Target intelligence / Profile preview

Neurite outgrowth inhibitor (Nogo-A) (Nogo-A)

Target
Nogo-A
Molecular classification
Reticulon family, Membrane protein
01

Overview

Neurite outgrowth inhibitor (Nogo-A) is a high-molecular-weight transmembrane protein belonging to the reticulon family (RTN4) that serves as a potent inhibitor of axonal regeneration in the adult central nervous system (CNS) [5, 6]. It is primarily expressed by oligodendrocytes and is localized to the myelin sheath, where it prevents the repair of neural circuits following injury or disease [6, 8]. Nogo-A functions by binding to the Nogo receptor 1 (NgR1), which initiates a signaling cascade involving the RhoA GTPase, ultimately leading to growth cone collapse and the cessation of neurite extension [8]. Because of its central role in limiting CNS plasticity, Nogo-A is a major therapeutic target for conditions such as spinal cord injury, amyotrophic lateral sclerosis (ALS), and multiple sclerosis [5, 6]. Therapeutic strategies include the use of monoclonal antibodies, such as ozanezumab, and decoy receptors like AXER-204 to neutralize Nogo-A activity and promote functional recovery [5, 8]. Although "Neurite" is a general anatomical term for neuronal projections, in the context of drug development, it most frequently refers to the molecular pathways governed by Nogo-A and its associated inhibitors [6, 9].

Other names
RTN4Reticulon-4NogoNogo-AASYNSPNSP-CLRTN-XMyelin-associated neurite outgrowth inhibitor
02

Mechanism of action

Neutralization of Nogo-A or its receptor (NgR1) using monoclonal antibodies or decoy receptors to block inhibitory signaling and promote axonal regrowth and neural plasticity.

03

Biological functions

Inhibition of axonal regenerationRegulation of structural plasticityGrowth cone collapseMyelin-associated inhibition
04

Disease associations

Spinal cord injuryAmyotrophic lateral sclerosisMultiple sclerosisStrokeNeurodegenerative disease
05

Safety considerations

Potential for maladaptive plasticityNeuropathic painLimited efficacy in chronic injury stages
06

Interacting drugs

Ozanezumab (GSK1223249)

3 more in the full profile.

07

Biomarkers

Nogo-A levels in cerebrospinal fluidMotor evoked potentialsMRI-based axonal tracking

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