Evidence map›Paper›PMID 39748509›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2025

Hyperactive delta isoform of PI3 kinase enables long-distance regeneration of adult rat corticospinal tract.

Kristyna Karova, Zuzana Polcanova, Lydia Knight, Stepanka Suchankova, Bart Nieuwenhuis, Radovan Holota, Vit Herynek, Lucia Machova Urdzikova, Rostislav Turecek, Jessica C Kwok and 5 more

Abstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Kristyna KarovaInstitute of Experimental Medicine CAS, Department of Neuroregeneration, Videnska 1083, 142 20 Prague, Czech Republic. Electronic address: kristyna.karova@iem.cas.cz.
Zuzana PolcanovaInstitute of Experimental Medicine CAS, Department of Neuroregeneration, Videnska 1083, 142 20 Prague, Czech Republic.
Lydia KnightInstitute of Experimental Medicine CAS, Department of Neuroregeneration, Videnska 1083, 142 20 Prague, Czech Republic.
Stepanka SuchankovaInstitute of Experimental Medicine CAS, Department of Auditory Neuroscience, Videnska 1083, 142 20 Prague, Czech Republic.
Bart NieuwenhuisJohn van Geest Centre for Brain Repair, Department of Clinical Neurosciences, Cambridge Institute for Medical Research, University of Cambridge, Cambridge CB2 0XY, UK.
Radovan HolotaInstitute of Experimental Medicine CAS, Department of Neuroregeneration, Videnska 1083, 142 20 Prague, Czech Republic; Institute of Biology and Ecology, Faculty of Science, P.J. Safarik University in Kosice, Srobarova 2, Kosice 041 54, Slovak Republic.
Vit HerynekCenter for Advanced Preclinical Imaging (CAPI), First Faculty of Medicine, Charles University, Salmovska 3, 120 00 Prague, Czech Republic.
Lucia Machova UrdzikovaInstitute of Experimental Medicine CAS, Department of Neuroregeneration, Videnska 1083, 142 20 Prague, Czech Republic.
Rostislav TurecekInstitute of Experimental Medicine CAS, Department of Auditory Neuroscience, Videnska 1083, 142 20 Prague, Czech Republic.
Jessica C KwokSchool of Biomedical Sciences, University of Leeds, Leeds LS2 9JT, UK; Institute of Experimental Medicine CAS, Centre for Reconstructive Neuroscience, Videnska 1083, 14220 Prague, Czech Republic.
Joelle van den HerikNetherlands Institute for Neuroscience, Meibergdreef 47, 1105 BA Amsterdam, the Netherlands.
Joost VerhaagenNetherlands Institute for Neuroscience, Meibergdreef 47, 1105 BA Amsterdam, the Netherlands.
Richard EvaKings College London, Wolfson Sensory Pain and Regeneration Centre (SPaRC), Guy's Campus, London Bridge, London SE1 1UL, UK.
James W FawcettJohn van Geest Centre for Brain Repair, Department of Clinical Neurosciences, Cambridge Institute for Medical Research, University of Cambridge, Cambridge CB2 0XY, UK; Institute of Experimental Medicine CAS, Centre for Reconstructive Neuroscience, Videnska 1083, 14220 Prague, Czech Republic.
Pavla JendelovaInstitute of Experimental Medicine CAS, Department of Neuroregeneration, Videnska 1083, 142 20 Prague, Czech Republic. Electronic address: pavla.jendelova@iem.cas.cz.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurons in the CNS lose regenerative potential with maturity, leading to minimal corticospinal tract (CST) axon regrowth after spinal cord injury (SCI). In young rodents, knockdown of PTEN, which antagonizes PI3K signaling by hydrolyzing PIP3, promotes axon regeneration following SCI. However, this effect diminishes in adults, potentially due to lower PI3K activation leading to reduced PIP3. This study explores whether increased PIP3 generation can promote long-distance regeneration in adults. We used a hyperactive PI3K, PI3Kδ (PIK3CD), to boost PIP3 levels in mature cortical neurons and assessed CST regeneration after SCI. Adult rats received AAV1-PIK3CD and AAV1-eGFP, or AAV1-eGFP alone, in the sensorimotor cortex concurrent with a C4 dorsal SCI. Transduced neurons showed increased pS6 levels, indicating elevated PI3K/Akt/mTOR signaling. CST regeneration, confirmed with retrograde tracing, was evaluated up to 16 weeks post injury. At 12 weeks, ∼100 axons were present at lesion sites, doubling to 200 by 16 weeks, with regeneration indices of 0.1 and 0.2, respectively. Behavioral tests showed significant improvements in paw reaching, grip strength, and ladder-rung walking in PIK3CD-treated rats, corroborated by electrophysiological recordings of cord dorsum potentials and distal flexor muscle electromyography. Thus, PI3Kδ upregulation in adult cortical neurons enhances axonal regeneration and functional recovery post SCI.

Indexed as

Class I Phosphatidylinositol 3-KinasesNerve RegenerationPhosphatidylinositol 3-KinasesPyramidal TractsSpinal Cord InjuriesAnimalsAxonsDependovirusDisease Models, AnimalFemaleGenetic VectorsMaleNeuronsRatsSignal TransductionClass I Phosphatidylinositol 3-KinasesPhosphatidylinositol 3-Kinasesaxon regenerationc-FosCSTelectrophysiologyPI3KpS6signalingskilled paw reachingspinal cordspinal cord injury

Identifiers

PMID39748509
PMCPMC11852985

What OpenQuestion holds

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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.