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脊髓损伤中的 MAPK 信号通路:机制与治疗潜力。

MAPK signaling pathway in spinal cord injury: Mechanisms and therapeutic potential.

机构信息

Department of Spine Surgery, Ganzhou People's Hospital, 16 Meiguan Avenue, Ganzhou 341000, Jiangxi Province, PR China; Department of Spine Surgery, The Affiliated Ganzhou Hospital of Nanchang University (Ganzhou Hospital-Nanfang Hospital, Southern Medical University), 16 Meiguan Avenue, Ganzhou 341000, Jiangxi Province, PR China.

Department of Spine Surgery, Ganzhou People's Hospital, 16 Meiguan Avenue, Ganzhou 341000, Jiangxi Province, PR China; Department of Spine Surgery, The Affiliated Ganzhou Hospital of Nanchang University (Ganzhou Hospital-Nanfang Hospital, Southern Medical University), 16 Meiguan Avenue, Ganzhou 341000, Jiangxi Province, PR China.

出版信息

Exp Neurol. 2025 Jan;383:115043. doi: 10.1016/j.expneurol.2024.115043. Epub 2024 Nov 8.

Abstract

Spinal cord injury (SCI) is a severe disabling injury of the central nervous system that can lead to motor, sensory, and autonomic dysfunction below the level of the injury. According to its pathophysiological process, SCI can be divided into primary injury and secondary injury. Currently, multiple therapeutic strategies have been proposed to alleviate secondary injury and overcome the occurrence of neurodegenerative events. Although current treatment modalities have achieved varying degrees of success, they cannot effectively intervene or treat its pathological processes, which may be due to the complex treatment and protection mechanisms involved. Research has confirmed that signaling pathways play a crucial role in the pathological processes of SCI and the mechanisms of neuronal recovery. Mitogen-activated protein kinase (MAPK) signaling pathway plays a crucial role in neuronal differentiation, growth, survival and axon regeneration after central nervous system injury. Meanwhile, the MAPK signaling pathway is an important pathway closely related to the pathological processes of SCI. The MAPK signaling pathway is abnormally activated after SCI, and inhibiting the activity of MAPK pathway can effectively inhibit inflammation, oxidative stress, pain and apoptosis to promote the recovery of nerve function after SCI. Based on the role of the MAPK pathway in SCI, it may be a potential therapeutic target. This article summarizes the role and mechanism of MAPK pathway in SCI, and discusses the shortcomings and shortcomings of MAPK pathway in SCI field, as well as the potential challenges of targeting MAPK pathway in SCI treatment strategies. This article aims to elucidate the mechanism of the MAPK pathway in SCI to emphasize the role of targeting the MAPK pathway in the treatment of SCI, providing a theoretical basis for the MAPK pathway as a potential therapeutic target for SCI treatment.

摘要

脊髓损伤(SCI)是一种严重的中枢神经系统致残性损伤,可导致损伤以下的运动、感觉和自主神经功能障碍。根据其病理生理过程,SCI 可分为原发性损伤和继发性损伤。目前,已经提出了多种治疗策略来减轻继发性损伤并克服神经退行性事件的发生。尽管目前的治疗方法已经取得了不同程度的成功,但它们不能有效地干预或治疗其病理过程,这可能是由于涉及的治疗和保护机制复杂。研究已经证实,信号通路在 SCI 的病理过程和神经元恢复的机制中起着关键作用。丝裂原活化蛋白激酶(MAPK)信号通路在中枢神经系统损伤后神经元的分化、生长、存活和轴突再生中起着关键作用。同时,MAPK 信号通路是与 SCI 病理过程密切相关的重要通路。SCI 后 MAPK 信号通路异常激活,抑制 MAPK 通路的活性可以有效抑制炎症、氧化应激、疼痛和细胞凋亡,促进 SCI 后神经功能的恢复。基于 MAPK 通路在 SCI 中的作用,它可能是一个潜在的治疗靶点。本文总结了 MAPK 通路在 SCI 中的作用及其机制,并讨论了 MAPK 通路在 SCI 领域的缺点和不足,以及靶向 MAPK 通路治疗 SCI 的潜在挑战。本文旨在阐明 MAPK 通路在 SCI 中的作用,强调靶向 MAPK 通路在 SCI 治疗中的作用,为 MAPK 通路作为 SCI 治疗的潜在治疗靶点提供理论依据。

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