2018
DOI: 10.1172/jci97837
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Role of proNGF/p75 signaling in bladder dysfunction after spinal cord injury

Abstract: Loss of bladder control is a challenging outcome facing patients with spinal cord injury (SCI). We report that systemic blocking of pro-nerve growth factor (proNGF) signaling through p75 with a CNS-penetrating small-molecule p75 inhibitor resulted in significant improvement in bladder function after SCI in rodents. The usual hyperreflexia was attenuated with normal bladder pressure, and automatic micturition was acquired weeks earlier than in the controls. The improvement was associated with increased excitato… Show more

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Cited by 40 publications
(28 citation statements)
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“…After SCI, BDNF levels are enhanced in the spinal cord and TrkB expression and activation are also increased in lumbosacral DRG neurons and spinal tissue [74,75,201]. The expression of the low-affinity receptor p75 is also altered following SCI and recent studies have demonstrated the importance of this receptor in lower urinary dysfunction following SCI and support the use of p75 antagonists for treatment [187,202]. Recent findings suggested that this increase in BDNF levels contribute, in an early phase post-SCI, to downregulate abnormal axonal growth and prevent urinary dysfunction [203] possibly by inhibiting NGF-mediated neuronal sprouting [204,205].…”
Section: Spinal Cord Injury and Visceral Dysfunction: Are Ngf And Bdnmentioning
confidence: 87%
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“…After SCI, BDNF levels are enhanced in the spinal cord and TrkB expression and activation are also increased in lumbosacral DRG neurons and spinal tissue [74,75,201]. The expression of the low-affinity receptor p75 is also altered following SCI and recent studies have demonstrated the importance of this receptor in lower urinary dysfunction following SCI and support the use of p75 antagonists for treatment [187,202]. Recent findings suggested that this increase in BDNF levels contribute, in an early phase post-SCI, to downregulate abnormal axonal growth and prevent urinary dysfunction [203] possibly by inhibiting NGF-mediated neuronal sprouting [204,205].…”
Section: Spinal Cord Injury and Visceral Dysfunction: Are Ngf And Bdnmentioning
confidence: 87%
“…influence in enhancing Trk specificity to their NT ligands, improving neuronal survival and differentiation in healthy conditions. In pathological conditions, p75 preferentially binds to pro-NTs, activating apoptotic pathways via JNK and NFκ-β [147,186], in a process that also requires sortilin [187,188].…”
Section: Downstream Targets Of Ngf and Bdnfmentioning
confidence: 99%
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“…Recent reports have demonstrated that the process of SCI recovery can be affected at the absence of pro-nerve growth factors and the presence of axonal growth inhibitors, both of which hinder the recovery of SCI. [2] Be it the structure or function of cortical neurons, the two causes are of vital importance for the corticospinal tracts. It has been reported the interference of axonal growth inhibitors may function as potential targets for rehabilitation and regeneration of the damaged corticospinal tracts.…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, the precursor form of NGF, proNGF, is the main NGF found in adult human brain (Al-Shawi et al, 2007), and proNGF overexpression is associated with sympathetic and cholinergic system degeneration in animal models (Cuello, 2012). ProNGF has also been shown to be implicated in bladder dysfunction (Ryu et al, 2018). Moreover, loss of modulatory inputs arising from SNc and VTA dopaminergic neurons can affect brain micturition centers in a manner to negatively impact bladder function (Kitta et al, 2008; Soler et al, 2011; Yoshimura et al, 2003).…”
Section: Introductionmentioning
confidence: 99%