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.

项目概要/摘要该提案提出了一个为期五年的研究职业发展计划，重点关注刺猬的研究 (Hh) 面神经损伤反应中的通路信号该候选人目前是一名助理教授。斯坦福大学医学院的耳鼻喉科概述的提案以候选人之前的提案为基础。在世界著名的 Hh 通路信号传导专家的监督下进行研究和临床经验， Phil Beachy 博士提出的实验和教学工作将为候选人提供一套独特的能力。这些技能将使他能够独立地成为神经损伤机制方面的医师科学家反应和神经纤维化。面瘫会导致受影响的患者严重残疾，影响面部功能和整体功能对于永久性瘫痪患者的生活质量，手术是改善面部的最有效的治疗方法。对称性并在某些情况下恢复部分运动然而，现有的治疗方法并不能完全恢复。恢复正常的面部运动临床上，受伤的面部神经会纤维化，从而阻碍面部运动。尽管这具有临床重要性，但神经纤维化的机制是。鉴于刺猬通路在神经周围发育中的关键作用，我们对此进行了探索。我们首先验证了损伤后小鼠面神经中刺猬响应元件的功能。小鼠面神经内的刺猬反应性成纤维细胞 (Gli1+)。损伤后神经明显扩张，并构成再生神经的大部分神经束膜。这些细胞与激活的雪旺细胞和再生轴突密切相关，似乎促进然而，到了损伤后 10 周，Gli1+ 成纤维细胞似乎出现了血管生成。根据这些发现，我们发现 Hh 信号传导促进了神经内纤维化组织的形成。损伤后早期神经再生，但在损伤后较晚的时间点转变为促纤维化状态。评估这些假设，我们提出以下目标：1）表征面部护理后 Hh 信号传导的作用使用强大的遗传和药理学模型进行神经损伤，2) 描述面部护理过程中 Gli1+ 细胞的变化通过下一代测序完成神经再生和纤维化。将能够彻底剖析 Hh 信号在面神经损伤中的作用，审查该通路作为损伤后再生和纤维化的介质，并揭示了临床使用的新治疗靶点。