Evidence map›Paper›PMID 41825230›Full record

ArticleNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2026

Persistent histone H3K27 acetylation contributes to excessive scar formation after spinal cord injury through the regulation of microglial cholesterol accumulation.

Qiujiang Qiao, Qing Gong, Ning Li, Haowei Sun, Xufang Ru, Ning Mu, Beike Chen, Wenyan Li, Tunan Chen, Hua Feng and 2 more

Abstract read
In one paragraph

Article in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Beyond Scar Removal: Reprogramming the Glial Scar for Neural Repair.International journal of molecular sciences · 2026
    Review
  2. Microglial lipid metabolism and epigenetic regulation: Emerging targets for spinal cord injury therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
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

12 authors.

Qiujiang QiaoDepartment of Neurosurgery, Zhongda Hospital, Southeast University, Nanjing, 210009, China; Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Qing GongDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Ning LiCollege of Future Technology, The Hong Kong University of Science and Technology (Guangzhou), Guangzhou, 511453, China. Electronic address: nl@hkust-gz.edu.cn.
Haowei SunDepartment of Neurosurgery, Zhongda Hospital, Southeast University, Nanjing, 210009, China.
Xufang RuDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Ning MuDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Beike ChenDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Wenyan LiDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Tunan ChenDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Hua FengDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China.
Yujie ChenDepartment of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Key Laboratory of Intelligent Diagnosis, Treatment and Rehabilitation of Central Nervous System Injuries, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China; Chongqing Clinical Research Center for Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, China. Electronic address: chenyj@tmmu.edu.cn.
Huilin ChengDepartment of Neurosurgery, Zhongda Hospital, Southeast University, Nanjing, 210009, China; Department of Neurosurgery, Taikang Xianlin Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210009, China. Electronic address: 126chl@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scar formation is a critical determinant of neurological recovery following spinal cord injury (SCI) because scars act as a physical support and barrier that influences axonal regeneration and remyelination. However, the regulatory mechanisms governing scar formation remain incompletely understood. Integrated multiomics analysis of publicly available single-cell RNA-seq and ATAC-seq data (GSE230765) from adult mice during the subacute/chronic phases of SCI revealed epigenetic mechanisms underlying microglial activation. Cell communication analysis revealed a connection between persistent microglial activation and excessive scar formation after SCI. Pharmacological inhibition of histone acetylation using L002 was employed to validate the H3K27ac-mediated regulation of the microglial phenotype, scar formation, and functional recovery. Persistent microglial activation post-SCI resulted in characteristic cholesterol metabolic reprogramming, with intracellular cholesterol accumulation correlated with sustained microglial activation. Single-cell ATAC-seq revealed chromatin accessibility-mediated epigenetic control of cholesterol metabolism gene expression, identifying H3K27ac as a pivotal regulator. L002-mediated H3K27ac inhibition attenuated cholesterol accumulation, mitigated neuroinflammation, and reduced scar formation through the disruption of microglia-astrocyte-fibroblast communication. Mechanistically, SPP1 secretion from activated microglia drove excessive scar formation, and inhibition of H3K27ac reduced the level of SPP1. Our study suggests that H3K27ac mediates the epigenetic regulation of myeloid cell activation in SCI pathogenesis. Targeted modulation of this histone modification site attenuates chronic microglial activation and subsequent scar formation, suggesting an innovative therapeutic strategy for neural repair. These findings establish chromatin remodeling as a promising target for improving functional recovery post-SCI.

Indexed as

CholesterolCicatrixHistonesMicrogliaSpinal Cord InjuriesAcetylationAnimalsFemaleMiceMice, Inbred C57BLCholesterolHistonesCholesterol metabolismH3k27acMicrogliaScar formationSpinal cord injury

Identifiers

PMID41825230
PMCPMC12996649

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Registered trials

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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.