Discovery of Biomarkers as Targets for CNS Regeneration
Despite progress in neuroscience and neurosurgery, few options exist to drive regenerative repair after spinal cord injury, or for demyelinating conditions and other neurological disorders. However, novel transcriptomic and proteomics approaches are providing insights into barriers for regeneration and offer approaches for overcoming these obstacles.
In some cases, the Neuroregeneration and Neurorehabilitation Lab has identified genes or proteins that show why some neural cells regenerate and others don't and illuminate disease stage-specific mechanisms. For example, using a liquid-chromatography tandem mass spectrometry proteomics approach — referred to as parallel reaction monitoring — the Scarisbrick team identified that reduced levels of carnosine dipeptidase 1 (CNDP1) in cerebral spinal fluid (CSF) can differentiate relapsing remitting multiple sclerosis from more progressive stages of disease. CNDP1 is an oligodendrocyte-enriched protein with antioxidant properties.
Using a degenerate polymerase chain reaction primer cloning strategy, the Scarisbrick team also identified a novel serine protease, referred to as kallikrein 6 (Klk6), for the first time. Like CNDP1, Klk6 is an oligodendrocyte-enriched protein that parallel reaction monitoring demonstrates is reduced in the CSF of people with relapsing remitting or progressive multiple sclerosis (MS). By contrast, parallel reaction monitoring showed that olfactomedin 1 (OLFM1), a glycoprotein secreted by neurons to prevent growth cone collapse, is increased in the CSF of people with progressive MS.
Ongoing studies in the Scarisbrick lab seek to identify the role these proteins play in neurological injury and disease. The lab also hopes to discover how to modulate these proteins to promote regeneration in the central nervous system.
Related publications and patents
- Blaber AP, Sadeghian F, Naz Divsalar D, Scarisbrick IA. Elevated biomarkers of neural injury in older adults following head-down bed rest: Links to cardio-postural deconditioning with spaceflight and aging. Frontiers in Human Neuroscience. 2023; doi:10.3389/fnhum.2023.1208273.
- Ulndreaj A, Sohaei D, Thebault S, Pons-Belda OD, Fernandez-Uriarte A, Campbell C, Cheo D, Stengelin M, Sigal G, Freedman MS, Scarisbrick IA, Prassas I, Diamandis EP. Quantitation of neurofilament light chain protein in serum and cerebrospinal fluid from patients with multiple sclerosis using the MSD R-PLEX NfL assay. Diagnosis. 2023; doi:10.1515/dx-2022-0125.
- U.S. provisional patent No. 63/548,346: "Assessing and Treating Multiple Sclerosis" Scarisbrick, I.A. and Wurtz, L. (2023).
- Scarisbrick IA, Yoon H, Panos M, Larson N, Blaber SI, Blaber M, Rodriguez M. Kallikrein 6 regulates early CNS demyelination in a viral model of multiple sclerosis. Brain Pathology. 2012; doi:10.1111/j.1750-3639.2012.00577.x.
- Scarisbrick IA, Linbo R, Vandell AG, Keegan M, Blaber SI, Blaber M, Sneve D, Lucchinetti CF, Rodriguez M, Diamandis EP. Kallikreins are associated with secondary progressive multiple sclerosis and promote neurodegeneration. Biological Chemistry. 2008; doi:10.1515/BC.2008.085.
- Scarisbrick IA, Sabharwal P, Cruz H, Larsen N, Vandell AG, Blaber SI, Ameenuddin S, Papke LM, Fehlings MG, Reeves RK, Blaber M, Windebank AJ, Rodriguez M. Dynamic role of kallikrein 6 in traumatic spinal cord injury. European Journal of Neuroscience. 2006; doi:10.1111/j.1460-9568.2006.05021.x.
- Blaber SI, Ciric B, Christophi GP, Bernett MJ, Blaber M, Rodriguez M, Scarisbrick IA. Targeting kallikrein 6 proteolysis attenuates CNS inflammatory disease. FASEB Journal. 2004; doi:10.1096/fj.03-1212fje.
- Bernett MJ, Blaber SI, Scarisbrick IA, Dhanarajan P, Thompson SM, Blaber M. Crystal structure and biochemical characterization of human kallikrein 6 reveals that a trypsin-like kallikrein is expressed in the central nervous system. Journal of Biological Chemistry. 2002; doi:10.1074/jbc.M202392200.
- Scarisbrick IA, Blaber SI, Lucchinetti CF, Genain CP, Blaber M, Rodriguez M. Activity of a newly identified serine protease in CNS demyelination. Brain. 2002; doi:10.1093/brain/awf142.
- Scarisbrick IA, Towner MD, Isackson PJ. Nervous system-specific expression of a novel serine protease: Regulation in the adult rat spinal cord by excitotoxic injury. Journal of Neuroscience. 1997; doi10.1523/JNEUROSCI.17-21-08156.199.