1. The MDM4/MDM2-p53-IGF1 axis controls axonal regeneration, sprouting and functional recovery after CNS injury
- Author
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Gizem Inak, Luming Zhou, Jeanne Christophe Marine, Magali Cucchiarini, Arnau Hervera, Yashashree Joshi, Khizr I. Rathore, Mohamed Y. Elnaggar, Simone Di Giovanni, Giorgia Quadrato, Radhika Puttagunta, Marilia Grando Sória, Wings for Life Spinal Cord Research Foundation, and International Spinal Research Trust
- Subjects
p53 ,metabolism [Axons] ,CORTICOSPINAL TRACT ,metabolism [Spinal Cord Injuries] ,ACTIVATION ,Mice ,Mdm4 protein, mouse ,Ubiquitin ,spinal cord injury, regeneration ,IGF1R ,physiopathology [Spinal Cord Injuries] ,SPINAL-CORD-INJURY ,Insulin-Like Growth Factor I ,metabolism [Insulin-Like Growth Factor I] ,Spinal cord injury ,IN-VIVO ,pathology [Axons] ,biology ,Reverse Transcriptase Polymerase Chain Reaction ,metabolism [Proto-Oncogene Proteins c-mdm2] ,P53 PATHWAY ,Proto-Oncogene Proteins c-mdm2 ,11 Medical And Health Sciences ,Flow Cytometry ,ADULT CNS ,Immunohistochemistry ,FAMILY-MEMBERS ,medicine.anatomical_structure ,Optic nerve ,Mdm2 ,Mdm2 protein, mouse ,pathology [Spinal Cord Injuries] ,Life Sciences & Biomedicine ,Signal Transduction ,physiopathology [Optic Nerve Injuries] ,GROWTH CONE COLLAPSE ,Nerve Crush ,Ubiquitin-Protein Ligases ,Central nervous system ,Immunoblotting ,Clinical Neurology ,NEURITE OUTGROWTH ,Retinal ganglion ,optic nerve ,17 Psychology And Cognitive Sciences ,MDM4 ,metabolism [Ubiquitin-Protein Ligases] ,MDM2 ,Proto-Oncogene Proteins ,physiology [Signal Transduction] ,medicine ,Animals ,Immunoprecipitation ,metabolism [Proto-Oncogene Proteins] ,ddc:610 ,Spinal Cord Injuries ,metabolism [Optic Nerve Injuries] ,Science & Technology ,Neurology & Neurosurgery ,Regeneration (biology) ,Neurosciences ,Computational Biology ,Recovery of Function ,pathology [Optic Nerve Injuries] ,Spinal cord ,medicine.disease ,insulin-like growth factor-1, mouse ,spinal cord injury ,Axons ,Mice, Mutant Strains ,Nerve Regeneration ,Mice, Inbred C57BL ,Disease Models, Animal ,physiology [Recovery of Function] ,physiology [Nerve Regeneration] ,regeneration ,Optic Nerve Injuries ,biology.protein ,metabolism [Tumor Suppressor Protein p53] ,Neurology (clinical) ,Neurosciences & Neurology ,Tumor Suppressor Protein p53 ,Transcriptome ,Neuroscience ,OPTIC-NERVE - Abstract
Regeneration of injured central nervous system axons is highly restricted, causing neurological impairment. To date, although the lack of intrinsic regenerative potential is well described, a key regulatory molecular mechanism for the enhancement of both axonal regrowth and functional recovery after central nervous system injury remains elusive. While ubiquitin ligases coordinate neuronal morphogenesis and connectivity during development as well as after axonal injury, their role specifically in axonal regeneration is unknown. Following a bioinformatics network analysis combining ubiquitin ligases with previously defined axonal regenerative proteins, we found a triad composed of the ubiquitin ligases MDM4, MDM2 and the transcription factor p53 (encoded by TP53) as a putative central signalling complex restricting the regeneration program. Indeed, conditional deletion of MDM4 or pharmacological inhibition of MDM2/p53 interaction in the eye and spinal cord promote axonal regeneration and sprouting of the optic nerve after crush and of supraspinal tracts after spinal cord injury. The double conditional deletion of MDM4-p53 as well as MDM2 inhibition in p53-deficient mice blocks this regenerative phenotype, showing its dependence upon p53. Genome-wide gene expression analysis from ex vivo fluorescence-activated cell sorting in MDM4-deficient retinal ganglion cells identifies the downstream target IGF1R, whose activity and expression was found to be required for the regeneration elicited by MDM4 deletion. Importantly, we demonstrate that pharmacological enhancement of the MDM2/p53-IGF1R axis enhances axonal sprouting as well as functional recovery after spinal cord injury. Thus, our results show MDM4-MDM2/p53-IGF1R as an original regulatory mechanism for CNS regeneration and offer novel targets to enhance neurological recovery.media-1vid110.1093/brain/awv125_video_abstractawv125_video_abstract.
- Published
- 2014