New functional vessels form after spinal cord injury in zebrafish

The vascular system is inefficiently repaired after spinal cord injury in mammals, resulting in secondary tissue damage and immune deregulation that contribute to the limited functional recovery. Unlike mammals, zebrafish can repair the spinal cord and restore motility, but the vascular response to injury has not been investigated. Here we describe the zebrafish spinal cord vasculature, from the body size-dependent vessel ingression during development to the stereotypic vessel organization and barrier specialisation in adulthood. After injury, vessels rapidly regrow into the lesion, preceding the glial bridge and regenerating axons. The initial vascularisation of the injured tissue is done by dysmorphic and leaky vessels. Dysfunctional vessels are later removed, as pericytes are recruited and the blood-spinal cord barrier is re-established. Vascular repair involves an early burst of angiogenesis, likely in response to pro-angiogenic factors detected in the injured spinal cord, including the Vegf pathway. However, the inhibition of the Vegfr2 using genetic and pharmacological methods was not able to efficiently block the formation of new blood vessels, suggesting that other signalling pathways are also involved in this process. This study demonstrates that zebrafish can successfully re-vascularise the spinal tissue, reinforcing the value of this organism as a regenerative model for spinal cord injury.