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纳米医学在脊髓损伤管理中的创新:弥合差距。

Nanomedicine innovations in spinal cord injury management: Bridging the gap.

机构信息

School of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran.

Department of Neurology, North Khorasan University of Medical Sciences, Bojnord, Iran.

出版信息

Environ Res. 2023 Oct 15;235:116563. doi: 10.1016/j.envres.2023.116563. Epub 2023 Jul 7.

Abstract

Spinal cord injury (SCI) has devastating effects on a person's physical, social, and professional well-being. It is a life-altering neurological condition that significantly impacts individuals and their caregivers on a socioeconomic level. Recent advancements in medical therapy have greatly improved the diagnosis, stability, survival rates, and overall well-being of SCI patients. However, there are still limited options available for enhancing neurological outcomes in these patients. The complex pathophysiology of SCI, along with the numerous biochemical and physiological changes that occur in the damaged spinal cord, contribute to this gradual improvement. Currently, there are no therapies that offer the possibility of recovery for SCI, although several therapeutic approaches are being developed. However, these therapies are still in the early stages and have not yet demonstrated effectiveness in repairing the damaged fibers, which hinders cellular regeneration and the full restoration of motor and sensory functions. Considering the importance of nanotechnology and tissue engineering in treating neural tissue injuries, this review focuses on the latest advancements in nanotechnology for SCI therapy and tissue healing. It examines research articles from the PubMed database that specifically address SCI in the field of tissue engineering, with an emphasis on nanotechnology as a therapeutic approach. The review evaluates the biomaterials used for treating this condition and the techniques employed to create nanostructured biomaterials.

摘要

脊髓损伤(SCI)对一个人的身体、社交和职业健康有着毁灭性的影响。这是一种改变生活的神经系统疾病,会对个人及其照护者的社会经济水平产生重大影响。最近在医学治疗方面的进展极大地改善了 SCI 患者的诊断、稳定性、生存率和整体健康状况。然而,在提高这些患者的神经功能方面,仍然只有有限的选择。SCI 的复杂病理生理学,以及受损脊髓中发生的众多生化和生理变化,导致了这种逐渐的改善。目前,还没有可以恢复 SCI 的治疗方法,尽管正在开发几种治疗方法。然而,这些治疗方法仍处于早期阶段,尚未证明在修复受损纤维方面有效,这阻碍了细胞再生和运动及感觉功能的完全恢复。考虑到纳米技术和组织工程在治疗神经组织损伤方面的重要性,本综述重点介绍了纳米技术在 SCI 治疗和组织修复方面的最新进展。它检查了来自 PubMed 数据库的专门针对组织工程领域中 SCI 的研究文章,重点是将纳米技术作为一种治疗方法。该综述评估了用于治疗这种疾病的生物材料以及用于创建纳米结构生物材料的技术。

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