Zhang Yuang, Wu Zhonghuan, Wu Junfeng, Li Tingdong, Jiang Fugui, Yang Biao
Department of Orthopedics, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, PR China.
Department of Orthopedics, People's Hospital of Qiandongnan Miao and Dong Autonomous Prefecture, Kaili, 556000, PR China; Department of Orthopedics, Qiandongnan Hospital of Guizhou Medical University Affiliated Hospital, Kaili, 556000, PR China.
Neurochem Int. 2024 Sep;178:105801. doi: 10.1016/j.neuint.2024.105801. Epub 2024 Jul 5.
Spinal cord injury (SCI) may cause loss of motor and sensory function, autonomic dysfunction, and thus disrupt the quality of life of patients, leading to severe disability and significant psychological, social, and economic burden. At present, existing therapy for SCI have limited ability to promote neural function recovery, and there is an urgent need to develop innovative regenerative approaches to repair SCI. Biomaterials have become a promising strategy to promote the regeneration and repair of damaged nerve tissue after SCI. Biomaterials can provide support for nerve tissue by filling cavities, and improve local inflammatory responses and reshape extracellular matrix structures through unique biochemical properties to create the optimal microenvironment at the SCI site, thereby promoting neurogenesis and reconnecting damaged spinal cord tissue. Considering the importance of biomaterials in repairing SCI, this article reviews the latest progress of multi-scale biomaterials in SCI treatment and tissue regeneration, and evaluates the relevant technologies for manufacturing biomaterials.
脊髓损伤(SCI)可能导致运动和感觉功能丧失、自主神经功能障碍,从而扰乱患者的生活质量,导致严重残疾以及巨大的心理、社会和经济负担。目前,现有的脊髓损伤治疗方法促进神经功能恢复的能力有限,迫切需要开发创新的再生方法来修复脊髓损伤。生物材料已成为促进脊髓损伤后受损神经组织再生和修复的一种有前景的策略。生物材料可以通过填充空洞为神经组织提供支撑,并通过独特的生化特性改善局部炎症反应、重塑细胞外基质结构,在脊髓损伤部位创造最佳微环境,从而促进神经发生并重新连接受损的脊髓组织。鉴于生物材料在修复脊髓损伤中的重要性,本文综述了多尺度生物材料在脊髓损伤治疗和组织再生方面的最新进展,并评估了生物材料制造的相关技术。