Ma Xiaoyu, Wang Mengjie, Ran Yuanyuan, Wu Yusi, Wang Jin, Gao Fuhai, Liu Zongjian, Xi Jianing, Ye Lin, Feng Zengguo
School of Materials Science and Engineering, Beijing Institute of Technology, Beijing 100081, China.
School of Beijing Rehabilitation Medicine, Capital Medical University, Beijing 100044, China.
Polymers (Basel). 2022 Apr 11;14(8):1549. doi: 10.3390/polym14081549.
Nerve regeneration and repair still remain a huge challenge for both central nervous and peripheral nervous system. Although some therapeutic substances, including neuroprotective agents, clinical drugs and stem cells, as well as various growth factors, are found to be effective to promote nerve repair, a carrier system that possesses a sustainable release behavior, in order to ensure high on-site concentration during the whole repair and regeneration process, and high bioavailability is still highly desirable. Hydrogel, as an ideal delivery system, has an excellent loading capacity and sustainable release behavior, as well as tunable physical and chemical properties to adapt to various biomedical scenarios; thus, it is thought to be a suitable carrier system for nerve repair. This paper reviews the structure and classification of hydrogels and summarizes the fabrication and processing methods that can prepare a suitable hydrogel carrier with specific physical and chemical properties. Furthermore, the modulation of the physical and chemical properties of hydrogels is also discussed in detail in order to obtain a better therapeutic effect to promote nerve repair. Finally, the future perspectives of hydrogel microsphere carriers for stroke rehabilitation are highlighted.
神经再生和修复对于中枢神经系统和周围神经系统而言仍然是一项巨大的挑战。尽管已发现一些治疗物质,包括神经保护剂、临床药物、干细胞以及各种生长因子,对促进神经修复有效,但为确保在整个修复和再生过程中实现高局部浓度以及高生物利用度,仍迫切需要一种具有可持续释放行为的载体系统。水凝胶作为一种理想的递送系统,具有出色的负载能力和可持续释放行为,以及可调节的物理和化学性质以适应各种生物医学场景;因此,它被认为是一种适合神经修复的载体系统。本文综述了水凝胶的结构和分类,并总结了能够制备具有特定物理和化学性质的合适水凝胶载体的制备和加工方法。此外,还详细讨论了水凝胶物理和化学性质的调节,以获得更好的促进神经修复的治疗效果。最后,强调了水凝胶微球载体在中风康复方面的未来前景。