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Table 5 Future directions for eye-to-brain connectivity (SDG5)

From: Retinal ganglion cell repopulation for vision restoration in optic neuropathy: a roadmap from the RReSTORe Consortium

Research Area

Future Goals

Combinatorial approaches to multimodal reinnervation of the brain

Implement a combinatorial approach to understand different signaling pathways necessary for neuronal survival, axon regeneration, and guidance to direct eye-brain connectivity

Distal injury models and in vitro models

Employ these models to simplify experimentation, study regeneration at the single axon level, and investigate the role of neural activity in axon regeneration. Different RGC subtypes may require different guidance cues

Role of glial cells

Use techniques such as single-cell sequencing, optogenetics, chemogenetics, and transgenic mouse lines to identify specific roles of glial subpopulations in promoting or inhibiting axon regeneration. This may include physiologically ‘normal’ glial subtypes, or one of many reactive glial sub-states

Overcoming mechanical blockages

Explore the development of strategies that aid donor RGCs in connecting with downstream neurons in the brain, specifically overcoming the mechanical blockage of the lamina cribrosa

Adult retinal and brain microenvironment

Investigate the spatial–temporal expression/induction of guidance signals in the adult environment and engineer RGCs to respond to specific cues present in the adult retina to promote axon regeneration

Neural Activity

Investigate the role of neural activity in axon regeneration among RGC subtypes to develop combinatorial strategies for promoting regeneration broadly

Retinotopic mapping

Evaluate whether regenerating RGC axons synapsing at subcortical visual centers establish a retinotopic map and develop methods for modulating this process

Brain regeneration

Develop strategies to regenerate retinorecipient tissue in the brain in optic neuropathies, which may overcome issues with anterograde transsynaptic degeneration in longstanding optic neuropathy