http://www.jneurosci.org/content/24/27/6209.abstract
Abstract
After ischemic stroke, partial recovery
of function frequently occurs and may depend on the plasticity of
axonal connections.
Here, we examine whether blockade of the
Nogo-NogoReceptor (NgR) pathway might enhance axonal sprouting and
thereby recovery
after focal brain infarction. Mutant mice
lacking NgR or Nogo-AB recover complex motor function after stroke more
completely
than do control animals. After a stroke, greater
numbers of axons emanating from the undamaged cortex cross the midline
to
innervate the contralateral red nucleus and the
ipsilateral cervical spinal cord; this axonal plasticity is enhanced in ngr -/- or nogo-ab
-/- mice. In rats with middle cerebral artery occlusion, both the
recovery of motor skills and corticofugal axonal plasticity
are promoted by intracerebroventricular
administration of a function-blocking NgR fragment. Behavioral
improvement occurs
when therapy is initiated 1 week after arterial
occlusion. Thus, delayed pharmacological blockade of the NgR promotes
subacute
stroke recovery by facilitating axonal
plasticity.
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