If you have any competence at all in your stroke medicals 'professionals' and hospital there will be immediate research initiated to solve the poor neurogenic response by the SVZ post stroke in humans. All they have to do is contact stroke leadership and get the stroke strategy updated to put this first in line. But since there is NO leadership or strategy in stroke, NOTHING WILL GET DONE!
Mechanisms of neurogenesis after stroke revealed
Researchers at the University of Freiburg have studied what happens immediately after a stroke in the stem cell niche known as the subventricular zone, using a mouse model. This revealed a mechanism that results in fewer newborn neurons from the stem cell niche surviving after stroke, thereby significantly limiting the neurogenic reaction of the subventricular zone to repair the brain. This fundamental understanding of the cellular processes in the brain could help in future to boost the body's own repair to replace lost neurons and ameliorate the consequences of stroke.
In healthy rodent brains, newborn neurons are constantly generated in the stem cell niche, known as the subventricular zone (SVZ). These cells might help to repair a brain that has been damaged by disorders of the central nervous system. After brain damage, the SVZ responds by forming newborn neurons that migrate towards the area of the lesion and could provide cell replacement there. However, after a stroke, the functioning of the body's own repair system, the neurogenic response by the SVZ, is very limited. Researchers headed by Prof. Dr. Christian Schachtrup, professor at the Institute of Anatomy and Cell Biology at the University of Freiburg, and his former doctoral student Dr. Suvra Nath, have studied the mechanisms underlying this limited response to repair the brain.
Stroke negatively influences interaction of microglia and neurons
The vasculature, that is, the system of blood vessels of the SVZ, becomes more permeable after a stroke. As a result, the protein fibrinogen and others reach the stem cell niche, and this in turn influences the local microglia cells. These central nervous system immune cells are immediately activated by the changes in the stem cell niche, affecting the cell cycle progression of the neural stem cells leading to cell death of newborn neurons. "The SVZ stem cell niche is a fragile system. Microglia, the defence cells of the brain, are an integral component of the characteristic SVZ microenvironment and govern the behavior of the neural stem cells. These interactions in the stem cell niche are disrupted after a stroke," explains Schachtrup.
A check test also suggests that the interactions between activated microglia and neural stem cells in the SVZ negatively influence the neurogenic repair: restoring the original SVZ microenvironment increases the neurogenic repair - even after stroke. At the same time, more newborn neurons survive in the SVZ if the activated microglia cells are reduced.
Ameliorating the consequences of stroke
The processes described by the researchers begin very shortly after a stroke. In order to understand them, they had to rely on mouse models. Although the human brain also has an SVZ, new neurons are only produced in the first year of life(not true) and this cell production is dormant after that. The researchers believe it is possible that this production could be reforced by medical intervention.
When we understand the mechanisms of how the neural stem cells are differentiating and how extracellular factors influence the development of newborn neurons, this will bring us closer to promote the endogenous repair of the brain in central nervous system disorders."
Dr. Christian Schachtrup, Professor at the Institute of Anatomy and Cell Biology, University of Freiburg
Next, the researchers want to study interactions between microglia cells and neural stem cells in human organoids. This method is bringing them closer to the goal of understanding similar processes in the human brain.
Nath, S., et al. (2024) Interaction between subventricular zone microglia and neural stem cells impacts the neurogenic response in a mouse model of cortical ischemic stroke. Nature Communications. doi.org/10.1038/s41467-024-53217-1.
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