The bright side of the glial scar in CNS repair

Nat Rev Neurosci. 2009 Mar;10(3):235-41. doi: 10.1038/nrn2591.

Abstract

Following CNS injury, in an apparently counterintuitive response, scar tissue formation inhibits axonal growth, imposing a major barrier to regeneration. Accordingly, scar-modulating treatments have become a leading therapeutic goal in the field of spinal cord injury. However, increasing evidence suggests a beneficial role for this scar tissue as part of the endogenous local immune regulation and repair process. How can these opposing effects be reconciled? Perhaps it is all a matter of timing.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Brain Injuries / physiopathology*
  • Brain Injuries / therapy
  • Cicatrix / physiopathology*
  • Cicatrix / prevention & control
  • Cicatrix / therapy
  • Extracellular Matrix Proteins / metabolism
  • Gliosis / physiopathology*
  • Gliosis / prevention & control
  • Gliosis / therapy
  • Growth Cones / physiology
  • Growth Cones / ultrastructure
  • Humans
  • Nerve Regeneration / physiology*
  • Neurogenesis / physiology
  • Neuroglia / physiology
  • Neuroglia / ultrastructure
  • Spinal Cord Injuries / physiopathology*
  • Spinal Cord Injuries / therapy

Substances

  • Extracellular Matrix Proteins