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Basic Science

Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway

Neurospine 2025;22(2):311-328.
Published online: June 30, 2025

1Key Laboratory for Stem Cells and Tissue Engineering, Sun Yat-sen University, Ministry of Education, Guangzhou, China

2Department of Rehabilitation Medicine, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, China

3Guangzhou Institute of Clinical Medicine, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, China

4Guangdong Key Laboratory of Age-Related Cardiocerebral Diseases, Institute of Neurology, Guangdong Medical University, Zhanjiang, China

5Department of Histology and Embryology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China

6Lab of Stem Cell Biology and Innovative Research of Chinese Medicine; National Institute of Stem Cell Clinical Research, Guangdong Provincial Hospital of Chinese Medicine/Guangdong Academy of Chinese Medicine/The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China

7Guangdong Provincial Key Laboratory of Brain Function and Disease, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China

8Co-innovation Center of Neuroregeneration, Nantong University, Nantong, China

9Guangzhou Key Laboratory of Aging Frailty and Neurorehabilitation, Guangzhou, China

Corresponding Author Yuan-Shan Zeng Department of Histology and Embryology, Zhongshan School of Medicine, Sun Yat-sen University, 74# Zhongshan 2nd Road, Guangzhou 510080, China Email: zengysh@mail.sysu.edu.cn
Co-corresponding Author Xiang Zeng National Institute of Stem Cell Clinical Research, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 55# Nei Huan Xi Road, Guangzhou Higher Education Mega Center, Guangzhou 510006, China Email: zengxiang@gzucm.edu.cn
Co-corresponding Author Yue Lan Department of Rehabilitation Medicine, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, 1# Panfu Road, Guangzhou 510180, China Email: bluemooning@163.com

Yuan-Huan Ma and Hong-Ying Chen contributed equally to this study as co-first authors.

• Received: December 3, 2024   • Revised: February 7, 2025   • Accepted: March 7, 2025

