Recombinant Human Ciliary neurotrophic factor protein (CNTF) (Active)

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Description

Production and Purification

Recombinant CNTF is synthesized using heterologous expression systems:

  • Bacterial Systems: E. coli produces high yields (~60–70% total protein) but lacks glycosylation . Purification involves inclusion body extraction, guanidinium chloride solubilization, and chromatography .

  • Mammalian Systems: HEK 293 cells enable proper folding and post-translational modifications, critical for clinical-grade production .

Stability: Requires storage at –20°C; sensitive to freeze-thaw cycles .

Biological Activity and Assays

Recombinant CNTF (Active) demonstrates dose-dependent neurotrophic and proliferative effects:

Table 1: Functional Activity Across Cell Lines

AssayCell LineED₅₀Key FindingsSource
ProliferationTF-1 erythroleukemic0.03–0.18 µg/mLActivates JAK/STAT signaling .
NeuroprotectionSK-N-SH neuronal4.685–83.37 ng/mLPromotes cell viability and neurite outgrowth .
STAT3 Phosphorylation3T3-L1 preadipocyte1 nM (EC₅₀)Induces downstream signaling for survival .

Mechanisms of Action

  • Neuronal Survival: Prevents motor axon degeneration post-injury and supports oligodendrocyte maturation .

  • Glial Modulation: Stimulates astrocytes to secrete FGF-2 and microglia to release GDNF, indirectly enhancing neuroprotection .

  • Immune Regulation: Reduces neuroinflammatory responses in models of multiple sclerosis (MS) and experimental autoimmune encephalomyelitis (EAE) .

Therapeutic Applications

CNTF (Active) is investigated for:

  • Neurodegenerative Diseases: Amyotrophic lateral sclerosis (ALS), Parkinson’s disease, and retinal degeneration .

  • Neurotrauma: Enhances remyelination and motor neuron recovery after spinal cord injury .

  • Metabolic Effects: Modulates adipocyte differentiation via STAT3 activation .

Challenges: Limited by poor blood-brain barrier penetration and systemic side effects (e.g., acute-phase responses) .

Key Research Findings

  1. Neuroprotection in ALS Models: CNTF delays motor neuron degeneration and improves survival in genetic ALS models .

  2. Retinal Regeneration: Enhances photoreceptor survival in retinal degenerative disorders .

  3. Microglial Activation: Upregulates neurotrophic factor secretion (e.g., GDNF) in rat microglia, supporting motor neurons .

  4. Dose Optimization: ED₅₀ values vary by cell type, emphasizing the need for context-specific dosing .

Future Directions

  • Delivery Systems: Development of sustained-release formulations (e.g., PODS® technology) to improve bioavailability .

  • Combination Therapies: Synergy with soluble CNTFRα to enhance efficacy in neurodegenerative models .

  • Clinical Trials: Ongoing studies for optic neuropathy and MS .

Product Specs

Buffer
Lyophilized from a 0.2 µm filtered PBS solution, pH 7.4.
Form
Lyophilized powder
Lead Time
5-10 business days
Notes
Repeated freezing and thawing is not recommended. For optimal preservation, store working aliquots at 4°C for a maximum of one week.
Reconstitution
Prior to opening, it is recommended to briefly centrifuge the vial to bring the contents to the bottom. Reconstitute the protein in deionized sterile water to a concentration ranging from 0.1 to 1.0 mg/mL. For long-term storage, we suggest adding 5-50% glycerol (final concentration) and aliquoting the solution at -20°C/-80°C. Our standard final concentration of glycerol is 50%, which can serve as a reference for customers.
Shelf Life
The shelf life is contingent upon various factors, including storage conditions, buffer components, temperature, and the inherent stability of the protein itself. Generally, the shelf life of the liquid form is 6 months at -20°C/-80°C, while the shelf life of the lyophilized form is 12 months at -20°C/-80°C.
Storage Condition
Upon receipt, store at -20°C/-80°C. Aliquoting is essential for multiple uses. Avoid repeated freeze-thaw cycles.
Tag Info
Tag-Free
Synonyms
Ciliary neurotrophic factor; CNTF; CNTF_HUMAN; HCNTF
Datasheet & Coa
Please contact us to get it.
Expression Region
1-200aa
Mol. Weight
22.9 kDa
Protein Length
Full Length
Purity
>97% as determined by SDS-PAGE.
Research Area
Neuroscience?
Source
E.coli
Species
Homo sapiens (Human)
Target Names
Uniprot No.

