Evidence map›Paper›PMID 42918849›Full record

ReviewSpinal cord2026

Notch signaling pathway: a key regulator in spinal cord injury pathogenesis and recovery.

Hedieh Sadat Shamsnia, Danial Ahmadvand, Mahtab Roustaei, Amirhossein Niknejad, Yasamin Hosseini, Shirin Sirouskabiri, Leila Mohaghegh Shalmani, Amir Hossein Abdolghaffari

Abstract readReview
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In one paragraph

Review in Spinal cord, 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

8 authors.

Hedieh Sadat ShamsniaDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0000-0002-7309-033X
Danial AhmadvandDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0000-0003-2683-4188
Mahtab RoustaeiDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0009-0009-6614-8298
Amirhossein NiknejadDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0000-0002-8008-5619
Yasamin HosseiniDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0000-0001-6154-5555
Shirin SirouskabiriDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0009-0003-9482-6523
Leila Mohaghegh ShalmaniDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran. leila_mohaghegh@yahoo.com.ORCID http://orcid.org/0000-0001-7682-0089
Amir Hossein AbdolghaffariDepartment of Toxicology & Pharmacology, TeMS.C., Islamic Azad University, Tehran, Iran. amirhosein172@hotmail.com.ORCID http://orcid.org/0000-0001-9961-9097

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designNarrative Review

objectivesAberrant Notch signaling is increasingly recognized as a key regulator of spinal cord injury (SCI) progression. This narrative review aims to synthesize current evidence regarding the multifaceted roles of Notch signaling in post-SCI inflammation, apoptosis, and neural regeneration.

methodsRecent preclinical studies investigating Notch signaling in SCI were comprehensively reviewed, with particular emphasis on its context-dependent effects on tissue repair and secondary injury, as well as therapeutic approaches targeting the Notch pathway.

resultsCurrent evidence suggests that Notch signaling has a dual role following SCI. Physiological Notch activity supports the maintenance, proliferation, and activation of neural stem and progenitor cells, thereby contributing to endogenous regenerative responses. However, sustained or excessive Notch activation promotes astrocytic reactivity and glial scar formation, creating physical and biochemical barriers to axonal regeneration. Notch signaling also modulates neuroinflammation by regulating microglial and astrocytic responses, producing context-dependent effects that may either limit or aggravate secondary tissue damage. Importantly, preclinical studies indicate that pharmacological inhibition of Notch, particularly through γ-secretase inhibitors, can reduce neuronal loss and glial scarring while enhancing functional recovery.

conclusionsNotch signaling acts as a double-edged regulator of SCI pathophysiology. Its therapeutic potential is substantial, but effective intervention will require precise modulation of pathway activity to preserve regenerative functions while limiting detrimental inflammatory and scarring responses.

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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.