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脊髓损伤的治疗性修复:应对多方面问题的联合方法。

Therapeutic repair for spinal cord injury: combinatory approaches to address a multifaceted problem.

作者信息

Griffin Jarred M, Bradke Frank

机构信息

Laboratory for Axonal Growth and Regeneration, German Centre for Neurodegenerative Diseases (DZNE), Bonn, Germany.

出版信息

EMBO Mol Med. 2020 Mar 6;12(3):e11505. doi: 10.15252/emmm.201911505. Epub 2020 Feb 24.

Abstract

The recent years saw the advent of promising preclinical strategies that combat the devastating effects of a spinal cord injury (SCI) that are progressing towards clinical trials. However, individually, these treatments produce only modest levels of recovery in animal models of SCI that could hamper their implementation into therapeutic strategies in spinal cord injured humans. Combinational strategies have demonstrated greater beneficial outcomes than their individual components alone by addressing multiple aspects of SCI pathology. Clinical trial designs in the future will eventually also need to align with this notion. The scenario will become increasingly complex as this happens and conversations between basic researchers and clinicians are required to ensure accurate study designs and functional readouts.

摘要

近年来,出现了一些有前景的临床前策略,这些策略可对抗脊髓损伤(SCI)的破坏性影响,并且正朝着临床试验发展。然而,这些治疗方法单独应用时,在SCI动物模型中仅能产生适度的恢复水平,这可能会阻碍其在脊髓损伤患者治疗策略中的应用。联合策略通过解决SCI病理的多个方面,已显示出比单独使用其各个组成部分更有益的结果。未来的临床试验设计最终也需要与这一理念保持一致。随着这种情况的发生,情况将变得越来越复杂,基础研究人员和临床医生之间需要进行沟通,以确保准确的研究设计和功能读数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa9/7059014/f0b4ea624ccb/EMMM-12-e11505-g001.jpg

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