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Publication : Therapeutic reactivation of hippocampal progenitors reverse cognition decline in mice with progressive brain demyelination.

First Author  Nemati S Year  2026
Journal  Stem Cell Reports Volume  21
Issue  5 Pages  102896
PubMed ID  42066758 Mgi Jnum  J:389700
Mgi Id  MGI:8343833 Doi  10.1016/j.stemcr.2026.102896
Citation  Nemati S, et al. (2026) Therapeutic reactivation of hippocampal progenitors reverse cognition decline in mice with progressive brain demyelination. Stem Cell Reports 21(5):102896
abstractText  Chronic brain demyelination and neurodegeneration are hallmarks of progressive multiple sclerosis (MS) that underlie cognitive impairments. Neural precursor cells (NPCs) in the hippocampus support cognition through neurogenesis. With MS chronicity, neurogenesis declines leading to memory impairments. The mechanisms that drive NPC quiescence in MS are largely unknown. Here, we link downregulation of neuregulin-1 (NRG-1) to diminished self-renewal, activity and neurogenesis of NPCs, and hippocampal neurodegeneration and memory decline in mice with chronic demyelination. NRG-1 is a key signaling protein for neural differentiation and function that we previously reported its dysregulation in chronic active lesions of human secondary progressive MS (SPMS). We show that NRG-1 restoration reactivates NPCs and foster hippocampal repair by supporting neurogenesis, neuronal complexity, synaptogenesis, and remyelination that reverse memory impairments. Compared with Siponimod, a current disease modifying therapy for SPMS, NRG-1 achieved greater and multifaceted reparative effects, highlighting its potential as a regenerative therapy for progressive MS.
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