-glucose deprivation (OGD) model of PC12 cells and rat spinal cord hemisection model, we found that the expression of METTL3 and the overall m6A modification level were significantly increased in neurons. The m6A modification was identified on B-cell lymphoma 2 (Bcl-2) messenger RNA (mRNA) by bioinformatics analysis, and m6A-RNA immunoprecipitation and RNA immunoprecipitation. In addition, METTL3 was blocked by the specific inhibitor STM2457 and gene knockdown, and then apoptosis levels were measured.
Results
In different models, we found that the expression of METTL3 and the overall m6A modification level were significantly increased in neurons. After inducing OGD, inhibition of METTL3 activity or expression increased the mRNA and protein levels of Bcl-2, inhibited neuronal apoptosis, and improved neuronal viability in the spinal cord.
Conclusion
Inhibition of METTL3 activity or expression can inhibit the apoptosis of spinal cord neurons after SCI through the m6A/Bcl-2 signaling pathway.

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Activating Endogenous Neurogenesis for Spinal Cord Injury Repair: Recent Advances and Future Prospects
Neurospine. 2023;20(1):164-180.   Published online March 31, 2023
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Activating Endogenous Neurogenesis for Spinal Cord Injury Repair: Recent Advances and Future Prospects
Neurospine. 2023;20(1):164-180.   Published online March 31, 2023
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After spinal cord injury (SCI), endogenous neural stem cells are activated and migrate to the injury site where they differentiate into astrocytes, but they rarely differentiate into neurons. It is difficult for brain-derived information to be transmitted through the injury site after SCI because of the lack of neurons that can relay neural information through the injury site, and the functional recovery of adult mammals is difficult to achieve. The development of bioactive materials, tissue engineering, stem cell therapy, and physiotherapy has provided new strategies for the treatment of SCI and shown broad application prospects, such as promoting endogenous neurogenesis after SCI. In this review, we focus on novel approaches including tissue engineering, stem cell technology, and physiotherapy to promote endogenous neurogenesis and their therapeutic effects on SCI. Moreover, we explore the mechanisms and challenges of endogenous neurogenesis for the repair of SCI.

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Different Ways to Die: Cell Death Pathways and Their Association With Spinal Cord Injury
Neurospine. 2023;20(2):430-448.   Published online March 2, 2023
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Different Ways to Die: Cell Death Pathways and Their Association With Spinal Cord Injury
Neurospine. 2023;20(2):430-448.   Published online March 2, 2023
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Cell death is a systematic/nonsystematic process of cessation of normal morphology and functional properties of the cell to replace and recycle old cells with new also promoting inflammation in some cases. It is a complicated process comprising multiple pathways. Some are well-explored, and others have just begun to be. The research on appropriate control of cell death pathways after acute and chronic damage of neuronal cells is being widely researched today due to the lack of regeneration and recovering potential of a neuronal cell after sustaining damage and the inability to control the direction of neuronal growth. In the progression and onset of various neurological diseases, impairments in programmed cell death signaling processes, like necroptosis, apoptosis, ferroptosis, pyroptosis, and pathways directly or indirectly linked, like autophagy as in nonprogrammed necrosis, are observed. Spinal cord injury (SCI) involves the temporary or permanent disruption of motor activities due to the death of a neuronal and glial cell in the spinal cord accompanied by axonal degeneration. Recent years have seen a significant increase in research on the intricate biochemical interactions that occur after a SCI. Different cell death pathways may significantly impact the subsequent damage processes that lead to the eventual neurological deficiency after an injury to the spinal cord. A better knowledge of the molecular basis of the involved cell death pathways might help enhance neuronal and glial survival and neurological deficits, promoting a curative path for SCI.

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A Narrative Review of Advances in Neural Precursor Cell Transplantation Therapies for Spinal Cord Injury
Neurospine. 2022;19(4):935-945.   Published online December 31, 2022
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A Narrative Review of Advances in Neural Precursor Cell Transplantation Therapies for Spinal Cord Injury
Neurospine. 2022;19(4):935-945.   Published online December 31, 2022
Close
A spinal cord injury (SCI) is a destructive event that causes a permanent deficit in neurological function because of poor regenerative potential. Transplantation therapies have attracted attention for restoration of the injured spinal cord, and transplantation of neural precursor cells (NPCs) has been studied worldwide. Several groups have demonstrated functional recovery via this therapeutic intervention due to the multiple beneficial effects of NPC transplantation, such as reconstruction of neuronal circuits, remyelination of axons, and neuroprotection by trophic factors. Our group developed a method to induce NPCs from human induced pluripotent stem cells (hiPSCs) and established a transplantation strategy for SCI. Functional improvement in SCI animals treated with hiPSC-NPCs was observed, and the safety of transplanting these cells was evaluated from multiple perspectives. With selection of a safe cell line and pretreatment of the cells to encourage maturation and differentiation, hiPSC-NPC transplantation therapy is now in the clinical phase of testing for subacute SCI. In addition, a research challenge will be to expand the efficacy of transplantation therapy for chronic SCI. More comprehensive strategies involving combination treatments are required to treat this problematic situation.

