Nerve growth factor (NGF) was discovered 50 years ago as a molecule that pr
omoted the survival and differentiation of sensory and sympathetic neurons.
Its roles in neural development have been characterized extensively, but r
ecent findings point to an unexpected diversity of NGF actions and indicate
that developmental effects are only one aspect of the biology of NGF. This
article considers expanded roles for NGF that are associated with the dyna
mically regulated production of NGF and its receptors that begins in develo
pment, extends throughout adult life and aging, and involves a surprising v
ariety of neurons, glia, and nonneural cells. Particular attention is given
to a growing body of evidence that suggests that among other roles, endoge
nous NGF signaling subserves neuroprotective and repair functions. The anal
ysis points to many interesting unanswered questions and to the potential f
or continuing research on NGF to substantially enhance our understanding of
the mechanisms and treatment of neurological disorders.