Target Background

Function
CNTF is a survival factor for various neuronal cell types. It is known to prevent the degeneration of motor axons after axotomy.
Gene References Into Functions
  1. Our findings suggest that CNTF over-expression enhances the protective effects of bone marrow mesenchymal stem cells on retinal pigment epithelium cells, indicating that subretinal-transplantation of CNTF-bone marrow mesenchymal stem cells could be a promising therapeutic approach for blue-light-injured retina. PMID: 29564604
  2. Cytokines of the LIF/CNTF family and metabolism. PMID: 26817395
  3. High hydrostatic pressure enables nearly 100% refolding of recombinant human ciliary neurotrophic factor from inclusion bodies at high concentration. PMID: 28323167
  4. CNTFR-specific mutants of CNTF have been developed that bind to the CNTFRalpha-LIFRbeta-gp130 receptor. PMID: 26187860
  5. Human CNTF expression through lentiviral gene transfer in the rat striatum significantly decreased the levels of neuronal metabolites (N-acetyl-aspartate, N-acetyl-aspartyl-glutamate, and glutamate). PMID: 25833344
  6. This study investigated, for the first time, the biological effects of CNTF on retinoic acid (RA)-predifferentiated SH-SY5Y neuroblastoma cells and the underlying molecular mechanisms of this effect. PMID: 25118897
  7. The R28E mutation in CNTF abolishes IL-6 receptor-dependent signaling while preserving CNTF receptor-dependent signaling via glycoprotein 130/LIFR. PMID: 24802752
  8. This review highlights the significant role of CNTF in neurogenesis and differentiation of neural stem cells. PMID: 23948898
  9. Immunocytochemical, Real-Time polymerase chain reaction, and enzyme-linked immunosorbent assay (ELISA) were employed to assess the expression and secretion levels of BDNF and CTNF in induced cells. PMID: 23944834
  10. Elevated CNTF levels were observed in umbilical cord blood from pre-eclamptic pregnancies. PMID: 23654315
  11. CNTF-mediated protection of photoreceptors necessitates initial activation of the cytokine receptor gp130 in Muller glial cells. PMID: 24191003
  12. This research report identified favorable allelic patterns of ACTN3 and CNTF genes associated with enhanced aerobic performance in athletes. PMID: 23676962
  13. Data indicate that aspirin increased mRNA and protein expression of CNTF in primary mouse and human astrocytes in a dose- and time-dependent manner. PMID: 23653362
  14. Our research demonstrates that the release of CNTF by glial cells serves as a potent stimulus for optic fiber regeneration and retinal ganglion cell survival after optic nerve crush. PMID: 23194670
  15. Elevated ciliary neurotrophic factor levels were found specifically in painful PTT. PMID: 22337942
  16. Peptide 6c, corresponding to human CNTF amino acid residues 147-150, induces neurogenesis, neuronal activity, and proliferation of immature neurons in the dentate gyrus, leading to improved spatial reference memory in mice. PMID: 20952820
  17. This study explores the effects of CNTF on retinal pigment epithelial (RPE) physiology. PMID: 21912637
  18. Data indicate that variants in CNTF were significantly associated with a lower age at onset of eating disorders. PMID: 20219210
  19. This research elucidates the role of CNTF in retinal cell differentiation and survival in retinal progenitors. PMID: 20428961
  20. Ciliary neurotrophic factor, along with related ligands targeting the established CNTF receptor alpha, exhibits high affinity binding to sortilin. PMID: 20584990
  21. In women, the CNTF polymorphism (odds ratio (OR) = 2.15, 95%CI: 1.27-3.64, p = 0.004) is associated with weight gain. PMID: 19833146
  22. Studies suggest that leptin, CNTF, LIF, and IL-6 share similar three-dimensional fold structures, interact with related class-I receptors, and activate similar intracellular pathways. PMID: 19751193
  23. This research evaluated a null mutation in this protein for its potential association with disease susceptibility and severity in patients with multiple sclerosis. PMID: 11857064
