基于透明质酸的水凝胶整合外泌体,通过促进血管生成和神经发生来修复创伤性脑损伤。

Hyaluronan-based hydrogel integrating exosomes for traumatic brain injury repair by promoting angiogenesis and neurogenesis.

作者信息

Liu Xiaoyin, Wu Chengheng, Zhang Yusheng, Chen Suping, Ding Jie, Chen Zhihong, Wu Kai, Wu Xiaoyang, Zhou Ting, Zeng Mingze, Wei Dan, Sun Jing, Fan Hongsong, Zhou Liangxue

机构信息

Department of Neurosurgery, West China Hospital, West China Medical School, Sichuan University, Chengdu 610041, Sichuan, China.

National Engineering Research Center for Biomaterials, College of Biomedical Engineering, Sichuan University, Chengdu 610064, Sichuan, China; Institute of Regulatory Science for Medical Devices, Sichuan University, Chengdu 610065, Sichuan, China.

出版信息

Carbohydr Polym. 2023 Apr 15;306:120578. doi: 10.1016/j.carbpol.2023.120578. Epub 2023 Jan 18.

Abstract

With wide clinical demands, therapies for traumatic brain injury (TBI) are far from satisfactory. Combining the merits of stem cells but avoiding the risk of immunologic rejection, bone marrow mesenchymal stem cell-derived exosomes (BME) attract increasing interests and have been proved effective for TBI repair by intravenous or in situ injection. However, difficulties in sustained delivery or aggregation in lesion sites remain obstacle to using BME for TBI. Inspired by that hydrogels are promising to bridge the destroyed neural gap and provide neural niches, we raised a novel strategy of incorporating BME into hyaluronan-collagen hydrogel (DHC-BME) to achieve both mimicking of brain matrix and steady release of exosomes, and thus realizing TBI repair. External characterizations proved that the BME and DHC synergistically promoted neural stem cells (NSCs) differentiation into neurons and oligodendrocytes while inhibited astrocytes differentiation. DHC-BME induced angiogenesis and neurogenesis, from endogenous NSC recruitment to neuronal differentiation and vascularization to synergistically promote axonal regeneration, remyelination, synapse formation and even brain structural remodeling, and lastly, neurological functional recovery of TBI.

摘要

鉴于广泛的临床需求,创伤性脑损伤(TBI)的治疗方法远不能令人满意。骨髓间充质干细胞衍生外泌体(BME)结合了干细胞的优点,同时避免了免疫排斥风险,因而吸引了越来越多的关注,并已被证明通过静脉注射或原位注射对TBI修复有效。然而,持续递送困难或在损伤部位聚集仍然是将BME用于TBI治疗的障碍。受水凝胶有望桥接受损神经间隙并提供神经微环境的启发,我们提出了一种将BME掺入透明质酸-胶原蛋白水凝胶(DHC-BME)的新策略,以实现模拟脑基质和外泌体的稳定释放,从而实现TBI修复。外部表征证明,BME和DHC协同促进神经干细胞(NSC)分化为神经元和少突胶质细胞,同时抑制星形胶质细胞分化。DHC-BME诱导血管生成和神经发生,从内源性NSC募集到神经元分化和血管生成,协同促进轴突再生、髓鞘再生、突触形成,甚至脑结构重塑,最终实现TBI的神经功能恢复。

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