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Basic fibroblast growth factor accelerates myelin debris clearance through activating autophagy to facilitate early peripheral nerve regeneration
Authors:Yongsheng Jiang  Jiahong Liang  Rui Li  Yan Peng  JiangLi Huang  Lijiang Huang
Institution:1. The Affiliated Xiangshan Hospital of Wenzhou Medial University, Zhejiang, China

Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), Funding acquisition (equal), Methodology (equal);2. The Affiliated Xiangshan Hospital of Wenzhou Medial University, Zhejiang, China

HangZhou Zhuyangxin Pharmaceutical Co.,LTD, Hangzhou, Zhejiang, China

Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), ?Investigation (equal), Methodology (equal);3. The Affiliated Xiangshan Hospital of Wenzhou Medial University, Zhejiang, China;4. The Affiliated Xiangshan Hospital of Wenzhou Medial University, Zhejiang, China

Hangzhou Institute for Food and Drug control, Hangzhou, Zhejiang, China

Contribution: Data curation (equal), Formal analysis (equal), ?Investigation (equal);5. The Affiliated Xiangshan Hospital of Wenzhou Medial University, Zhejiang, China

Contribution: Data curation (equal), Validation (equal), Visualization (equal)

Abstract:The successful removal of damaged myelin sheaths during Wallerian degeneration (WD) is essential for ensuring structural remodelling and functional recovery following traumatic peripheral nerve injury (PNI). Recent studies have established that autophagy involves myelin phagocytosis and cellular homoeostasis, and its disorder impairs myelin clearance. Based on the role of basic fibroblast growth factor (bFGF) on exerting neuroprotection and angiogenesis during nerve tissue regeneration, we now explicitly focus on the issue about whether the therapeutic effect of bFGF on supporting nerve regeneration is closely related to accelerate the autophagic clearance of myelin debris during WD. Using sciatic nerve crushed model, we found that bFGF remarkedly improved axonal outgrowth and nerve reconstruction at the early phase of PNI (14 days after PNI). More importantly, we further observed that bFGF could enhance phagocytic capacity of Schwann cells (SCs) to engulf myelin debris. Additionally, this enhancing effect is accomplished by autophagy activation and the increase of autophagy flux by immunoblotting and immune-histochemical analyses. Taken together, our data suggest that the action of bFGF on modulating early peripheral nerve regeneration is closely associated with myelin debris removal by SCs, which might result in SC-mediated autophagy activation, highlighting its insight molecular mechanism as a neuroprotective agent for repairing PNI.
Keywords:autophagy  basic fibroblast growth factor  myelin clearance  peripheral nerve regrowth
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