Completed Bones, Joints & Muscles Brain & Nervous System

Identification of retinoic acid receptor beta agonists for the treatment of spinal cord injury.

In plain English

AI plain-English summary

A molecule that helps embryos grow limbs could be repurposed to repair severed spinal cords in adults. Spinal cord injuries currently have no effective treatments, leaving patients with permanent paralysis. The problem is that damaged nerve fibres, or axons, cannot regrow across the injury site. This research targets a specific receptor, RARβ2, which when activated by retinoic acid triggers the genetic machinery needed for axon regrowth. The team has already shown that stimulating this pathway restores movement in rodent models. If successful, the project will produce potent, non-toxic RARβ-specific drugs ready for testing in human spinal cord injury. This could transform a condition now considered untreatable into one where at least partial functional recovery is possible. The impact would be direct and personal: people with spinal injuries might regain movement, sensation, or independence. This is applied drug development, not fundamental science. The mechanism is already established; the challenge is turning that knowledge into a safe, effective medicine.

View original technical description
There are as yet no effective treatments for spinal cord injuries (SCI). We have identified a novel signalling mechanism - the retinoid signalling pathway - that can be stimulated in models of SCI leading to axonal outgrowth and functional recovery. This pathway is activated by retinoic acid (RA) binding to the retinoic acid receptor (RAR) that acts in the nucleus to drive the synthesis of RNA and hence produces proteins for axonal outgrowth. We have shown that specifically RARâ2 subtype is involved in this process. The objective of this proposal is now to develop RARâ specific agonists which are more potent than the ones already used in our in vitro neurite and in vivo axonal outgrowth assays and to demonstrate that they are non-toxic. These will be tested in rodent models of SCI, and we will demonstrate in human SCI that they have the utility to be used as a treatment for this type of injury.

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Researchers

Jonathan Corcoran (EPMC Awardee)

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A phase 1 trial of a retinoic acid receptor beta agonist for the treatment of spinal cord injury
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Acute and chronic spinal cord injury: novel studies of synaptogenesis, plasticity and mechanisms of repair

Original classification

Seeding Drug Discovery Award

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