  24. Association of a null mutation in the CNTF gene with early onset of multiple sclerosis. PMID: 11890844
  25. Early onset of severe familial amyotrophic lateral sclerosis with a SOD-1 mutation: potential impact of CNTF as a candidate modifier gene. PMID: 11951178
  26. CTNF binds to the IL-6 receptor and plays a role in neuroprotection. PMID: 12643274
  27. No evidence was found to suggest that ciliary neurotrophic factor is involved in the pathogenesis of pelvic endometriosis. PMID: 12890930
  28. Constitutive expression of cytokines in the brain induces changes in gene expression characteristic of chronic inflammation, leading to either temporal weight reduction (CNTF) or severe cachexia (leukemia inhibitory factor). PMID: 14715713
  29. Results do not support an effect of the CNTF null allele on body composition, contradicting previous findings. PMID: 14747836
  30. Findings support the hypothesis that CNTF and leptin engage distinct CNS sites and that CNTF possesses inflammatory properties distinct from leptin. PMID: 15047605
  31. Despite axokine gene expression in retinal pigment epithelium, no photoreceptor rescue was observed in retinal degeneration mice. PMID: 15180291
  32. Human myoblasts committed to the myogenic lineage can dedifferentiate at a clonal level, and CNTF is a novel regulator of skeletal myoblast dedifferentiation via the p44/p42 MAPK pathway. PMID: 15843428
  33. CNTF negatively regulates phototransduction, which reduces the photoresponsiveness of rods, resulting in lower electroretinogram amplitudes following light stimulation. PMID: 17192435
  34. A possible neuroprotective role of CNTF in the optic nerve head is suggested. PMID: 17563726
  35. Our findings conclude that the absence of CNTF does not increase susceptibility to neurodegenerative disorders and confirm that it does not affect the onset and course of familial and sporadic ALS. PMID: 17651970
  36. Continuous expression of striatal CNTF at the dose mediated by the expression cassette used in this study was detrimental to transgenic mice with Huntington's disease. PMID: 18293418
  37. The relative treatment benefit of iloperidone compared with placebo in patients with schizophrenia is enhanced in patients homozygous G/G for the rs1800169 polymorphism of CNTF. PMID: 18303965
  38. In vivo and in vitro experiments implicate CNTF as an endogenous regulatory component of dopamine D2-receptor-dependent neurogenesis in the subventricular zone and the dentate gyrus of the hippocampus. (Review) PMID: 18524890
  39. CNTF-mediated signaling acts as a molecular switch for neuronal versus glial differentiation of retinal stem cells/progenitors. PMID: 18669911
  40. Ciliary neurotrophic factor, cardiotrophin-like cytokine, and neuropoietin share a conserved binding site on the ciliary neurotrophic factor receptor alpha chain. PMID: 18728012
  41. PTP-1B constitutes a key divergent element between leptin/insulin and CNTF signaling pathways at the neuronal level. PMID: 19008309
  42. Specific SNP patterns in VDR and CNTF genes demonstrated better improvement in parameters associated with the effects of low-resistance training using exercise machines, as analyzed by comparison between SNP patterns and factor analysis. PMID: 19082510
  43. The results of this study provided further evidence that the production of ciliary neurotrophic factor by Schwann cells is markedly reduced in Charcot-Marie-Tooth type 1A neuropathy. PMID: 19525893
  44. Fusion of HIV-1 TAT to CNTF may have modified the CNTF capacity to induce intracellular signaling in hypothalamic neurons. PMID: 19573019
  45. The CNTF 1357 G --> A polymorphism accounts for only a small portion of the variability in the muscle strength response to training in women. PMID: 19628720
  46. An interaction between apoE3 and CNTF occurs with both delipidated apeE3 and apoE3 found within a lipoprotein particle in cerebrospinal fluid. This interaction potentiates the survival-promoting activity of CNTF for hippocampal neurons. PMID: 9236223