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    Sung Jun Hong, Minsung Bock, Songzi Zhang, Seong Bae An, Inbo Han
    International Journal of Molecular Sciences.2024; 25(15): 8540.     CrossRef
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  • 9,468 View
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  • 10 Web of Science
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Therapeutic Approaches Targeting Vascular Repair After Experimental Spinal Cord Injury: A Systematic Review of the Literature
Neurospine. 2022;19(4):961-975.   Published online December 31, 2022
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Therapeutic Approaches Targeting Vascular Repair After Experimental Spinal Cord Injury: A Systematic Review of the Literature
Neurospine. 2022;19(4):961-975.   Published online December 31, 2022
Close
Traumatic spinal cord injury (SCI) disrupts the spinal cord vasculature resulting in ischemia, amplification of the secondary injury cascade and exacerbation of neural tissue loss. Restoring functional integrity of the microvasculature to prevent neural loss and to promote neural repair is an important challenge and opportunity in SCI research. Herein, we summarize the course of vascular injury and repair following SCI and give a comprehensive overview of current experimental therapeutic approaches targeting spinal cord microvasculature to diminish ischemia and thereby facilitate neural repair and regeneration. A systematic review of the published literature on therapeutic approaches to promote vascular repair after experimental SCI was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) standards. The MEDLINE databases PubMed, Embase, and OVID MEDLINE were searched using the keywords “spinal cord injury,” “angiogenesis,” “angiogenesis inducing agents,” “tissue engineering,” and “rodent subjects.” A total of 111 studies were identified through the search. Five main therapeutic approaches to diminish hypoxia-ischemia and promote vascular repair were identified as (1) the application of angiogenic factors, (2) genetic engineering, (3) physical stimulation, (4) cell transplantation, and (5) biomaterials carrying various factor delivery. There are different therapeutic approaches with the potential to diminish hypoxia-ischemia and promote vascular repair after experimental SCI. Of note, combinatorial approaches using implanted biomaterials and angiogenic factor delivery appear promising for clinical translation.

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  • The Importance of Vascular Repair as the First Step in Spinal Cord Injury Treatment: Commentary on “Therapeutic Approaches Targeting Vascular Repair After Experimental Spinal Cord Injury: A Systematic Review of the Literature”
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  • 10,408 View
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  • 28 Web of Science
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A Nomogram Model for Prediction of Tracheostomy in Patients With Traumatic Cervical Spinal Cord Injury
Neurospine. 2022;19(4):1084-1092.   Published online December 31, 2022
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A Nomogram Model for Prediction of Tracheostomy in Patients With Traumatic Cervical Spinal Cord Injury
Neurospine. 2022;19(4):1084-1092.   Published online December 31, 2022
Close
Objective
To develop a nomogram for the prediction of tracheostomy in patients with traumatic cervical spinal cord injury (TCSCI).
Methods
A total of 689 TCSCI patients were included in our study. First, the variable selection was performed using between-group comparisons and LASSO regression analysis. Second, a multivariate logistic regression analysis (MLRA) with a step-by-step method was performed. A nomogram model was developed based on the MLRA. Finally, the model was validated on the training set and validation set.
Results
The nomogram prediction model incorporated 5 predictors, including smoking history, dislocation, thoracic injury, American Spinal Injury Association (ASIA) grade, and neurological level of injury (NLI). The area under curve in the training group and in the validation group were 0.883 and 0.909, respectively. The Hosmer-Lemeshow test result was p = 0.153. From the decision curve analysis curve, the model performed well and was feasible to make beneficial clinical decisions.
Conclusion
The nomogram combining dislocation, thoracic injury, ASIA grade A, NLI, and smoking history was validated as a reliable model for the prediction of tracheostomy.

Citations

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  • Development and validation of a nomogram for predicting tracheostomy risk in traumatic cervical spinal cord injury
    Weiting Chen, Xiaoshuang Jiang, Xixi Guo, Jiuzhou Lin, Min Tang, Nanlin Dou
    Frontiers in Neurology.2026;[Epub]     CrossRef
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    M. D. Wiles, I. Benson, L. Edwards, R. Miller, F. Tait, A. Wynn‐Hebden
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    Sung Hyun Noh, Eunyoung Lee, Kyoung-Tae Kim, Sang Hyun Kim, Pyung Goo Cho
    Scientific Reports.2024;[Epub]     CrossRef
  • Co-Administration of Resolvin D1 and Peripheral Nerve-Derived Stem Cell Spheroids as a Therapeutic Strategy in a Rat Model of Spinal Cord Injury
    Seung-Young Jeong, Hye-Lan Lee, SungWon Wee, HyeYeong Lee, GwangYong Hwang, SaeYeon Hwang, SolLip Yoon, Young-Il Yang, Inbo Han, Keung-Nyun Kim
    International Journal of Molecular Sciences.2023; 24(13): 10971.     CrossRef
  • 5,954 View
  • 182 Download
  • 4 Web of Science
  • 4 Crossref