Central nervous system (CNS) damage caused by traumatic injuries, iatrogenicity due to surgical interventions, stroke and neurodegenerative diseases is one of the most prevalent reasons for physical disability worldwide. During development, axons must elongate from the neuronal cell body to contact their precise target cell and establish functional connections. However, the capacity of the adult nervous system to restore its functionality after injury is limited. Given the inefficacy of the nervous system to heal and regenerate after damage, new therapies are under investigation to enhance axonal regeneration. Axon guidance cues and receptors, as well as the molecular machinery activated after nervous system damage, are organized into lipid raft microdomains, a term typically used to describe nanoscale membrane domains enriched in cholesterol and glycosphingolipids that act as signaling platforms for certain transmembrane proteins.
Agent | Type | Mechanism | References |
---|---|---|---|
Cyclodextrins | Cyclic oligosaccharides | Cell membrane cholesterol depletion | [135] |
Statins | HMG-CoA inhibitor | Cholesterol biosynthesis inhibition | [136,137] |
Cholesterol Oxidase | Enzymatic flavoprotein | Cholesterol oxidation | [138,139] |
Filipins | Polyene macrolides | Cell membrane cholesterol sequestration | [140,141] |
Apolipoprotein A-I Binding Protein | Protein encoded by the APOA1BP gene | Cholesterol efflux promotion | [142] |
Triparanol | Δ7-Reductase inhibitor | Cholesterol biosynthesis inhibition | [136] |
Glycophosphatidylinositol-specific Phospholipase C | Enzymatic phospholipase | Cleaving of GPI-anchored surface proteins | [143,144] |
Overexpression of Cyp46A1 | Cholesterol-catabolic enzyme | Cholesterol conversion to (24S)-24-hydroxycholesterol | [145] |
Fumonisin B1 | Sphingolipid synthesis inhibitor | Synthesis inhibition of dihydroceramide | [146,147] |
This entry is adapted from the peer-reviewed paper 10.3390/ijms22095009