Evidence map›Paper›PMID 34087103›Full record

ArticleCurrent biology : CB2021

Reprogramming an energetic AKT-PAK5 axis boosts axon energy supply and facilitates neuron survival and regeneration after injury and ischemia.

Ning Huang, Sunan Li, Yuxiang Xie, Qi Han, Xiao-Ming Xu, Zu-Hang Sheng

Open access · greenAbstract read
In one paragraph

Article in Current biology : CB, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 86 citations in OpenAlex.

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  9. Molecular mechanisms of mitochondrial quality control.Translational neurodegeneration · 2025
    Review
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  15. Repair mechanisms of the central nervous system: From axon sprouting to remyelination.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ning HuangSynaptic Function Section, The Porter Neuroscience Research Center, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Room 2B-215, 35 Convent Drive, Bethesda, MD 20892-3706, USA.
Sunan LiSynaptic Function Section, The Porter Neuroscience Research Center, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Room 2B-215, 35 Convent Drive, Bethesda, MD 20892-3706, USA.
Yuxiang XieSynaptic Function Section, The Porter Neuroscience Research Center, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Room 2B-215, 35 Convent Drive, Bethesda, MD 20892-3706, USA.
Qi HanSpinal Cord and Brain Injury Research Group, Stark Neurosciences Research Institute, Department of Neurological Surgery, Indiana University School of Medicine, 320 W. 15th Street, Indianapolis, IN 46202, USA.
Xiao-Ming XuSpinal Cord and Brain Injury Research Group, Stark Neurosciences Research Institute, Department of Neurological Surgery, Indiana University School of Medicine, 320 W. 15th Street, Indianapolis, IN 46202, USA.
Zu-Hang ShengSynaptic Function Section, The Porter Neuroscience Research Center, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Room 2B-215, 35 Convent Drive, Bethesda, MD 20892-3706, USA. Electronic address: shengz@ninds.nih.gov.
National Institutes of Health · USNeurological Surgery · US

Funding

Regulation of mitochondrial transport and its impact on synaptic transmissionZIANS003029 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI SHENG, ZU-HANG · 2009 to 2025
$31.5M
Transport and regulation of presynaptic release machineryZIANS002946 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI SHENG, ZU-HANG · 2009 to 2025
$25.6M
Reprogramming reactive glial cells into functional new neurons after SCIR01NS111776 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · PI WU, WEI, ZHANG, CHUN-LI · 2020 to 2024
$2.4M
Targeting Multiple Kinases to Treat Experimental Spinal Cord Injury.R01NS100531 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BIXBY, JOHN L, LEMMON, VANCE P · 2017 to 2021
$2.4M
Transport and regulation of presynaptic release machineryZ01NS002946 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI SHENG, ZU-HANG · 1997 to 2008
$2.1M
Axonal mitochondrial mobility and its impact on synaptic transmissionZ01NS003029 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI SHENG, ZU-HANG · 2007 to 2008
$2.1M
Modulation of lumbar motor circuitry after an above-level SCI and NT-3 gene therapyR01NS103481 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · PI SMITH, GEORGE M, WU, WEI · 2017 to 2021
$1.9M
Constructing a growth-promoting pathway for functional regeneration after SCII01BX002356 · VA · RLR VA MEDICAL CENTER · PI BROWN, TODD J, JONES, KATHRYN JANE · 2015 to 2023
–
Exercise and NT-3-mediated lumbar motoneuron plasticity and recovery after SCII01RX002687 · VA · RLR VA MEDICAL CENTER · PI WALKER, CHANDLER · 2020 to 2024
–
BLRD VA I01 BX002356Intramural NIH HHS Z01 NS002946Intramural NIH HHS Z01 NS003029Intramural NIH HHS ZIA NS002946Intramural NIH HHS ZIA NS003029NINDS NIH HHS R01 NS100531NINDS NIH HHS R01 NS103481NINDS NIH HHS R01 NS111776RRD VA I01 RX002687
6 · The paper itself

Abstract

Mitochondria supply adenosine triphosphate (ATP) essential for neuronal survival and regeneration. Brain injury and ischemia trigger acute mitochondrial damage and a local energy crisis, leading to degeneration. Boosting local ATP supply in injured axons is thus critical to meet increased energy demand during nerve repair and regeneration in adult brains, where mitochondria remain largely stationary. Here, we elucidate an intrinsic energetic repair signaling axis that boosts axonal energy supply by reprogramming mitochondrial trafficking and anchoring in response to acute injury-ischemic stress in mature neurons and adult brains. P21-activated kinase 5 (PAK5) is a brain mitochondrial kinase with declined expression in mature neurons. PAK5 synthesis and signaling is spatiotemporally activated within axons in response to ischemic stress and axonal injury. PAK5 signaling remobilizes and replaces damaged mitochondria via the phosphorylation switch that turns off the axonal mitochondrial anchor syntaphilin. Injury-ischemic insults trigger AKT growth signaling that activates PAK5 and boosts local energy supply, thus protecting axon survival and facilitating regeneration in in vitro and in vivo models. Our study reveals an axonal mitochondrial signaling axis that responds to injury and ischemia by remobilizing damaged mitochondria for replacement, thereby maintaining local energy supply to support central nervous system (CNS) survival and regeneration.

Indexed as

AxonsIschemiaNeuronsProto-Oncogene Proteins c-aktAdenosine TriphosphateAnimalsCellular ReprogrammingHEK293 CellsHumansMiceMice, KnockoutMitochondriap21-Activated KinasesRegenerationSignal TransductionAdenosine Triphosphatep21-Activated KinasesPak7 protein, mouseProto-Oncogene Proteins c-aktAKTaxonal injurydegenerationenergy crisisischemiamitochondrial motilityneuron maturationPAK5regenerationsyntaphilin

Identifiers

PMID34087103
PMCPMC8319057
OpenAlexW3164443602

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.