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再生策略在不同动物模型外周神经损伤治疗中的应用。

Regenerative Strategies in Treatment of Peripheral Nerve Injuries in Different Animal Models.

机构信息

Department of Anatomy and Embryology, Faculty of Veterinary Medicine, Cairo University, Giza Square, Giza, 12211, Egypt.

Department of Surgery, Anaesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Giza Square, Giza, 12211, Egypt.

出版信息

Tissue Eng Regen Med. 2023 Oct;20(6):839-877. doi: 10.1007/s13770-023-00559-4. Epub 2023 Aug 12.

Abstract

BACKGROUND

Peripheral nerve damage mainly resulted from traumatic or infectious causes; the main signs of a damaged nerve are the loss of sensory and/or motor functions. The injured nerve has limited regenerative capacity and is recovered by the body itself, the recovery process depends on the severity of damage to the nerve, nowadays the use of stem cells is one of the new and advanced methods for treatment of these problems.

METHOD

Following our review, data are collected from different databases "Google scholar, Springer, Elsevier, Egyptian Knowledge Bank, and PubMed" using different keywords such as Peripheral nerve damage, Radial Nerve, Sciatic Nerve, Animals, Nerve regeneration, and Stem cell to investigate the different methods taken in consideration for regeneration of PNI.

RESULT

This review contains tables illustrating all forms and types of regenerative medicine used in treatment of peripheral nerve injuries (PNI) including different types of stem cells " adipose-derived stem cells, bone marrow stem cells, Human umbilical cord stem cells, embryonic stem cells" and their effect on re-constitution and functional recovery of the damaged nerve which evaluated by physical, histological, Immuno-histochemical, biochemical evaluation, and the review illuminated the best regenerative strategies help in rapid peripheral nerve regeneration in different animal models included horse, dog, cat, sheep, monkey, pig, mice and rat.

CONCLUSION

Old surgical attempts such as neurorrhaphy, autogenic nerve transplantation, and Schwann cell implantation have a limited power of recovery in cases of large nerve defects. Stem cell therapy including mesenchymal stromal cells has a high potential differentiation capacity to renew and form a new nerve and also restore its function.

摘要

背景

周围神经损伤主要由创伤或感染引起;受损神经的主要表现是感觉和/或运动功能丧失。受损神经的再生能力有限,由身体自身恢复,恢复过程取决于神经损伤的严重程度,目前干细胞的使用是治疗这些问题的新的先进方法之一。

方法

通过我们的综述,从不同的数据库“Google scholar、Springer、Elsevier、埃及知识库和 PubMed”中收集数据,使用不同的关键词,如周围神经损伤、桡神经、坐骨神经、动物、神经再生和干细胞,以调查用于 PNI 再生的不同方法。

结果

本综述包含了说明所有形式和类型的再生医学用于治疗周围神经损伤(PNI)的表格,包括不同类型的干细胞“脂肪来源干细胞、骨髓干细胞、人脐带干细胞、胚胎干细胞”及其对损伤神经的重建和功能恢复的影响,通过物理、组织学、免疫组织化学、生化评估进行评估,综述阐明了最佳的再生策略有助于在不同的动物模型中快速进行周围神经再生,包括马、狗、猫、羊、猴子、猪、老鼠。

结论

陈旧的手术尝试,如神经缝合术、自体神经移植术和施万细胞植入术,在大神经缺损的情况下恢复能力有限。包括间充质基质细胞在内的干细胞疗法具有很高的分化潜力,可以更新和形成新的神经,并恢复其功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f63a/10519924/81f6f6f8552a/13770_2023_559_Fig1_HTML.jpg

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