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对用于缺血性中风的水凝胶和纳米材料的前瞻性见解。

Perspective insights into hydrogels and nanomaterials for ischemic stroke.

作者信息

Yu Qingbo, Jian Zhang, Yang Dan, Zhu Tao

机构信息

Laboratory of Anesthesia & Critical Care Medicine, Department of Anesthesiology, Translational Neuroscience Center, West China Hospital of Sichuan University, Chengdu, China.

Department of Anesthesiology, North Sichuan Medical College, Nanchong, China.

出版信息

Front Cell Neurosci. 2023 Jan 24;16:1058753. doi: 10.3389/fncel.2022.1058753. eCollection 2022.

Abstract

Ischemic stroke (IS) is a neurological disorder prevalent worldwide with a high disability and mortality rate. In the clinic setting, tissue plasminogen activator (tPA) and thrombectomy could restore blood flow of the occlusion region and improve the outcomes of IS patients; however, these therapies are restricted by a narrow time window. Although several preclinical trials have revealed the molecular and cellular mechanisms underlying infarct lesions, the translatability of most findings is unsatisfactory, which contributes to the emergence of new biomaterials, such as hydrogels and nanomaterials, for the treatment of IS. Biomaterials function as structural scaffolds or are combined with other compounds to release therapeutic drugs. Biomaterial-mediated drug delivery approaches could optimize the therapeutic effects based on their brain-targeting property, biocompatibility, and functionality. This review summarizes the advances in biomaterials in the last several years, aiming to discuss the therapeutic potential of new biomaterials from the bench to bedside. The promising prospects of new biomaterials indicate the possibility of an organic combination between materialogy and medicine, which is a novel field under exploration.

摘要

缺血性中风(IS)是一种在全球范围内普遍存在的神经系统疾病,具有很高的致残率和死亡率。在临床环境中,组织型纤溶酶原激活剂(tPA)和血栓切除术可以恢复闭塞区域的血流并改善IS患者的预后;然而,这些治疗方法受到狭窄时间窗的限制。尽管一些临床前试验已经揭示了梗死灶的分子和细胞机制,但大多数研究结果的可转化性并不理想,这促使了水凝胶和纳米材料等新型生物材料的出现,用于治疗IS。生物材料作为结构支架或与其他化合物结合以释放治疗药物。生物材料介导的药物递送方法可以基于其脑靶向性、生物相容性和功能性来优化治疗效果。本综述总结了过去几年生物材料的进展,旨在探讨新型生物材料从实验室到临床的治疗潜力。新型生物材料的广阔前景表明了材料学与医学有机结合的可能性,这是一个正在探索的新领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4748/9902513/67aa1a318fd6/fncel-16-1058753-g001.jpg

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