Department of Orthopaedics, Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI.
Department of Orthopaedics, Alpert Medical School of Brown University; Rhode Island Hospital; Program in Liberal Medical Education, Brown University, Providence, RI.
R I Med J (2013). 2021 Mar 1;104(2):39-45.
Peripheral nerves are crucial to the motor and sensory function provided by our upper and lower extremities to our brain and spinal cord. Following trauma or illness, these nerves may be injured, leading to a loss of function that can be significantly debilitating. Fortunately, given the type of injury and under the right conditions, peripheral nerves can regenerate through well-coordinated biochemical processes. However, as individuals age, the ability for nerves to regenerate becomes less efficient, reducing nerve's potential for the nerve to return to its prior level of function. In this article, we review the research that has been conducted to illustrate the reasons for such a decline in regenerative capacity. In doing so, we explore the concept of inflammaging alongside aging-related impairments of the macrophage and Schwann cell during nerve regeneration.
周围神经对于我们的上下肢向大脑和脊髓提供的运动和感觉功能至关重要。在创伤或疾病后,这些神经可能会受到损伤,导致功能丧失,这可能会使人严重残疾。幸运的是,根据损伤的类型和适当的条件,周围神经可以通过协调良好的生化过程再生。然而,随着个体年龄的增长,神经再生的能力变得效率降低,从而降低了神经恢复到先前功能水平的潜力。在本文中,我们回顾了已经进行的研究,以说明这种再生能力下降的原因。在这样做的过程中,我们探讨了炎症与年龄相关的巨噬细胞和施万细胞在神经再生过程中的损伤。