Department of P.E, Central South University, Changsha 410083, China.
The High School Attached to Hunan Normal University Bocai Experimental Middle School,Changsha 410208, China.
Tissue Cell. 2024 Jun;88:102429. doi: 10.1016/j.tice.2024.102429. Epub 2024 May 31.
Neuronal injuries, as one of the consequences of sports-related incidents, exert a profound influence on the athletes' future, potentially leading to complete immobility and impeding their athletic pursuits. In cases of severe damage inflicted upon the spinal cord (SC) and peripheral nervous systems (PNS), the regenerative process is notably compromised, rendering it essentially inefficient. Among the pivotal therapeutic approaches for the enhancement and prevention of secondary SC injuries (SCI), stem cell transplantation (SCT) stands out prominently. Stem cells, whether directly involved in replacement and reconstruction or indirectly through modification and secretion of crucial bioenvironmental factors, engage in the intricate process of tissue regeneration. Stem cells, through the secretion of neurotrophic factors (NTFs) (aiming to modulate the immune system), reduction of inflammation, axonal growth stimulation, and myelin formation, endeavor to facilitate the regeneration of damaged SC tissue. The fundamental challenges of this approach encompass the proper selection of suitable stem cell candidates for transplantation and the establishment of an appropriate microenvironment conducive to SC repair. In this article, an attempt has been made to explore sports-related injuries, particularly SCI, to comprehensively review innovative methods for treating SCI, and to address the existing challenges. Additionally, some of the stem cells used in neural injuries and the process of their utilization have been discussed.
神经元损伤是运动相关事件的后果之一,对运动员的未来产生深远影响,可能导致完全丧失活动能力并阻碍其运动生涯。在脊髓(SC)和周围神经系统(PNS)受到严重损伤的情况下,再生过程受到显著损害,基本上效率低下。在增强和预防继发性 SC 损伤(SCI)的关键治疗方法中,干细胞移植(SCT)尤为突出。干细胞无论是直接参与替代和重建,还是间接通过修改和分泌关键的生物环境因素,都参与到组织再生的复杂过程中。干细胞通过分泌神经营养因子(NTFs)(旨在调节免疫系统)、减少炎症、刺激轴突生长和形成髓鞘,努力促进受损 SC 组织的再生。该方法的基本挑战包括选择合适的移植候选干细胞和建立有利于 SC 修复的适当微环境。本文旨在探讨运动相关损伤,特别是 SCI,全面综述 SCI 的创新治疗方法,并解决现有挑战。此外,还讨论了用于神经损伤的一些干细胞及其利用过程。