Yang Xiaoqi, Zhang Yumin, Liu Yadong, Wang Yuanyi, Zhou Nan
Department of Orthopedics, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou 450052, Henan, China.
Department of Geriatric Endocrinology, The First Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 210029, P. R. China.
J Mater Chem B. 2023 Nov 1;11(42):10052-10071. doi: 10.1039/d3tb01927f.
Peripheral nerve injuries are common and can cause catastrophic consequences. Although peripheral nerves have notable regenerative capacity, full functional recovery is often challenging due to a number of factors, including age, the type of injury, and delayed healing, resulting in chronic disorders that cause lifelong miseries and significant financial burdens. Fluorescence imaging, among the various techniques, may be the key to overcome these restrictions and improve the prognosis because of its feasibility and dynamic real-time imaging. Intraoperative dynamic fluorescence imaging allows the visualization of the morphological structure of the nerve so that surgeons can reduce the incidence of medically induced injury. Axoplasmic transport-based neuroimaging allows the visualization of the internal transport function of the nerve, facilitating early, objective, and accurate assessment of the degree of regenerative repair, allowing early intervention in patients with poor recovery, thereby improving prognosis. This review briefly discusses peripheral nerve fluorescent dyes that have been reported or could potentially be employed, with a focus on their role in visualizing the nerve's function and anatomy.
周围神经损伤很常见,可导致灾难性后果。尽管周围神经具有显著的再生能力,但由于多种因素,包括年龄、损伤类型和愈合延迟,完全功能恢复往往具有挑战性,会导致慢性疾病,造成终身痛苦和巨大经济负担。在各种技术中,荧光成像因其可行性和动态实时成像,可能是克服这些限制并改善预后的关键。术中动态荧光成像可使神经的形态结构可视化,从而使外科医生能够降低医源性损伤的发生率。基于轴浆运输的神经成像可使神经的内部运输功能可视化,有助于早期、客观、准确地评估再生修复程度,对恢复不佳的患者进行早期干预,从而改善预后。本综述简要讨论了已报道的或可能被采用的周围神经荧光染料,重点关注它们在显示神经功能和解剖结构方面的作用。