Sarma Santa, Deka Dhruva J, Rajak Prakash, Laloo Damiki, Das Trishna, Chetia Purbajit, Saha Dipankar, Bharali Alakesh, Deka Bhargab
Girijananda Chowdhury Institute of Pharmaceutical Science Assam Science and Technology University Guwahati Assam India.
Department of Pharmaceutical Sciences Dibrugarh University Dibrugarh Assam India.
Ibrain. 2023 Nov 30;9(4):402-420. doi: 10.1002/ibra.12137. eCollection 2023 Winter.
Numerous modalities exist through which the central nervous system (CNS) may sustain injury or impairment, encompassing traumatic incidents, stroke occurrences, and neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease. Presently available pharmacological and therapeutic interventions are incapable of restoring or regenerating damaged CNS tissue, leading to substantial unmet clinical needs among patients with CNS ailments or injuries. To address and facilitate the recovery of the impaired CNS, cell-based repair strategies encompass multiple mechanisms, such as neuronal replacement, therapeutic factor secretion, and the promotion of host brain plasticity. Despite the progression of cell-based CNS reparation as a therapeutic strategy throughout the years, substantial barriers have impeded its widespread implementation in clinical settings. The integration of cell technologies with advancements in regenerative medicine utilizing biomaterials and tissue engineering has recently facilitated the surmounting of several of these impediments. This comprehensive review presents an overview of distinct CNS conditions necessitating cell reparation, in addition to exploring potential biomaterial methodologies that enhance the efficacy of treating brain injuries.
中枢神经系统(CNS)可能遭受损伤或损害的方式众多,包括创伤事件、中风发作以及诸如阿尔茨海默病和帕金森病等神经退行性疾病。目前可用的药物和治疗干预措施无法修复或再生受损的中枢神经系统组织,导致中枢神经系统疾病或损伤患者存在大量未满足的临床需求。为了解决并促进受损中枢神经系统的恢复,基于细胞的修复策略包括多种机制,如神经元替代、治疗因子分泌以及促进宿主脑可塑性。尽管多年来基于细胞的中枢神经系统修复作为一种治疗策略不断发展,但诸多障碍阻碍了其在临床环境中的广泛应用。细胞技术与利用生物材料和组织工程的再生医学进展的整合,最近有助于克服其中一些障碍。这篇综述全面概述了需要细胞修复的不同中枢神经系统疾病,此外还探讨了可提高脑损伤治疗效果的潜在生物材料方法。