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人工神经导管的原材料选择与功能设计进展

[Advances in the raw material selection and functional design of artificial nerve guidance conduits].

作者信息

Liu Jingwei, Wang Jian, Wang Lin

机构信息

Hubei Key Laboratory of Regenerative Medicine and Multi-disciplinary Translational Research, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China.

Department of Clinical Laboratory, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China.

出版信息

Sheng Wu Gong Cheng Xue Bao. 2023 Oct 25;39(10):4057-4074. doi: 10.13345/j.cjb.221049.

Abstract

Artificial nerve guidance conduits (NGCs) are synthetic nerve grafts that are capable of providing the structural and nutritional support for nerve regeneration. The ideal NGCs have plenty of requirements on biocompatibility, mechanical strength, topological structure, and conductivity. Therefore, it is necessary to continuously improve the design of NGCs and establish a better therapeutic strategy for peripheral nerve injury in order to meet clinical needs. Although current NGCs have made certain process in the treatment of peripheral nerve injury, their nerve regeneration and functional outcomes on repairing long-distance nerve injury remain unsatisfactory. Herein, we review the nerve conduit design from four aspects, namely raw material selection, structural design, therapeutic factor loading and self-powered component integration. Moreover, we summarize the research progress of NGCs in the treatment of peripheral nerve injury, in order to facilitate the iterative updating and clinical transformation of NGCs.

摘要

人工神经导管(NGCs)是一种合成神经移植物,能够为神经再生提供结构和营养支持。理想的神经导管对生物相容性、机械强度、拓扑结构和导电性有诸多要求。因此,有必要不断改进神经导管的设计,并建立更好的周围神经损伤治疗策略,以满足临床需求。尽管目前的神经导管在周围神经损伤治疗方面取得了一定进展,但其在修复长距离神经损伤方面的神经再生和功能结果仍不尽人意。在此,我们从原材料选择、结构设计、治疗因子负载和自供电组件集成四个方面综述神经导管的设计。此外,我们总结了神经导管在周围神经损伤治疗中的研究进展,以促进神经导管的迭代更新和临床转化。

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