PMID- 30986502 OWN - NLM STAT- MEDLINE DCOM- 20200424 LR - 20200424 IS - 1872-9754 (Electronic) IS - 0197-0186 (Linking) VI - 128 DP - 2019 Sep TI - Role of the BDNF-TrkB pathway in KCC2 regulation and rehabilitation following neuronal injury: A mini review. PG - 32-38 LID - S0197-0186(18)30666-1 [pii] LID - 10.1016/j.neuint.2019.04.003 [doi] AB - In most mature neurons, low levels of intracellular Cl(-) concentrations ([Cl(-)](i)) are maintained by channels and transporters, particularly the K(+)-Cl(-) cotransporter 2 (KCC2), which is the only Cl(-) extruder in most neurons. Recent studies have implicated KCC2 expression in the molecular mechanisms underlying neuronal disorders, such as spasticity, epilepsy and neuropathic pain. Alterations in KCC2 expression have been associated with brain-derived neurotrophic factor (BDNF) and its receptor tropomyosin-related kinase B (TrkB). The present review summarizes recent progress regarding the roles of Cl(-) regulators in immature and mature neurons. Moreover, we focus on the role of KCC2 regulation via the BDNF-TrkB pathway in spinal cord injury and rehabilitation, as prior studies have shown that the BDNF-TrkB pathway can affect both the pathological development and functional amelioration of spinal cord injuries. Evidence suggests that rehabilitation using active exercise and mechanical stimulation can attenuate spasticity and neuropathic pain in animal models, likely due to the upregulation of KCC2 expression via the BDNF-TrkB pathway. Moreover, research suggests that such rehabilitation efforts may recover KCC2 expression without the use of exogenous BDNF. CI - Copyright (c) 2019. Published by Elsevier Ltd. FAU - Lee-Hotta, Sachiko AU - Lee-Hotta S AD - Department of Rehabilitation Sciences, Graduate School of Medicine, Nagoya University, 1-1-20, Daiko-minami Higashi-ku, Nagoya-shi, Aichi, 461-8673, Japan. Electronic address: lee@met.nagoya-u.ac.jp. FAU - Uchiyama, Yasushi AU - Uchiyama Y AD - Department of Rehabilitation Sciences, Graduate School of Medicine, Nagoya University, 1-1-20, Daiko-minami Higashi-ku, Nagoya-shi, Aichi, 461-8673, Japan. Electronic address: uchiyama@met.nagoya-u.ac.jp. FAU - Kametaka, Satoshi AU - Kametaka S AD - Department of Rehabilitation Sciences, Graduate School of Medicine, Nagoya University, 1-1-20, Daiko-minami Higashi-ku, Nagoya-shi, Aichi, 461-8673, Japan. Electronic address: kametaks@met.nagoya-u.ac.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190412 PL - England TA - Neurochem Int JT - Neurochemistry international JID - 8006959 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Membrane Glycoproteins) RN - 0 (SLC12A5 protein, human) RN - 0 (Symporters) RN - 7171WSG8A2 (BDNF protein, human) RN - EC 2.7.10.1 (Receptor, trkB) RN - EC 2.7.10.1 (tropomyosin-related kinase-B, human) SB - IM MH - Animals MH - Brain-Derived Neurotrophic Factor/*physiology MH - Membrane Glycoproteins/*physiology MH - Nervous System Diseases/*metabolism/*rehabilitation MH - Neurological Rehabilitation/*trends MH - Receptor, trkB/*physiology MH - Signal Transduction/physiology MH - Symporters/*physiology OTO - NOTNLM OT - BDNF-TrkB pathway OT - KCC2 OT - Spasticity OT - Spinal cord injury EDAT- 2019/04/16 06:00 MHDA- 2020/04/25 06:00 CRDT- 2019/04/16 06:00 PHST- 2018/11/30 00:00 [received] PHST- 2019/03/04 00:00 [revised] PHST- 2019/04/08 00:00 [accepted] PHST- 2019/04/16 06:00 [pubmed] PHST- 2020/04/25 06:00 [medline] PHST- 2019/04/16 06:00 [entrez] AID - S0197-0186(18)30666-1 [pii] AID - 10.1016/j.neuint.2019.04.003 [doi] PST - ppublish SO - Neurochem Int. 2019 Sep;128:32-38. doi: 10.1016/j.neuint.2019.04.003. Epub 2019 Apr 12.