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Database Links

HGNC: 2169

OMIM: 118945

KEGG: hsa:1270

STRING: 9606.ENSP00000355370

UniGene: Hs.524920

Protein Families
CNTF family
Subcellular Location
Cytoplasm.
Tissue Specificity
Nervous system.

Q&A

What is the basic structural and functional characterization of Recombinant Human CNTF?

Recombinant Human CNTF is a full-length protein spanning amino acids 2-200, typically expressed in HEK 293 cells for research applications. The protein has a predicted molecular weight of 22856.99 Da (±10 Da by ESI-TOF), with observed mass spectrometry values of approximately 22858.40 Da . The active form maintains ≥95% purity with endotoxin levels ≤0.005 EU/μg, making it suitable for sensitive experimental applications including cell culture and functional studies .

CNTF functions primarily as a survival factor for various neuronal cell types, with particularly documented efficacy in preventing degeneration of motor axons following axotomy . It belongs to the CNTF cytokine family and shares structural similarities with IL-6, suggesting overlapping yet distinct signaling mechanisms .

How does CNTF signal transduction operate in neuronal and glial cells?

CNTF signaling involves a multicomponent receptor complex including the CNTF receptor α (CNTFRα), which can be expressed on both neuronal and glial cell populations. Unlike related cytokines such as IL-6 that activate STAT-3 and ERK phosphorylation pathways, CNTF exhibits a distinct signaling profile . Research demonstrates that CNTF induces specific patterns of protein phosphorylation and dephosphorylation, including phosphorylation of LYN substrate-1 and β-tubulin 5 .

The signaling efficacy of CNTF can be significantly enhanced through addition of exogenous soluble CNTFRα (sCNTFRα), which facilitates CNTF's ability to collaborate with other factors such as IFNγ to modulate cellular responses . This complex signaling has important methodological implications for experimental design, as researchers must consider both direct effects on neurons and indirect effects mediated through glial intermediaries.

What are the validated biological assays for confirming CNTF activity?

The biological activity of Recombinant Human CNTF is typically determined through dose-dependent proliferation assays using TF-1 cells. The effective dose (ED50) for biological activity is ≤4.914 μg/ml, corresponding to a specific activity of approximately 2.04 × 10^5 units/mg . This standardized assay provides a reliable method for quality control and activity confirmation.

Alternative validation approaches include:

  • Measurement of neuropeptide expression changes (e.g., urocortin-1 mRNA upregulation)

  • Assessment of microglial CD40 surface expression when CNTF is combined with sCNTFRα and IFNγ

  • Evaluation of metabolic alterations in target tissues, particularly shifts toward aerobic glycolysis

Each method provides distinct insights into CNTF functionality and should be selected based on specific research questions.

What are the optimal storage and handling conditions for maintaining CNTF bioactivity?

For maintaining maximum bioactivity of Recombinant Human CNTF, researchers should follow these evidence-based protocols:

  • Storage temperature: Store lyophilized CNTF at -20°C and reconstituted protein at -80°C

  • Reconstitution: Use sterile, buffer-controlled solutions (PBS or equivalent) for reconstitution

  • Aliquoting: Prepare single-use aliquots immediately after reconstitution to avoid freeze-thaw cycles

  • Working concentrations: Effective concentrations typically range from 1-50 ng/ml for in vitro studies

  • Stability considerations: Reconstituted protein maintains >90% activity for up to 2 weeks at 4°C

Importantly, as CNTF is an active protein capable of eliciting biological responses in vivo, all preparations should be handled with appropriate caution to prevent unintended exposure or cross-contamination .

How should researchers design appropriate controls for CNTF experiments?

Robust experimental design for CNTF research requires multiple control conditions:

  • Vehicle controls: Identical buffer composition without CNTF protein

  • Concentration gradients: Multiple CNTF concentrations to establish dose-response relationships

  • Time-course analyses: Assessment at multiple timepoints (e.g., 24h, 48h, 72h) as CNTF-induced effects may show temporal dynamics

  • Receptor blocking: Anti-CNTFRα antibodies or receptor antagonists to confirm specificity

  • Signaling pathway inhibitors: Selective inhibitors of downstream pathways to elucidate mechanisms

For in vivo experiments, controls should include both vehicle treatments and biologically inactive CNTF variants to distinguish between specific and non-specific effects.

What analytical techniques are most effective for measuring CNTF-induced changes in protein phosphorylation?

Based on current research methodologies, the following analytical approaches are recommended for investigating CNTF-induced phosphorylation changes:

TechniqueApplicationSensitivityResolutionSample Requirements
2-D Western BlottingGlobal phosphoprotein profilingHighModerate50-100 μg protein
Phospho-specific antibody arraysTargeted pathway analysisVery highPathway-specific10-25 μg protein
Mass spectrometry (LC-MS/MS)Unbiased phosphosite mappingModerate-highVery high100-500 μg protein
Flow cytometrySingle-cell phosphorylationModerateLow>10^5 cells

Researchers have successfully employed 2-D western blot analysis to demonstrate that CNTF induces dephosphorylation of one set of proteins while simultaneously promoting phosphorylation of others, including LYN substrate-1 and β-tubulin 5 . This technique allows for visualization of global phosphorylation landscapes when combined with phospho-specific staining methods.

