Bokara Kiran Kumar, Kim Jong Youl, Lee Young Il, Yun Kyungeun, Webster Tom J, Lee Jong Eun
Department of Anatomy, Yonsei University College of Medicine, Seoul, Korea.
Anat Cell Biol. 2013 Jun;46(2):85-92. doi: 10.5115/acb.2013.46.2.85. Epub 2013 Jun 30.
Cases reporting traumatic injuries to the brain and spinal cord are extended range of disorders that affect a large percentage of the world's population. But, there are only few effective treatments available for central nervous system (CNS) injuries because the CNS is refractory to axonal regeneration and relatively inaccessible to many pharmacological treatments. The use of stem cell therapy in regenerative medicine has been extensively examined to replace lost cells during CNS injuries. But, given the complexity of CNS injuries oxidative stress, toxic byproducts, which prevails in the microenvironment during the diseased condition, may limit the survival of the transplanted stem cells affecting tissue regeneration and even longevity. Carbon nanotubes (CNT) are a new class of nanomaterials, which have been shown to be promising in different areas of nanomedicine for the prevention, diagnosis and therapy of certain diseases, including CNS diseases. In particular, the use of CNTs as substrates/scaffolds for supporting the stem cell differentiation has been an area of active research. Single-walled and multi-walled CNT's have been increasingly used as scaffolds for neuronal growth and more recently for neural stem cell growth and differentiation. This review summarizes recent research on the application of CNT-based materials to direct the differentiation of progenitor and stem cells toward specific neurons and to enhance axon regeneration and synaptogenesis for the effective treatment of CNS injuries. Nonetheless, accumulating data support the use of CNTs as a biocompatible and permissive substrate/scaffold for neural cells and such application holds great potential in neurological research.
报告脑和脊髓创伤性损伤的病例属于一系列影响全球很大一部分人口的疾病。但是,中枢神经系统(CNS)损伤的有效治疗方法很少,因为中枢神经系统对轴突再生具有抗性,并且许多药物治疗难以到达。再生医学中干细胞疗法的应用已被广泛研究,以替代中枢神经系统损伤期间丢失的细胞。但是,鉴于中枢神经系统损伤的复杂性,疾病状态下微环境中普遍存在的氧化应激、有毒副产物可能会限制移植干细胞的存活,影响组织再生甚至寿命。碳纳米管(CNT)是一类新型纳米材料,已被证明在纳米医学的不同领域,包括中枢神经系统疾病的预防、诊断和治疗方面具有前景。特别是,将碳纳米管用作支持干细胞分化的基质/支架一直是一个活跃的研究领域。单壁和多壁碳纳米管越来越多地被用作神经元生长的支架,最近也用于神经干细胞的生长和分化。这篇综述总结了基于碳纳米管材料在引导祖细胞和干细胞向特定神经元分化以及增强轴突再生和突触形成以有效治疗中枢神经系统损伤方面的最新研究。尽管如此,越来越多的数据支持将碳纳米管用作神经细胞的生物相容性和允许性基质/支架,这种应用在神经学研究中具有巨大潜力。