# Novel approaches to stimulating neurotrophin signaling for stroke recovery

> **NIH NIH R01** · CHICAGO ASSN FOR RESEARCH & EDUC IN SCI · 2023 · $301,858

## Abstract

Project Summary/Abstract
Stroke is a leading cause of adult neurologic disability with survivors often left with permanent deficits due to
neuronal loss resulting from ischemia-induced brain injury. There are currently no successful treatments to
restore normal function to stroke patients once brain damage has occurred, with the exception of rehabilitation
therapy, which is limited in its ability to promote full recovery. In preclinical studies, treatments that stimulate
the replacement of damaged pathways with new neuroanatomical connections from uninjured neural tissue, a
process known as neuroplasticity, have proven to be promising strategies for improving recovery of function
after injury. Our laboratory has used antibody therapy directed at blocking the neurite inhibitory protein Nogo-
A to promote neuroplasticity and significantly improve the functional outcome of animals affected by
experimental stroke. However, the cellular and molecular mechanisms responsible for anti-Nogo-A antibody-
mediated recovery remain largely unknown. We have previously demonstrated that Nogo-A alters nerve
growth factor (NGF)-dependent neurotrophin signaling to negatively influence neuronal survival and neurite
outgrowth. The goal of this proposal is to verify that disruption of TrkA signaling is a consequence of stroke-
induced Nogo-A expression, and to validate approaches designed to re-establish plasticity-promoting
neurotrophin signaling by NGF receptors (TrkA and p75NTR). Our central hypothesis is that treatments that
circumvent or block Nogo-A inhibition of TrkA to stimulate TrkA-mediated neurotrophin signaling pathways
will enhance neuroplasticity and improve recovery following ischemic stroke. In Aim 1 we will use primary
neurons in culture to examine TrkA and p75NTR neurotrophin signaling mechanisms affected by Nogo-A and
test strategies designed to circumvent or block the inhibitory effect of Nogo-A on TrkA signaling. In Aim 2 we
will determine the role of Nogo-A on TrkA-mediated neurotrophin signaling following ischemic stroke in vivo
using neuron-specific Nogo-A knockout mice. Biochemical and immunohistochemical techniques will be used
to assess the effect of stroke on NGF receptors, their downstream effectors and the association of these
receptors with Nogo-A in wild type and knockout mice. In Aim 3 we will evaluate therapeutic interventions that
circumvent or block the inhibitory action of Nogo-A on the TrkA receptor to enhance recovery after stroke. We
will use our well-studied in vivo stroke model to determine the extent to which treatment with anti-Nogo-A
antibody or the novel selective TrkA agonist gambogic amide affects NGF signaling and stroke recovery.
Together, the results from this proposal will increase our understanding of underlying neurotrophin-mediated
signaling mechanisms altered as a result of stroke injury. Thus, the proposed work will provide a foundation for
novel and promising therapies for stroke rehabilitation, which is critic...

## Key facts

- **NIH application ID:** 10530668
- **Project number:** 5R01NS115759-04
- **Recipient organization:** CHICAGO ASSN FOR RESEARCH & EDUC IN SCI
- **Principal Investigator:** GWENDOLYN LOUISE KARTJE
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $301,858
- **Award type:** 5
- **Project period:** 2020-04-15 → 2024-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10530668

## Citation

> US National Institutes of Health, RePORTER application 10530668, Novel approaches to stimulating neurotrophin signaling for stroke recovery (5R01NS115759-04). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10530668. Licensed CC0.

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