How does CNTF demonstrate neuroprotective effects in retinal degeneration models?

CNTF has shown significant neuroprotective properties in retinal degeneration models through multiple mechanisms:

  • Metabolic modulation: CNTF treatment alters the metabolic status of degenerating retinas, specifically by elevating aerobic glycolysis and enhancing anabolism . This metabolic reprogramming appears to be a fundamental mechanism underlying CNTF's neuroprotective effects.

  • Structural preservation: In clinical trials for retinitis pigmentosa, CNTF treatment resulted in increased retinal thickness, suggesting a preservation of retinal structure even in progressive disease conditions .

  • Functional improvement: Recent clinical trials for macular telangiectasia type 2 have demonstrated that CNTF treatment leads to both morphological and visual function improvements across multiple assessment parameters .

When designing experiments to evaluate CNTF's neuroprotective effects, researchers should incorporate both structural and functional endpoints, along with metabolic analyses to fully characterize the protective mechanisms.

What methodological approaches are most effective for studying CNTF effects on neuronal-glial interactions?

To effectively investigate CNTF effects on neuronal-glial interactions, researchers should consider these methodological approaches:

  • Co-culture systems: Establish neuron-glia co-cultures with selective depletion of specific glial populations to dissect differential responses.

  • Conditioned media experiments: Collect media from CNTF-treated glial cells and apply to neuronal cultures to identify secreted factors mediating indirect effects.

  • Cell-specific receptor knockdown: Use siRNA or CRISPR techniques to selectively inhibit CNTF receptor components in either neurons or glia.

  • In vivo cell-specific reporters: Employ transgenic models with cell-type specific reporters to monitor activation patterns following CNTF administration.

  • Microdialysis coupled with proteomics: Apply in vivo microdialysis with proteomic analysis to identify secreted factors in response to CNTF treatment.

Research has demonstrated that CNTF stimulates astrocytes to secrete FGF-2 and microglia to secrete glial cell line-derived neurotrophic factor (GDNF), suggesting that CNTF can promote motor neuron survival indirectly through glial intermediaries . These interactions highlight the importance of considering both direct and indirect effects when evaluating CNTF's neuroprotective mechanisms.

What are the critical parameters for intracerebroventricular (i.c.v.) administration of CNTF in animal models?

For researchers conducting i.c.v. administration of CNTF in animal models, the following parameters have been validated:

  • Surgical coordinates: For mouse models, placement of a 26-gauge stainless steel guide cannula should use flat-skull coordinates from bregma: anteroposterior -0.825 mm, mediolateral 0 mm, dorsoventral -4.8 mm .

  • Recovery period: Allow 7-14 days of recovery following cannula implantation, with daily handling for at least one week prior to experimental manipulations .

  • Administration timing: For feeding studies, CNTF administration 1 hour prior to the onset of the dark phase has shown efficacy .

  • Dosage: 1 μg CNTF in 2 μl total volume (0.5 mg/ml) delivered by slow infusion over 10-15 minutes through a 30-gauge needle has demonstrated significant biological effects .

  • Control groups: Include 0.9% saline vehicle controls administered through identical protocols.

  • Endpoint timing: For c-Fos activation studies, tissue collection at 2 hours post-administration has shown optimal detection of neuronal activation patterns .

This protocol has demonstrated efficacy in reducing food intake and body weight in ad libitum-fed wild type mice, with effects lasting at least 2 hours post-administration .

How can researchers leverage CNTF's effects on energy homeostasis for metabolic disease investigations?

CNTF demonstrates significant effects on energy homeostasis pathways that can be leveraged for metabolic disease research through several approaches:

  • Hypothalamic neuropeptide regulation: CNTF regulates expression of key neuropeptides involved in energy homeostasis, particularly increasing urocortin-1 mRNA expression by 1.84-fold at 48 hours post-treatment . Researchers can exploit this by:

    • Measuring changes in multiple neuropeptide levels simultaneously (urocortin-1, urocortin-2, AgRP, BDNF, neurotensin)

    • Conducting time-course analyses to capture both acute and chronic adaptations

    • Using targeted knockdown approaches to determine the necessity of specific neuropeptides for CNTF's metabolic effects

  • Metabolomic profiling: CNTF treatment enhances aerobic glycolysis and anabolism in tissues , suggesting researchers should incorporate comprehensive metabolomic analyses to fully characterize these shifts.

