Mechanisms of Regeneration: Facial Nerve Injury and Repair

再生机制：面神经损伤与修复

基本信息

批准号：
10683300
负责人：
Jon-Paul Pepper
金额：
$ 16.65万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-09 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10683300
关键词：
Action Potentials Adult Affect Agonist Alleles Angiogenic Factor Antibodies Axon Cell physiology Cells Clinical Contralateral Data Development Dissection Electrophysiology (science)Elements Erinaceidae Event Eye Face Facial Nerve Injuries Facial nerve nucleus Facial nerve structure Facial paralysis Fibroblasts Fibrosis Gene Cluster Gene Expression Profiling Genes Genetic Genetic Transcription Glioma Hour Immunofluorescence Immunologic Immunohistochemistry Impairment Injury Label Ligands Measures Mediator Mentors Messenger RNA Modeling Molecular Motor Neurons Movement Mus Muscle Natural regeneration Nerve Nerve Regeneration Nerve Tissue Neural Crest Neurons Oncogenes Operative Surgical Procedures Oral Otolaryngology Paralysed Pathway interactions Patients Perineuriums Persons Physicians Play Population Positioning Attribute Production Program Development Quality of life Recovery Research Role SHH gene Schwann Cells Scientist Signal Pathway Signal Transduction Source Speech Stains Supervision Tamoxifen Time Tissues Training Transgenic Organisms United States Vibrissae Western Blotting Work angiogenesis antagonist antibody detection axon regeneration career development clinically significant disability effective therapy experience experimental study gain of function improved in vivo injured innovation intraperitoneal loss of function medical schools nerve injury nerve repair nerve transection new therapeutic target next generation sequencing novel therapeutic intervention pharmacologic professor response response to injury screening skills smoothened signaling pathway spatiotemporal therapeutic target tissue regeneration transcription factor transcriptome sequencing

项目摘要

Project Summary/Abstract This proposal presents a five-year research career development program focused on the study of Hedgehog (Hh) pathway signaling in facial nerve injury response. The candidate is currently an Assistant Professor of Otolaryngology at the Stanford School of Medicine. The outlined proposal builds on the candidate’s previous research and clinical experience under the supervision of a world-renowned expert in Hh pathway signaling, Dr. Phil Beachy. The proposed experiments and didactic work will position the candidate with a unique set of skills that will enable his transition to independence as a physician scientist in the mechanisms of nerve injury response and nerve fibrosis. Facial paralysis results in significant disability for affected patients, impacting both facial function and overall quality of life. For patients with permanent paralysis, surgery is the most effective treatment to improve facial symmetry and – in some cases – restore partial movement. However, existing treatments do not completely restore normal facial movement. Clinically, the injured facial nerve becomes fibrotic, which can impede recovery and treatment. Despite the clinical importance of this, the mechanism underlying nerve fibrosis is poorly understood. Given the critical role of the hedgehog pathway in perineurial development, we explored the function of hedgehog-responsive elements in the murine facial nerve after injury. We first verified the presence of hedgehog-responsive fibroblasts (Gli1+) within the murine facial nerve. Gli1+ fibroblasts within the facial nerve expand impressively after injury and compose the majority of the perineurium of the regenerating nerve. These cells closely associate with activated Schwann cells and regenerating axons and appear to promote angiogenesis in the first two weeks after injury. By 10 weeks after injury, however, Gli1+ fibroblasts appear to form fibrotic tissue within the nerve. Following on these findings, we hypothesize that Hh signaling promotes early nerve regeneration after injury but transitions to a pro-fibrotic state at later time points after injury. To assess these hypotheses, we propose the following aims: 1) Characterize the role of Hh signaling after facial nerve injury using powerful genetic and pharmacologic models, 2) Describe changes in Gli1+ cells during facial nerve regeneration and fibrosis via Next Generation Sequencing. Completion of the research in this proposal will enable a thorough dissection of the role of Hh signaling in facial nerve injury, vet this pathway as a mediator of both regeneration and fibrosis after injury, and reveal new therapeutic targets for clinical use.

项目摘要/摘要该提案提出了一项为期五年的研究职业发展计划，重点是刺猬的研究（HH）面部神经损伤反应中的途径信号传导。候选人目前是斯坦福大学医学院的耳鼻喉科。概述的提案建立在候选人以前的在世界知名专家HH途径信号传导的监督下的研究和临床经验， Phil Beachy博士。拟议的实验和教学工作将使候选人用一组独特的在神经损伤机制方面，他可以过渡到独立的技能反应和神经纤维化。面部麻痹会导致受影响患者的严重残疾，影响面部功能和整体生活质量。对于永久性麻痹的患者，手术是改善面部的最有效治疗方法对称性，在某些情况下 - 恢复部分运动。但是，现有治疗尚未完全恢复正常的面部运动。临床上，受伤的面神经变成纤维化，这可能会阻碍恢复和治疗。尽管有临床的重要性，但神经纤维化的基础机制是理解不佳。鉴于刺猬途径在会周围发育中的关键作用，我们探索了受伤后鼠面神经中刺猬响应元件的功能。我们首先验证了存在在鼠面神经内的刺猬反应性成纤维细胞（GLI1+） gli1+面部中的成纤维细胞神经受伤后令人印象深刻，并构成了再生神经的大部分会阴。这些细胞与活化的雪旺细胞和再生轴突紧密相关，并似乎促进受伤后的前两周，血管生成。然而，到受伤后10周，GLI1+成纤维细胞似乎在神经内形成纤维化组织。按照这些发现，我们假设HH信号促进受伤后的早期神经再生，但在受伤后的稍后时间过渡到促纤维化状态。到评估这些假设，我们提出以下目的：1）表征面部后HH信号的作用使用强大的遗传和药物模型的神经损伤，2）描述面部时Gli1+细胞的变化通过下一代测序的神经再生和纤维化。在本提案中完成研究将彻底解剖HH信号在面神经损伤中的作用，将此途径审查为受伤后再生和纤维化的介体，并揭示了临床使用的新治疗靶标。