Copyright © 2025 by the Korean Spinal Neurosurgery Society

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Citations

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Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway
Neurospine. 2025;22(2):311-328.   Published online June 30, 2025
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Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway
Neurospine. 2025;22(2):311-328.   Published online June 30, 2025
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Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway
Image Image Image Image Image Image
Fig. 1. Development of LED-based optogenetic stimulation device and the motor cortex neurons activated by blue light. (A) LED bulbs and electrodes. Blue light (473 nm) was emitted when the LED bulb was connected to the waveform generator. (B) A mouse skull before and after bone grinding. Meningeal blood vessels can be clearly observed (white arrow, upper on the right). The LED light stimulation device was installed on the mouse head (lower on the left), and blue light is visible when the device is on (lower on the right). (C) Pyramidal neurons in the fifth layer of motor cortexes of the ChR2-YFP transgenic mice showing green fluorescence (the image on the right is an enlargement of the image on the left). (D) A schematic diagram showing bilateral motor cortexes illuminated by LED blue light and the corticospinal tracts (red) connecting bilateral motor cortexes and spinal cord. (E) Co-localization of C-fos (red) and Map2 (white) within ChR2+ pyramidal neurons after LED blue light stimulation. (E) Panels E1 and e showing C-fos expressed in a Map2+ neuron (white arrow in the box). Scale bars=1 mm in (C), 150 μm in (E), 80 μm in (E1), and 10 μm in (e). LED, light emitting diode.
Fig. 2. Optogenetic stimulation promoted the outgrowth of neurites in vitro. (A) Giga seal of a ChR2+ cell (arrow) inside the brain slice with a glass micropipette. (a) showing electrophysiological instrument recording data from the brain slice exposed to blue light stimulation. (B) Evoked action potential recorded at a ChR2+ neuron derived from the brain slice. Note that the rhythmic waves were induced by the 5-Hz blue light stimulation. (C) A schematic diagram showing the lab-made organotypic brain slice culture system under non-light stimulation in the ChR2 group and the exposure of the WT+OS and ChR2+OS groups to blue light stimulation. (D) Bright field (BF) and immunostaining images revealing NF+/ChR2+ neurites (arrows) around the brain slice in the ChR2+OS group. (E) Pie chart showing the proportion of NF+/ChR2+ neurites among the total neurites. (F) Few neurites (arrows) around the brain slice in the ChR2 and WT+OS groups and a higher quantity of neurites (arrows) in the ChR2+OS group. (G) Bar charts displaying the number and length of neurites in the brain slices of the ChR2 group, WT+OS group (exposed to 10-Hz blue light stimulation), and various ChR2+OS groups (exposed to 5-, 10-, 20-, 40-, and 80-Hz blue light stimulation). For multiple comparisons, 1-way analysis of variance was used, followed by the Student-Newman-Keuls post hoc test. *p<0.05 when compared with the ChR2 group, #p<0.05 when compared with the WT+OS group, &p<0.05 when compared with the ChR2+OS group (5 Hz), and n=5 (brain slices) in each group. Scale bars=200 μm in (D) and 100 μm in (F). ChR2, channelrhodopsin-2; WT, wild-type; OS, optogenetic stimulation; NF, neurofilament-200.
Fig. 3. Optogenetic stimulation enhanced corticospinal tract (CST) axon regeneration. (A) A schematic diagram illustrating that biotinylated-dextran amine (BDA) was injected into the motor cortexes to trace CST axon regenerating post-spinal cord injury (SCI). (B and C) Red fluorescence areas of bilateral BDA-labeled motor cortexes in the coronary section of the brain and of BDA+ CST axons in the horizontal section of the spinal cord of a ChR2-YFP transgenic mouse. (D and E) Showing 2 representative images (low magnification) of horizontal sections of the injured spinal cords of the mice in the nOS and OS groups, respectively. Moreover, 2 schematic diagrams of a horizontal section of the spinal cord are respectively showed in the lower right corners of panels D and E, highlighting the location and orientation of the sections, as well as displaying the direction of CST axon regeneration. (D1–D3) Higher magnification images for the boxed areas in (D), showing BDA+ CST axons (arrows) in the areas rostral and caudal to the injury site and the injury site. (d1–d3) Higher magnification images for the boxed areas in panels D1–D3, respectively. The dot-like profiles in panels d2 and d3 depict nonspecific staining of BDA. (E1–E3) Higher magnification images for the boxed areas in panel E showing BDA+ CST axons (arrows) in the areas rostral and caudal to the injury site and the injury site. (e1–e3) Higher magnification images for the boxed areas in panels E1–E3, respectively, depicting the specific staining of BDA+ CST axons (arrows). (F) The box plot showing the axon number index of CST in the nOS and OS groups (unpaired 2-tailed Student t-test was used for the analysis, *p<0.05, n=6). (G) Some BDA+/GAP43+ axons (white arrows) in a higher magnification image (g) from the box in (G). Scale bars=500 μm in panels B, D, and E; 50 μm in panels C, D1–D3, E1–E3, and G; and 20 μm in panels d1–d3, e1–e3, and g. LED, light emitting diode; YFP, yellow fluorescent protein; ChR2, channelrhodopsin-2; OS, optogenetic stimulation; nOS, nonoptogenetic stimulation.
Fig. 4. Analysis of electrophysiology and behavior. (A) A representative image of the cortex motor evoked potential (CMEP) activated by blue light stimulation in the nOS and OS groups 6 weeks after complete spinal cord injury (SCI). (B) Bar charts showing the latency and amplitude of CMEP in the nOS and OS groups (unpaired 2-tailed Student t-test was used for the analysis, *p<0.05 compared with the nOS group, n=6). (C and D) Showing grid climbing test and Basso mouse scale (BMS) assessment performed on the nOS and OS groups. (E) Hindlimb movement (arrows) of complete SCI mice during optogenetic stimulation. (F) Comparison of the BMS scores of the hindlimb movement functions of the mice in the nOS and OS groups (2-way repeated-measures analysis of variance followed by Student-Newman-Keuls post hoc test was used for multiple comparisons, *p<0.05 compared with the nOS group, n=6). (G) Correlation analysis showed that the BMS scores were highly correlated with the CST axon number index in the injury site (ρ=0.93) and the area caudal to the injury site (ρ=0.88). OS, optogenetic stimulation; nOS, nonoptogenetic stimulation.
Fig. 5. Optogenetic stimulation activated the JAK2/STAT3 pathway in the motor cortexes. (A) Schematic diagram of proteins extracted from mouse cerebral motor cortexes for proteomic analysis and western blotting. (B) Volcano plot showing the upregulated proteins (orange), downregulated proteins (green), and unaffected proteins (gray) in the nOS and OS groups. (C) Heat map showing the differential protein expression ratios between the 2 groups. (D) Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis of differential proteins, showing that optogenetic stimulation impacted the JAK2/STAT3 signaling pathway (green boxed bar). (E) JAK2/STAT3 signaling pathway associated protein-protein interaction network diagram. Each node represents a protein. The colored nodes represent the detected proteins, while the gray ones represent the undetected proteins according to the ratio value. The size of a node represents the degree of correlation among the proteins. (F) Western blotting results showing p-JAK2 and p-STAT3 expression levels in the nOS and OS groups. (G) Bar chart exhibiting the standardized gray values of p-JAK2 and p-STAT3 in the nOS and OS groups (The data were analyzed by unpaired 2-tailed Student t-test and presented as mean±standard deviation, *p<0.05, n=3). (H) Network diagram showing the association of enriched proteins with 6 different functional sets in the OS group compared to the nOS group. The node size of the functional set represents the total number of candidate proteins identified by gene ontology analysis. LED, light emitting diode; OS, optogenetic stimulation; nOS, nonoptogenetic stimulation; p-JAK2, phosphorylated Janus kinase 2; p-STAT3, phosphorylated signal transducer and activator of transcription 3.
Fig. 6. Blocking the JAK2/STAT3 signaling pathway inhibited the outgrowth of neuronal neurites. (A) Schematic diagram showing the lab-made organotypic brain slice culture system under the blue light stimulation in the OS and OS+FLLL31 groups. (B) Showing high levels of neurites (arrows in the upper and lower images on the left) around the brain slice in the OS group and fewer neurites (arrows in the upper and lower images on the right) around the brain slice in the OS+FLLL31 group. (C) Bar chart showing the number and length of neurites from the brain slices in the OS and OS+FLLL31 groups (Data was calculated using unpaired 2-tailed Student t-test, *p<0.05, n=5). (D) Schematic diagram of transcranial optogenetic stimulation promoting CST axon regeneration to repair complete spinal cord injury by activating the JAK2/STAT3 pathway. Scale bars=200 μm in the left and right images on the top of (B) and 50 μm in the left and right images on the bottom of (B). LED, light emitting diode; OS, optogenetic stimulation; FLLL31, tetramethylcurcumin.
Transcranial Optogenetic Stimulation Promotes Corticospinal Tract Axon Regeneration to Repair Spinal Cord Injury by Activating the JAK2/STAT3 Pathway