  • Integration with obesity models: As CNTF reduces feeding and induces weight loss , researchers can investigate its therapeutic potential in various obesity models while monitoring both central and peripheral metabolic adaptations.

These approaches can provide deeper insights into how neurotrophic factors might be leveraged to address metabolic disorders through central nervous system mechanisms.

What considerations should guide the design of experiments investigating CNTF effects on microglial phenotypes?

When investigating CNTF effects on microglial phenotypes, researchers should consider:

  • Receptor expression: Murine microglia express CNTF receptor α (CNTFRα), which can be induced by interferon-γ (IFNγ) . Baseline and stimulated receptor expression should be quantified.

  • Soluble receptor supplementation: CNTF responses in microglia can be enhanced by adding exogenous soluble CNTFRα (sCNTFRα) . Experimental designs should include conditions with and without sCNTFRα supplementation.

  • Cytokine interactions: CNTF collaborates with IFNγ to increase microglial CD40 surface expression, with pronounced effects when microglia are differentiated toward dendritic-like cells . This suggests the importance of examining CNTF effects in various microglial activation states.

  • Phosphoprotein profiling: Unlike IL-6, CNTF does not activate STAT-3 and ERK phosphorylation in microglia, indicating distinct signaling mechanisms . Comprehensive phosphoprotein analysis should be incorporated.

  • Functional outputs: Beyond phenotypic markers, researchers should assess functional outcomes including:

    • Secreted factors (cytokines, neurotrophins)

    • Phagocytic capacity

    • Migration and chemotaxis

    • Neurotoxicity/neuroprotection in co-culture systems

These considerations will help researchers develop more nuanced experimental approaches to understanding CNTF's immunomodulatory effects in the central nervous system.

What approaches can resolve contradictions in the literature regarding CNTF signaling mechanisms?

To address contradictions in CNTF signaling literature, researchers should consider:

  • Cell type specificity: CNTF signaling differs substantially between neuronal and glial populations. Experiments should include multiple cell types under identical conditions to document differential responses.

  • Receptor complex heterogeneity: The CNTF receptor complex involves multiple components that may vary between tissues. Comprehensive characterization of receptor expression patterns should precede signaling studies.

  • Temporal dynamics: Short-term versus long-term CNTF exposure may activate different signaling cascades. Time-course experiments with multiple endpoints are essential.

  • Species differences: Human and rodent CNTF may exhibit subtle but important functional differences. Where possible, cross-species comparisons should be included.

  • Technical variations: Different detection methods for signaling intermediates may yield conflicting results. Multiple complementary techniques should be employed to verify key findings.

A systematic approach incorporating these considerations can help reconcile apparently contradictory findings and develop a more unified understanding of CNTF signaling mechanisms.

What methodologies have been validated for evaluating CNTF efficacy in retinal degeneration clinical trials?

Clinical trials evaluating CNTF for retinal degenerative diseases have utilized several validated methodologies:

  • Encapsulated cell technology: Trials have employed implants containing genetically engineered cells that produce a secreted form of recombinant human CNTF . This delivery system provides sustained local release while avoiding systemic exposure.

  • Retinal thickness measurements: Optical coherence tomography (OCT) has proven effective for quantifying changes in retinal thickness following CNTF treatment, with trials for retinitis pigmentosa demonstrating increased thickness in treated patients .

  • Visual function assessment: Multiple parameters beyond best-corrected visual acuity have shown utility, particularly in macular telangiectasia type 2 trials, where morphological and functional improvements have been documented using complementary assessment methods .

  • Metabolic analysis: Evaluation of metabolic shifts, particularly toward enhanced aerobic glycolysis and anabolism, provides mechanistic insights into CNTF's neuroprotective effects .

Researchers designing translational studies should incorporate these validated approaches while considering disease-specific modifications to detection methods and outcome measures.

How can researchers distinguish direct versus indirect effects of CNTF on neuronal survival?

To distinguish direct versus indirect effects of CNTF on neuronal survival, researchers should implement:

These approaches can help resolve the complex interplay between direct neuronal effects and those mediated through glial intermediaries, providing a more complete understanding of CNTF's neuroprotective mechanisms.

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