Neuronal damage in mammals often results in irreversible loss of function due to the limited regenerative capacity of the central nervous system. In contrast, lower vertebrates possess an intrinsic ability to regenerate neural tissue, providing valuable insight into potential repair mechanisms. Recent advances have revealed that epigenetic mechanisms—heritable yet reversible modifications that regulate gene expression without altering the DNA sequence—play a central role in orchestrating neuronal repair and regeneration.
This review focuses on the epigenetic regulation of neuronal regeneration, emphasizing how processes such as DNA methylation, histone modifications, and chromatin remodeling influence gene activation, glial responses, and stem cell reprogramming following neural injury. We discuss three major neural systems of therapeutic relevance—the spinal cord, inner ear, and neural retina—highlighting tissue-specific differences in regenerative potential and their underlying epigenetic signatures.
Furthermore, the review explores how epigenetic interventions, including inhibitors of histone deacetylases (HDACs) and DNA methyltransferases (DNMTs), can reactivate dormant regenerative pathways. Understanding these dynamic and reversible molecular processes may enable the design of targeted therapies that enhance plasticity and promote functional recovery in non-regenerative tissues.
By integrating current knowledge and identifying key knowledge gaps, this work underscores the transformative potential of epigenetic modulation as a therapeutic strategy to overcome the regenerative limitations of the mammalian nervous system.
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