Evidence map›Paper›PMID 42482453›Full record

ReviewCNS neuroscience & therapeutics2026

Overcoming Barriers to Axonal Regeneration in Spinal Cord Injury: Mechanistic Insights and Therapeutic Frontiers.

Jiaxin Gao, Tian Li, Qingping Su, Cai Jiang, Zhonghua Lin

Abstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Jiaxin GaoRehabilitation Medicine Center, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Tian LiDepartment of Radiology, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Qingping SuRehabilitation Medicine Center, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.ORCID https://orcid.org/0009-0001-5826-5648
Cai JiangRehabilitation Medicine Center, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Zhonghua LinRehabilitation Medicine Center, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.ORCID https://orcid.org/0009-0004-2831-1043

Funding

2022 General Project Plan of Fujian Medical University's Qihang Fund 2022QH1328key Discipline Construction Program of Traditional Chinese Medicine in Fujian Province 0060380308
6 · The paper itself

Abstract

backgroundSpinal cord injury (SCI) is a devastating central nervous system disorder that often causes permanent neurological deficits, while effective disease-modifying therapies remain lacking. Functional recovery depends on axonal regeneration, which is limited by the inhibitory post-injury microenvironment and the reduced regenerative capacity of mature neurons.

methodsThis review summarizes the mechanisms underlying axonal regeneration failure after SCI and discusses recent advances in regenerative strategies and their translational progress.

resultsCurrent evidence indicates that impaired axonal regeneration results from both extrinsic inhibitory factors and intrinsic neuronal growth limitations. Regenerative strategies, including modulation of glial scar dynamics, degradation of inhibitory extracellular matrix components, reconstruction of a permissive regenerative microenvironment, stem cell transplantation, biomaterial scaffolds, activation of intrinsic growth programs, and neuromodulation, have shown promising effects in preclinical studies. However, clinical translation remains limited by challenges related to therapeutic timing, delivery efficiency, biosafety, scalability, and insufficient clinical evidence.

conclusionsFuture SCI repair will likely require combinatorial strategies targeting multiple regenerative mechanisms while improving clinical feasibility. This review integrates current mechanistic and translational advances to support the development of more effective regenerative therapies for SCI.

Indexed as

AxonsNerve RegenerationSpinal Cord InjuriesAnimalsHumansRecovery of FunctionStem Cell Transplantationaxonal regenerationrepairspinal cord injury

Identifiers

PMID42482453
PMCPMC13389444

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.