Activation of MAP2K signaling by genetic engineering or HF-rTMS promotes corticospinal axon sprouting and functional regeneration

Document Type

Journal Article

Publication Title

Science Translational Medicine





First Page


PubMed ID



American Association for the Advancement of Science


Exercise Medicine Research Institute


National Institutes of Health: R01NS099568, R01MH111829, R00EB015445 / National Institute of Mental Health: R01MH111829 / National Institute of Neurological Disorders and Stroke: R01NS099568 / National Institute of Biomedical Imaging and Bioengineering: R00EB015445 / Wings for Life: WFL-US-028/14 / Craig H. Neilsen Foundation: 546849, 296098 / New York State Department of Health: C33270GG, C34462GG, C32092GG, C33611GG, C30863GG / The Goldsmith Research Foundation: 2016


Boato, F., Guan, X., Zhu, Y., Ryu, Y., Voutounou, M., Rynne, C., ... & Zhong, J. (2023). Activation of MAP2K signaling by genetic engineering or HF-rTMS promotes corticospinal axon sprouting and functional regeneration. Science Translational Medicine, 15(677). https://doi.org/10.1126/scitranslmed.abq6885


Facilitating axon regeneration in the injured central nervous system remains a challenging task. RAF-MAP2K signaling plays a key role in axon elongation during nervous system development. Here, we show that conditional expression of a constitutively kinase-activated BRAF in mature corticospinal neurons elicited the expression of a set of transcription factors previously implicated in the regeneration of zebrafish retinal ganglion cell axons and promoted regeneration and sprouting of corticospinal tract (CST) axons after spinal cord injury in mice. Newly sprouting axon collaterals formed synaptic connections with spinal interneurons, resulting in improved recovery of motor function. Noninvasive suprathreshold high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) activated the BRAF canonical downstream effectors MAP2K1/2 and modulated the expression of a set of regeneration-related transcription factors in a pattern consistent with that induced by BRAF activation. HF-rTMS enabled CST axon regeneration and sprouting, which was abolished in MAP2K1/2 conditional null mice. These data collectively demonstrate a central role of MAP2K signaling in augmenting the growth capacity of mature corticospinal neurons and suggest that HF-rTMS might have potential for treating spinal cord injury by modulating MAP2K signaling.



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