Recent advances in the understanding of the physiological role of nerv
e growth factor (NGF) have raised the question of whether neurotrophic
factors might have clinical potential in the treatment of neurodegene
rative disease or nerve trauma. Although NGF was first characterized a
s a target-derived survival factor for developing sympathetic and sens
ory neurons, it is now clear that it plays an important role in the ma
intenance and regeneration of mature peripheral neurons. However, the
highly restricted specificity of NGF for sympathetic neurons, subpopul
ations of neural-crest-derived sensory neurons, and striatal and basal
forebrain cholinergic neurons has, for almost two decades, stimulated
the search for other neurotrophic factors that might act on the many
classes of neurons that do not respond to NGF, In this article, the bi
ology of the recently discovered NGF-related family of neurotrophic fa
ctors and ciliary neurotrophic factor and their receptors are reviewed
, especially in the context of the therapeutic potential of these fact
ors in the treatment of neurological disorders of the CNS.