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为脊髓损伤的功能修复搭建舞台:众多因素参与

Setting the stage for functional repair of spinal cord injuries: a cast of thousands.

作者信息

Ramer L M, Ramer M S, Steeves J D

机构信息

ICORD (International Collaboration on Repair Discoveries), The University of British Columbia, Vancouver, BC, Canada.

出版信息

Spinal Cord. 2005 Mar;43(3):134-61. doi: 10.1038/sj.sc.3101715.

Abstract

Here we review mechanisms and molecules that necessitate protection and oppose axonal growth in the injured spinal cord, representing not only a cast of villains but also a company of therapeutic targets, many of which have yet to be fully exploited. We next discuss recent progress in the fields of bridging, overcoming conduction block and rehabilitation after spinal cord injury (SCI), where several treatments in each category have entered the spotlight, and some are being tested clinically. Finally, studies that combine treatments targeting different aspects of SCI are reviewed. Although experiments applying some treatments in combination have been completed, auditions for each part in the much-sought combination therapy are ongoing, and performers must demonstrate robust anatomical regeneration and/or significant return of function in animal models before being considered for a lead role.

摘要

在此,我们回顾了脊髓损伤后需要保护并阻碍轴突生长的机制和分子,它们不仅是一系列阻碍因素,也是一批治疗靶点,其中许多尚未得到充分利用。接下来,我们将讨论脊髓损伤(SCI)后在桥接、克服传导阻滞和康复领域的最新进展,每个领域都有几种治疗方法受到关注,有些正在进行临床试验。最后,我们将回顾针对SCI不同方面联合治疗的研究。尽管一些联合治疗的实验已经完成,但备受期待的联合治疗中每个部分的试验仍在进行,在动物模型中,各治疗方法必须展现出强大的解剖学再生和/或显著的功能恢复,才有机会成为主要治疗手段。

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