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二元支架促进轴突和神经元原位再生以实现完全性脊髓损伤修复。

Binary scaffold facilitates in situ regeneration of axons and neurons for complete spinal cord injury repair.

作者信息

Liu Dingyang, Shu Muya, Liu Weiyuan, Shen Yeyu, Long Ge, Zhao Yannan, Hou Xianglin, Xiao Zhifeng, Dai Jianwu, Li Xing

机构信息

Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, 410008, Hunan Province, China.

State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing 100101, China.

出版信息

Biomater Sci. 2021 Apr 21;9(8):2955-2971. doi: 10.1039/d0bm02212h. Epub 2021 Feb 26.

Abstract

The limited regrowth of transected axons and insufficient regeneration of lost neurons in adult mammals collectively hinder complete spinal cord injury (SCI) repair. Hence, designing an ideal bio-scaffold which could coordinate the regeneration of axons and neurons in situ might be able to effectively facilitate the reconstruction of neural circuits and the recovery of nerve function after complete SCI. In this study, a sponge-like collagen scaffold with good drug release characteristics and good nerve cell compatibility was prepared and used as a drug delivery platform. When doubly modified with Taxol liposomes and collagen-binding neurotrophic factor 3, the scaffold dually alleviated myelin-derived inhibition on neurite outgrowth of neurons and neuronal differentiation of neural stem cells in vitro. Meanwhile, the binary-drug modified scaffold was also able to simultaneously promote both axonal and neuronal regeneration when implanted into a complete transected SCI model. Additionally, the regenerated axons and neurons throughout the lesion site formed extensive synaptic connections. Finally, complete SCI rats that received binary scaffold implantation exhibited optimal neuroelectrophysiological recovery and hindlimb locomotor improvement. Taken together, implantation of the binary scaffold can establish neural bridging networks for functional recovery, representing a clinically promising strategy for complete SCI repair.

摘要

成年哺乳动物中横断轴突的有限再生和丢失神经元的再生不足共同阻碍了完全性脊髓损伤(SCI)的修复。因此,设计一种能够在原位协调轴突和神经元再生的理想生物支架,可能能够有效促进完全性SCI后神经回路的重建和神经功能的恢复。在本研究中,制备了一种具有良好药物释放特性和良好神经细胞相容性的海绵状胶原蛋白支架,并将其用作药物递送平台。当用紫杉醇脂质体和胶原结合神经营养因子3进行双重修饰时,该支架在体外双重减轻了髓磷脂对神经元轴突生长和神经干细胞神经元分化的抑制作用。同时,二元药物修饰的支架植入完全横断的SCI模型后,也能够同时促进轴突和神经元的再生。此外,贯穿损伤部位再生的轴突和神经元形成了广泛的突触连接。最后,接受二元支架植入的完全性SCI大鼠表现出最佳的神经电生理恢复和后肢运动改善。综上所述,二元支架的植入可以建立起促进功能恢复的神经桥接网络,是一种临床上有望用于完全性SCI修复的策略。

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