Evidence map›Paper›PMID 42865824›Full record

ReviewMedComm2026

Myelination and Remyelination in Peripheral Nerve Injury: Mechanisms, Regulation, and Therapeutic Perspectives.

Li-Xin Huang, Tao Sun, Yi-Bo Zhao, Zhi-Min Wu, Jun Sun, Ming-Yang Li, Qing-Yi Huo, Yun-Mou Ou, Qing-Tian Liang, Cong Ling and 4 more

Abstract readReview
In one paragraph

Review in MedComm, 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

14 authors.

Li-Xin Huang *Department of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID https://orcid.org/0000-0002-9146-4278
Tao Sun *Department of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Yi-Bo Zhao *Department of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Zhi-Min Wu *Department of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Jun SunDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Ming-Yang LiDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Qing-Yi HuoDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Yun-Mou OuDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Qing-Tian LiangDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Cong LingDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Bao-Yu ZhangDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Chuan ChenDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Ying GuoDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Hui WangDepartment of Neurosurgery The Third Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID https://orcid.org/0009-0003-6652-1415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral nerve injury (PNI) affects 13-23 individuals per 100,000 annually, and functional recovery hinges on faithful remyelination of regenerating axons by Schwann cells (SCs). This review integrates the complete molecular logic governing the transition from injury-induced SC plasticity to mature myelin regeneration. The hierarchical transcriptional program-from SOX10 pioneer factor engagement through OCT6-mediated promyelinating transition to KROX20/EGR2-driven activation of compact myelin genes-and the instructive role of axonal Neuregulin-1 Type III signaling are dissected. Wallerian degeneration via the NMNAT2-SARM1-mediated axon degeneration cascade, c-JUN-dependent SC reprogramming, and the epigenetic and noncoding RNA mechanisms that re-engage myelination are examined. The immune microenvironment is considered as a temporally layered network in which macrophage polarization, macrophage-to-myofibroblast transition, and regulatory T cell activity coordinate the transition from inflammation to repair. Finally, this review critically evaluates emerging therapeutic strategies-including Neuregulin-1 supplementation, SC transplantation, nerve guidance conduits, electrical stimulation, and senolytic clearance of aged SCs-and argues that rationally sequenced combination therapies will be required to achieve transformative improvements in functional recovery after severe PNI. This review provides a mechanistic roadmap for designing next-generation regenerative strategies aimed at restoring saltatory conduction.

Indexed as

myelinationperipheral nerve injuryremyelinationSchwann cellsignal transduction

Identifiers

PMID42865824
PMCPMC13655373

What OpenQuestion holds

Textmetadata
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.